Prevalence of the metabolic syndrome in a rural Turkish population: comparison and concordance of two diagnostic criteria

DİŞÇİGİL, Güzel; AYDIN, Serpil; KURUL, Aslıhan; GEMALMAZ, AYFER; Basak, Okay

Prevalence of the metabolic syndrome in a rural Turkish population: comparison and concordance of two diagnostic criteria

Ayfer GEMALMAZ, (Adnan Menderes Üniversitesi, Tıp Fakültesi, Aile Hekimliği Anabilim Dalı, Aydın, Türkiye)

Serpil AYDIN, (Adnan Menderes Üniversitesi, Tıp Fakültesi, Aile Hekimliği Anabilim Dalı, Aydın, Türkiye)

Okay BAŞAK, (Adnan Menderes Üniversitesi, Tıp Fakültesi, Aile Hekimliği Anabilim Dalı, Aydın, Türkiye)

Güzel DİŞÇİGİL, (Adnan Menderes Üniversitesi, Tıp Fakültesi, Aile Hekimliği Anabilim Dalı, Aydın, Türkiye)

Aslıhan KURUL (Adnan Menderes Üniversitesi, Tıp Fakültesi, Biyokimya Anabilim Dalı, Aydın, Türkiye)

Turkish Journal of Medical Sciences

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Yıl: 2008 Cilt: 38 Sayı: 2 Sayfa Aralığı: 159 - 165 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Prevalence of the metabolic syndrome in a rural Turkish population: comparison and concordance of two diagnostic criteria

Öz:

Amaç: Bu çalışmanın amacı, topluma dayalı bir örneklemde metabolic sendrom (MES) prevelansını Uluslararası Diyabet Federasyonu (IDF) ve Erişkin Tedavi Paneli III (ATP1İI) tanımları temelinde karşılaştırmak ve iki tanımın uyumunu araştırmaktır. Yöntem ve Gereç: Çalışmaya Batı Anadolu'daki kırsal bir kasabada ev halkı tespit fişlerinden sistematik olarak seçilen 20 yaş ve üzerindeki 244 yetişkin alındı. Tanımlar arasındaki uyum Kappa test ile araştırıldı. Bulgular: Grubun yaş ortalaması 46,9 ± 14,9 yıldı. MES prevalansi ATPIII ve IDF tanımlarına göre sırasıyla % 38,1 ve % 41,4 olarak saptandı ve hem erkek hem de bayanlarda 50 yaş üzerinde MES prevaiansında artış gözlendi (P < 0,001). ATPIII ve IDF tanımlarına göre grubun sırasıyla sadece % 9,8'i ve % 6,3'ü hiçbir kriteri taşımıyordu. IDF ve ATPIII tanımları arasındaki uyum oranı % 91,1 ± % 0,04 (Kappa = 0,812) olarak bulundu. Sadece ATPIII ile MES tanısı alan ancak IDF tanımına göre MES olmayanların hepsi erkekti ve vücut kitle indeksleri ile bel çevreleri her iki tanım ile de MES saptananlardan daha düşüktü. Sonuç: Metabolik sendrom prevalansi bölgemizde yüksektir ve iki tanım arasında iyi bir uyum bulunmaktadır. IDF tanımının zayıf ancak metabolik unsurları bozuk olan erkekleri saptamada yetersiz kalabileceği akılda tutulmalıdır. Bu sendroma yönelik olarak tarama, önleme ve tadavi girişimlerinin acilen organize edilmesi gerekli görünmektedir.

Anahtar Kelime: Metabolik sendrom X Yaş dağılımı Türkiye Kırsal nüfus Yaygınlık Cinsiyet dağılımı

Konular: Cerrahi

Türkiye'de kırsal bir alanda metabolik sendrom prevelansı: iki tanı kriterinin karşılaştırılması ve uyumu

Öz:

Aim: This study was performed to compare the prevalence of the metabolic syndrome (MES) according to the International Diabetes Federation (IDF) and Adult Treatment Panel III (ATP11I) definitions in a population-based sample and to determine the concordance of the definitions. Materials and Methods: A total of 244 adults aged >20 years (145 women and 99 men), selected systematically from household registration cards in a rural village in West Anatolia, were analyzed. Kappa test was done to examine the agreement between the definitions. Results: The mean age of the group was 46.9 ± 14.9 years. The prevalence of MES using ATP1I1 and IDF definitions was 38.1% and 41.4%, respectively. MES prevalence increased with age 50 in both genders using both criteria (P < 0.001). Only 9.8% and 6.3% of the population had none of the components of MES according to ATP11I and IDF, respectively. The agreement rate between the IDF and ATP1II was 91.1% ± 0.04% (Kappa = 0.812). The subjects defined only with ATPI11 and not IDF were all men and had lower body mass index and waist circumference than those defined by both ATPIII and IDF. Conclusions: The MES was common among our population using either ATPIII or IDF definition. The agreement between the two definitions was good. The insufficiency of IDF definition for detecting leaner but metabolically abnormal men should be kept in mind. Screening, prevention and treatment interventions for this syndrome seem to be organized promptly.

