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dc.contributor.authorHaverinen, Elsi
dc.contributor.authorPaalanen, Laura
dc.contributor.authorPalmieri, Luigi
dc.contributor.authorPadron-Monedero, Alicia 
dc.contributor.authorNoguer, Isabel 
dc.contributor.authorSarmiento Suárez, Rodrigo
dc.contributor.authorTolonen, Hanna
dc.contributor.authorJoint Action on Health Information (InfAct)
dc.date.accessioned2022-05-11T11:48:57Z
dc.date.available2022-05-11T11:48:57Z
dc.date.issued2021-12-23
dc.identifier.citationArch Public Health. 2021 Dec 23;79(1):231.es_ES
dc.identifier.issn0778-7367es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/14385
dc.description.abstractBackground: Metabolic syndrome (MetS) is a public health problem in Europe, affecting all age groups. Several MetS definitions are available. The aim of this study was to compare four different MetS definitions in the Finnish adult population, to assess their agreement and to evaluate the impact of the choice of the definition on the prevalence of MetS. Methods: Data from FinHealth 2017, a cross-sectional national population health survey, focusing on adults aged 25 years or older were used in the analysis (n=5687). Measured data on anthropometrics, blood pressure and biomarkers together with questionnaire data were used to classify the participants into the MetS categories according to the four definitions. The definitions chosen for the comparison were those by the World Health Organization (WHO) (1998), National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP III) (2004), International Diabetes Federation (IDF) (2005), and Joint Interim Statement (JIS) (2009). Results: The four MetS definitions resulted in substantially different MetS prevalence: 17.7% by WHO, 33.3% by NCEP-ATP III, 41.5% by IDF, and 43.0% by JIS. Regardless of the definition used, the prevalence of MetS increased with age. The prevalence of the different components varied between the definitions, depending on the different cut-off points adopted. Out of all participants, only 13.6% were identified to have MetS according to all four definitions. Agreement between participants recognised by different MetS definitions, estimated through kappa coefficients, was almost perfect for IDF vs. JIS (0.97), strong for JIS vs. NCEP-ATP III (0.80), moderate for IDF vs. NCEP-ATP III (0.76) and weak for WHO vs. NCEP-ATP III (0.42), WHO vs. IDF (0.41) and WHO vs. JIS (0.40). Conclusions: Differences between observed prevalence of MetS in Finnish men and women using different MetS definitions were large. For cross-country comparisons, as well as for trend analyses within a country, it is essential to use the same MetS definition to avoid discrepancies in classification due to differences in used definitions.es_ES
dc.description.sponsorshipThis study received funding from EU/GD SANTE Grant Agreement 8015533 InfAct.es_ES
dc.language.isoenges_ES
dc.publisherBioMed Central (BMC) es_ES
dc.relation.isversionofPublisher's versiones_ES
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectDiabeteses_ES
dc.subjectHealth examination surveyes_ES
dc.subjectIndicatorses_ES
dc.subjectMetabolic syndromees_ES
dc.subjectPopulation health surveyes_ES
dc.subjectStandardizationes_ES
dc.titleComparison of metabolic syndrome prevalence using four different definitions - a population-based study in Finlandes_ES
dc.typeArtículoes_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.identifier.pubmedID34949223es_ES
dc.format.volume79es_ES
dc.format.number1es_ES
dc.format.page231es_ES
dc.identifier.doi10.1186/s13690-021-00749-3es_ES
dc.contributor.funderUnión Europeaes_ES
dc.description.peerreviewedes_ES
dc.relation.publisherversionhttps://doi.org/10.1186/s13690-021-00749-3es_ES
dc.identifier.journalArchives of Public Health = Archives belges de sante publiquees_ES
dc.repisalud.centroISCIII::Escuela Nacional de Sanidades_ES
dc.repisalud.institucionISCIIIes_ES
dc.relation.projectIDinfo:eu-repo/grantAgreement/EC/8015533es_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses_ES


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