Prevalence of Metabolic Syndrome among Korean Adolescents According to the National Cholesterol Education Program, Adult Treatment Panel III and International Diabetes Federation

Abstract

In both adults and children, metabolic syndrome (MetS) has been attributed to risk factors for type 2 diabetes and cardiovascular disease such as insulin resistance, abdominal obesity, hypertension, and dyslipidemia. This descriptive study aimed to compare the prevalence of MetS and diagnostic components according to the National Cholesterol Education Program, Adult Treatment Panel III (NCEP-ATP III) and International Diabetes Federation (IDF) in 2330 Korean adolescents (10–18 years), using data from the 2010–2012 Korea National Health and Nutrition Examination Survey-V. The NCEP-ATP III and IDF were used to diagnose MetS and yielded prevalence rates of 5.7% and 2.1%, respectively, with no sex-related differences. The most frequent MetS diagnostic components according to the NCEP-ATP III and IDF criteria were high triglyceride levels (21.2%) and low high-density lipoprotein cholesterol levels (13.6%), respectively; approximately 50.1% and 33.1% of adolescents had at least one MetS diagnostic component according to the respective criteria. Both overweight/obese male and female adolescents exhibited significantly increased prevalence rates of MetS and related diagnostic components, compared to normal-weight adolescents. In conclusion, the prevalence rates of MetS and diagnostic components differ according to the NCEP-ATP III and IDF criteria. Henceforth, efforts are needed to establish diagnostic criteria for Korean adolescents.

Investigating The Definitions of Metabolic Syndrome Among High School Students in Taipei and The Optimal Cutoff Points of Relevant Risk Factors

“…In this study, the prevalence of MetS as measured using the modi ed NCEP ATP III and IDF criteria was 2.3% and 1.2%, respectively. These values were lower than those summarized in literature [21][22][23][24][25]. The prevalence of MetS measured using this study's criteria was 4.3% and there were signi cant differences observed between males and females.…”

“…Compared with the modi ed NCEP ATP III criteria adjusted by Ford et al [26], the percentage of subjects identi ed as having a large WC in this study(10.6%) was similar to that in a Korean population (9.7%) [22], but lower than that in an American population (19.1%) [21]; the percentage of subjects with elevated BP in this study(18.6%) was also similar to that in a Korean population (20.4%), but higher than that in an American population (6.9%). These differences could due to differences in the populations, which indicates the importance of establishing a large database on the WC and BP of people in different regions.…”

“…Based on the modi ed NCEP ATP III criteria, the prevalence of MetS in American, Korean, and Chinese adolescents was 8.6% (2001)(2002)(2003)(2004)(2005)(2006) [21], 5.7% (2010-2012) [22], and 3.7% (2008) [23], respectively. It must be noted, however, that cutoff points for abnormal MetS factors had different sources in these three studies.…”

“…It must be noted, however, that cutoff points for abnormal MetS factors had different sources in these three studies. Based on the IDF criteria, the prevalence of MetS in Taiwanese, Korean, and American adolescents was 3% (2010-2011) [24], 2.1% (2010-2012) [22], and 4.24% (2011-2016) [25], respectively.…”

Usefulness of the Waist Circumference-to-Height Ratio in Screening for Obesity and Metabolic Syndrome among Korean Children and Adolescents: Korea National Health and Nutrition Examination Survey, 2010–2014

“…Detecting MS early requires a long timeframe and is costly, as each parameter of MS must be investigated [10]. In addition, although the prevalence of MS is increasing in pediatric individuals, its prevalence is still low.…”