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Title: Prevalence of the metabolic syndrome according to different criteria in the male population during the Blue November Campaign in Natal, RN, Northeastern Brazil
Authors: Medeiros, Paulo José de
Espósito, Regina Carmen
Silva, Fernando de Souza
Oliveira, Antonio Gouveia
Aragão, Cícero Flávio Soares
Rocha, Hugo Alexandre Oliveira
Moreira, Sueli Aparecida
Sales, Valéria Soraya de Farias
Keywords: metabolic syndrome;preventive medicine;male population
Issue Date: 2018
Publisher: Diabetes, Metabolic Syndrome And Obesity
Citation: MEDEIROS, Paulo Jose de; ESPÓSITO, Regina Carmen; SILVA, Fernando de Souza; OLIVEIRA, Antonio Gouveia; ARAGÃO, Cícero Flávio Soares; ROCHA, Hugo Alexandre Oliveira; MOREIRA, Sueli Aparecida; SALES, Valéria Soraya de Farias. Prevalence of the metabolic syndrome according to different criteria in the male population during the Blue November Campaign in Natal, RN, Northeastern Brazil. Diabetes, Metabolic Syndrome And Obesity: Targets and Therapy, [S.L.], v. 11, p. 401-408, ago. 2018. Informa UK Limited. Disponível em: Acesso em: 12 jul. 2023.
Portuguese Abstract: Background: Metabolic syndrome (MetS) is an aggregation of risk factors associated with increased incidence of cardiovascular disease, type 2 diabetes mellitus, and all-cause mortality. Information on MetS prevalence is scarce in the northeast region, Brazil. This study aims to estimate the prevalence of MetS according to different diagnostic criteria in a community sample of men during the November Blue Campaign living in the metropolitan area of Natal, Rio Grande do Norte, Brazil. Methods: This is a cross-sectional study on 500 men aged 40 years or older invited by the Blue November Campaign of 2015, an awareness program aimed at the prevention of male diseases. The evaluation included blood pressure, anthropometric measurements (weight, height, and waist circumference), fasting blood glucose, and blood lipid profile. The diagnosis of MetS was made according to the criteria of International Diabetes Federation (IDF)/American Heart Association (AHA)/National Heart, Lung, and Blood Institute (NHLBI), IDF, and National Cholesterol Education Program’s Adult Treatment Panel III (NCEP-ATPIII). Results: The prevalence was high by considering the following three criteria: IDF/AHA/NHLBI (66.8%), IDF (60.0%), and NCEP-ATPIII (46.4%). Concordance between diagnostic criteria measured by the kappa statistic (k) was excellent between IDF/AHA/NHLBI and IDF (k=0.85, P<0.0001) and moderate between IDF/AHA/NHLBI and NCEP-ATPIII (k=0.59) and IDF and NCEP-ATPIII (k=0.54). Conclusion: Prevalence of MetS in the male population was high using the three diagnostic criteria. IDF/AHA/NHLBI and IDF criteria have a high level of agreement, but NCEP-ATPIII criteria identify a lower number of MetS cases.
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