Prevalence of metabolic syndrome in elderly Japanese-Brazilians

Prevalence of metabolic syndrome in elderly Japanese-Brazilians

Author Xavier, Natasha Priscilla Google Scholar
Chaim, Rita Cristina Google Scholar
Agostinh Gimeno, Suely Godoy Autor UNIFESP Google Scholar
Gouvea Ferreira, Sandra Roberta Google Scholar
Hirai, Amelia Toyomi Autor UNIFESP Google Scholar
Rosa, Camila Moreno Google Scholar
Padovani, Carlos Roberto Google Scholar
Okoshi, Marina Politi Google Scholar
Okoshi, Katashi Google Scholar
Institution Universidade de São Paulo (USP)
Univ Cattolica Sacro Cuore
Universidade Federal de São Paulo (UNIFESP)
Biosci Inst
Abstract Background: Prevalence of individuals with a high cardiovascular risk is elevated in elderly populations. Although metabolic syndrome (MS) increases cardiovascular risk, information is scarce on the prevalence of MS in the elderly. In this study we assessed MS prevalence in a population of elderly Japanese-Brazilians using different MS definitions according to waist circumference cutoff values.Material/Methods: We studied 339 elderly subjects, 44.8% males, aged between 60 to 88 years (70.1 +/- 6.8). MS was defined according to criteria proposed by the Joint Interim Statement in 2009. As waist circumference cutoff point values remain controversial for Asian and Japanese populations, we employed 3 different cutoffs that are commonly used in Japanese epidemiological studies: 1) >90 cm for men and >80 cm for women; 2) >85 cm for men and >90 cm for women; 3) >85 cm for men and >80 cm for women.Results: MS prevalence ranged from 59.9% to 65.8% according to the different definitions. We observed 90% concordance and no statistical difference (p>0.05) in MS prevalence between the 3 definitions. MS diagnosis according to all 3 cutoff values was found in 55.8% of our population, while in only 34.2% was MS discarded by all cutoffs. The prevalence of altered MS components was as follows: arterial blood pressure 82%, fasting glycemia 65.8%, triglyceride 43.4%, and HDL-C levels 36.9%.Conclusions: Elderly Japanese-Brazilians present high metabolic syndrome prevalence independent of waist circumference cutoff values. Concordance between the 3 definitions is high, suggesting that all 3 cutoff values yield similar metabolic syndrome prevalence values in this population.
Keywords metabolic syndrome
waist circumference
obesity
visceral fat
Language English
Sponsor Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Fundação para o Desenvolvimento da UNESP (FUNDUNESP)
Japanese-Brazilian Diabetes Study Group
Date 2012-02-01
Published in Medical Science Monitor. Smithtown: Int Scientific Literature, Inc, v. 18, n. 2, p. PH1-PH5, 2012.
ISSN 1234-1010 (Sherpa/Romeo, impact factor)
Publisher Int Scientific Literature, Inc
Extent PH1-PH5
Origin http://dx.doi.org/10.12659/MSM.882448
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000304079400021
URI http://repositorio.unifesp.br/11600/44875

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