JAFES-Booklet (English - pdf - 1103 Kb) - MEMS

The Prevalence Of Metabolic Syndrome According To
NCEP (ATP) III And IDF Criteria Among Rural Malay
Population In Tanjung Karang, Selangor
Norlaila M, Nor Azmi K on behalf of the Malaysian Metabolic Syndrome Study (MSSM-UKM)*
1 Department of Nutrition & Dietetics, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang Selangor;
2 Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Objective: The objective of the study was to determine the prevalence of metabolic syndrome
(MS) among rural adult Malay population according to the revised criteria of the National Cholesterol
Education Programme (Adult Treatment Panel III) (NCEP ATP III) and the International Diabetes
Federation (IDF) and assess various components that contribute to the syndrome. It is part of
a nation-wide study to determine the prevalence of MS in Malaysia.
Methods: This was a cross sectional study of a rural population in Tanjung Karang, Selangor. The
survey was conducted from April till August of 2008, among Malaysians aged 18 and above. The
subjects were randomly selected from households which were identified with the aid of the Kirsh
tables and the topographical charts of the district. All subjects approached gave their written
consent. Face to face interviews were conducted using structured questionnaires, followed by
laboratory tests. Metabolic syndrome was defined using both IDF and revised ATP III criteria.
Results: Of the 543 subjects screened, 435 data were available for analysis. The prevalence of
metabolic syndrome according to IDF and modified ATP III criteria was 36.4% and 39.0% in men
and 50.5% and 45.9% in women, respectively. The concordance for both criteria was 82%. The
prevalence of metabolic syndrome by IDF and ATP III increased with age and body mass index
(BMI). High blood pressure and abdominal adiposity were found most frequently among the
metabolic syndrome subjects irrespective of the definitions used.
Conclusion: Nearly half of the women and more than a third of men in Tanjung karang Selangor
have metabolic syndrome. This alarming rate is of a major health concern as it poses a significant
risk of developing cardiovascular disease and type 2 diabetes mellitus.
* Norlaila M, Norasyikin AW, Suehazlyn Z, Wong Ming, Shahrul Azmin M, Noor Sharazat H, Wan Rosmaiza W, Shamita S, Norhaliza A, Nor Shaffinaz YA,
Rabizah M, Kamarulzaman H, Nurul Hani M, Fadlin M, Amiliyaton K, Alawiyah O, Azhar I, Nor Azmi K.
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