Correia Flora, Poínhos Rui, Freitas Paula, Pinhão Silvia, Maia Aline, Carvalho Davide, Medina José Luís
Serviço de Endocrinologia, Hospital de São João, Faculdade de Ciências da Nutrição, Universidade do Porto, Porto, Portugal.
Acta Med Port. 2006 Jul-Aug;19(4):289-93. Epub 2007 Jan 23.
The metabolic syndrome (MS) consists of the conjoint presence of risk factors for coronary. Several study groups have developed diagnostic criteria for MS, standing out those from the "Adult Treatment Panel III" (ATPIII), due to their wide utilization. Recently, the International Diabetes Federation (IDF) developed new diagnostic criteria for MS.
To evaluate the prevalence of MS in a group of women with severe obesity. To evaluate the prevalence of each one of the diagnostic criteria for MS. To compare the results obtained with the utilization of the ATPIII and the IDF criteria. To relate the results with the patients' age and Body Mass Index (BMI).
We evaluated 128 women (mean age = 38 years, sd = 11) with BMI equal to or higher than 35.0 kg/m2 (mean BMI = 46.5 kg/m2, sd = 6.5) on anthropometric measures (weight, height and waist circumference), analytically (fasting serum levels of triglycerides, HDL cholesterol and glucose), being also registered the values of systolic and diastolic blood pressure and age.
The prevalence of MS in our sample following the ATPIII and the IDF criteria was, respectively, of 66.4% e 70.3%. The most frequently filled in criteria are those referring to waist circumference (ATPIII: 99.2%; IDF: 100%), blood pressure (77.3%) and HDL cholesterol (69.5%). Older patients and those with higher BMI fill in more criteria, being the diagnostic of MS associated to higher mean age and BMI.
The prevalence of MS in women with severe obesity is high, being similar when the ATPIII or the IDF diagnostic criteria are used.
代谢综合征（MS）由多种冠心病危险因素共同存在构成。多个研究小组制定了MS的诊断标准，其中“成人治疗小组第三次报告”（ATPIII）的标准因广泛应用而备受关注。最近，国际糖尿病联盟（IDF）制定了新的MS诊断标准。
评估一组严重肥胖女性中MS的患病率。评估MS各诊断标准的患病率。比较使用ATPIII和IDF标准所获结果。将结果与患者年龄和体重指数（BMI）相关联。
我们评估了128名女性（平均年龄 = 38岁，标准差 = 11），她们的BMI等于或高于35.0 kg/m²（平均BMI = 46.5 kg/m²，标准差 = 6.5），测量了人体测量指标（体重、身高和腰围），进行了分析检测（空腹血清甘油三酯、高密度脂蛋白胆固醇和血糖水平），还记录了收缩压和舒张压值以及年龄。
按照ATPIII和IDF标准，我们样本中MS的患病率分别为66.4%和70.3%。最常满足的标准是腰围（ATPIII：99.2%；IDF：100%）、血压（77.3%）和高密度脂蛋白胆固醇（69.5%）。年龄较大的患者和BMI较高的患者满足更多标准，MS的诊断与较高的平均年龄和BMI相关。
严重肥胖女性中MS的患病率很高，使用ATPIII或IDF诊断标准时患病率相似。