Anahtar Kelime: Metabolic Syndrome X Age Distribution Turkey Rural Population Prevalence Sex Distribution

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	GEMALMAZ A, AYDIN S, Basak O, DİŞÇİGİL G, KURUL A (2008). Prevalence of the metabolic syndrome in a rural Turkish population: comparison and concordance of two diagnostic criteria. , 159 - 165.
Chicago	GEMALMAZ AYFER,AYDIN Serpil,Basak Okay,DİŞÇİGİL Güzel,KURUL Aslıhan Prevalence of the metabolic syndrome in a rural Turkish population: comparison and concordance of two diagnostic criteria. (2008): 159 - 165.
MLA	GEMALMAZ AYFER,AYDIN Serpil,Basak Okay,DİŞÇİGİL Güzel,KURUL Aslıhan Prevalence of the metabolic syndrome in a rural Turkish population: comparison and concordance of two diagnostic criteria. , 2008, ss.159 - 165.
AMA	GEMALMAZ A,AYDIN S,Basak O,DİŞÇİGİL G,KURUL A Prevalence of the metabolic syndrome in a rural Turkish population: comparison and concordance of two diagnostic criteria. . 2008; 159 - 165.
Vancouver	GEMALMAZ A,AYDIN S,Basak O,DİŞÇİGİL G,KURUL A Prevalence of the metabolic syndrome in a rural Turkish population: comparison and concordance of two diagnostic criteria. . 2008; 159 - 165.
IEEE	GEMALMAZ A,AYDIN S,Basak O,DİŞÇİGİL G,KURUL A "Prevalence of the metabolic syndrome in a rural Turkish population: comparison and concordance of two diagnostic criteria." , ss.159 - 165, 2008.
ISNAD	GEMALMAZ, AYFER vd. "Prevalence of the metabolic syndrome in a rural Turkish population: comparison and concordance of two diagnostic criteria". (2008), 159-165.

APA	GEMALMAZ A, AYDIN S, Basak O, DİŞÇİGİL G, KURUL A (2008). Prevalence of the metabolic syndrome in a rural Turkish population: comparison and concordance of two diagnostic criteria. Turkish Journal of Medical Sciences, 38(2), 159 - 165.
Chicago	GEMALMAZ AYFER,AYDIN Serpil,Basak Okay,DİŞÇİGİL Güzel,KURUL Aslıhan Prevalence of the metabolic syndrome in a rural Turkish population: comparison and concordance of two diagnostic criteria. Turkish Journal of Medical Sciences 38, no.2 (2008): 159 - 165.
MLA	GEMALMAZ AYFER,AYDIN Serpil,Basak Okay,DİŞÇİGİL Güzel,KURUL Aslıhan Prevalence of the metabolic syndrome in a rural Turkish population: comparison and concordance of two diagnostic criteria. Turkish Journal of Medical Sciences, vol.38, no.2, 2008, ss.159 - 165.
AMA	GEMALMAZ A,AYDIN S,Basak O,DİŞÇİGİL G,KURUL A Prevalence of the metabolic syndrome in a rural Turkish population: comparison and concordance of two diagnostic criteria. Turkish Journal of Medical Sciences. 2008; 38(2): 159 - 165.
Vancouver	GEMALMAZ A,AYDIN S,Basak O,DİŞÇİGİL G,KURUL A Prevalence of the metabolic syndrome in a rural Turkish population: comparison and concordance of two diagnostic criteria. Turkish Journal of Medical Sciences. 2008; 38(2): 159 - 165.
IEEE	GEMALMAZ A,AYDIN S,Basak O,DİŞÇİGİL G,KURUL A "Prevalence of the metabolic syndrome in a rural Turkish population: comparison and concordance of two diagnostic criteria." Turkish Journal of Medical Sciences, 38, ss.159 - 165, 2008.
ISNAD	GEMALMAZ, AYFER vd. "Prevalence of the metabolic syndrome in a rural Turkish population: comparison and concordance of two diagnostic criteria". Turkish Journal of Medical Sciences 38/2 (2008), 159-165.