The Best Criteria to Diagnose Metabolic Syndrome in Hypertensive Thai Patients
Panita Limpawattana MD*, Kittisak Sawanyawisuth MD*, Ploysyne Busaracome MD*, Chingching Foocharoen MD*, Chalongchai Phitsanuwong MD*, Somchit Chumjan BSc**, Ratchanee Chotmongkol BSc**, Seksan Chaisuksant MD***
Affiliation : * Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen ** Nursing Division, Srinagarind Hospital, Khon Kaen University, Khon Kaen *** Department of Medicine, Khon Kaen Hospital, Khon Kaen
The metabolic syndrome (MS) is commonly found in clinical practice. There are many criteria to diagnose MS. The authors did a cross-sectional study to study the difference among the WHO criteria, the National Cholesterol Educational Program (NCEP) Adult Treatment Panel (ATP III), and the International Diabetes Foundation (IDF) in hypertensive patients. Between July and September 2005, 100 patients (62 women) treated at the hypertension clinic, Srinagarind Hospital were included. The WHO, NCEP ATP III and IDF criteria gave the diagnosis of MS in 37, 33, 60 cases, respectively. The IDF criteria had the significantly highest yield among those three criteria (p < 0.0001). Body mass index (BMI) was the only significant correlated with the diagnosis of MS by the IDF criteria (p-value = 0.04). It also had moderately positive correlated with waist circumference, WC (p < 0.0001, Pearson Correlation 0.58). At the cut point of BMI 23 kg/m2, we suggested the appropriate WC cut-point for Thai hypertensive men and women was 82.5 cm (32.5") and 79.5 cm (31.3"), respectively.
Keywords : Metabolic syndrome, WHO, IDF, NCEP ATP III, Body mass index, Waist circumference, Hypertension
