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The effectiveness of IDF and ATP-III in identifying metabolic syndrome and the usefulness of these tools for health-promotion in older Taiwanese

Abstract

Objectives

The aim of this study was to compare the effectiveness of IDF (International Diabetes Federation) and ATP-III (National Cholesterol Education Program-Adult Treatment Panel III) for predicting metabolic syndrome, and to evaluate the usefulness of these definitions for health promotion.

Design

A cross-sectional study.

Setting

A national random sample.

Participants

A population representative sample of 1021 54–91 year-old Taiwanese.

Measurements

Subjects were measured for anthropometric and biochemical indicators and rated for the presence of metabolic syndrome using the two definitions. We evaluated the effectiveness of the two definitions in predicting MetS among those who had specific metabolic disorders. Results were analyzed with Student t-test and McNemar’s test.

Results

Among the 918 subjects who had one or more MetS-item disorders, ATP-III rated greater proportions of subjects as having MetS than IDF, but both definitions predicted less than 50% (37.7% and 45.4%, respectively) as having MetS.

Conclusion

Compared to IDF, ATP-III rated a greater proportion of subjects as having MetS, but both definitions missed more than 50% of subjects who had metabolic disorder(s). Since those who are missed have as much need for lifestyle intervention, the definitions appear not appropriate for health promotion.

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Correspondence to Alan C. Tsai.

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Chen, M.M., Tsai, A.C. The effectiveness of IDF and ATP-III in identifying metabolic syndrome and the usefulness of these tools for health-promotion in older Taiwanese. J Nutr Health Aging 17, 413–416 (2013). https://doi.org/10.1007/s12603-012-0440-2

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Key words

  • Metabolic syndrome
  • metabolic disorder
  • health promotion
  • Taiwan