Comparison of Three Diagnostic Definitions of Metabolic Syndrome and Estimation of Its Prevalence in Mongolia

Enkhtuguldur Myagmar-Ochir (), Yasuo Haruyama, Nobuko Takaoka, Kyo Takahashi, Naranjargal Dashdorj, Myagmartseren Dashtseren and Gen Kobashi
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Enkhtuguldur Myagmar-Ochir: Department of Public Health, School of Medicine, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsuga-gun, Tochigi 321-0293, Japan
Yasuo Haruyama: Integrated Research Faculty for Advanced Medical Sciences, School of Medicine, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsuga-gun, Tochigi 321-0293, Japan
Nobuko Takaoka: Department of Public Health, School of Medicine, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsuga-gun, Tochigi 321-0293, Japan
Kyo Takahashi: Department of Public Health, School of Medicine, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsuga-gun, Tochigi 321-0293, Japan
Naranjargal Dashdorj: Onom Foundation, Onom Foundation Central Office, 3 Bogd Javzandamba 15 Khoroo, Ulaanbaatar 17011, Mongolia
Myagmartseren Dashtseren: Department of Family Medicine, School of Medicine, Mongolian National University of Medical Sciences, Jamyan Street 3, Ulaanbaatar 14210, Mongolia
Gen Kobashi: Department of Public Health, School of Medicine, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsuga-gun, Tochigi 321-0293, Japan

IJERPH, 2023, vol. 20, issue 6, 1-12

Abstract: We sought to estimate the prevalence of metabolic syndrome (MS) in the urban population of Mongolia and suggest a preferred definition. This cross-sectional study comprised 2076 representative samples, which were randomly selected to provide blood samples. MS was defined by the National Cholesterol Education Program’s Adults Treatment Panel III (NCEP ATP III), the International Diabetes Federation (IDF), and the Joint Interim Statement (JIS). The Cohen’s kappa coefficient (κ) was analyzed to determine the agreement between the individual MS components using the three definitions. The prevalence of MS in the 2076 samples was 19.4% by NCEP ATP III, 23.6% by IDF, and 25.4% by JIS criteria. For men, moderate agreement was found between the NCEP ATP III and waist circumference (WC) (κ = 0.42), and between the JIS and fasting blood glucose (FBG) (κ = 0.44) and triglycerides (TG) (κ = 0.46). For women, moderate agreement was found between the NCEP ATP III and high-density lipoprotein cholesterol (HDL-C) (κ = 0.43), and between the JIS and HDL-C (κ = 0.43). MS is highly prevalent in the Mongolian urban population. The JIS definition is recommended as the provisional definition.

Keywords: agreement; definitions; metabolic syndrome; Mongolia; prevalence (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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