Santibhavank Panithan
Nakhon Sawan Provincial Health Office, 782 Pahol Yothin Rd, Amphur Mueang, Nakhon Sawan 60000, Thailand.
J Med Assoc Thai. 2007 Jun;90(6):1109-15.
Determine the prevalence of metabolic syndrome for comparison.
A cross-sectional survey of Nakhon Sawan population aged 15 years and over was conducted in March 2002. There were 636 persons included in the present study, age range from 15 to 87 years, and mean age of 41.4 +/- 16.7 years.
The prevalence of metabolic syndrome using World Health Organization (WHO), The National Cholesterol Education Program (NCEP) Expert Panel on detection, Evaluation, and Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III, ATP III), and International Diabetes Federation (IDF) definition was 6.2, 20.0, and 18.7%, respectively. This prevalence was high compared with the previous study in Thailand and the estimated global metabolic syndrome for adults above 20 years of age. Women and elders had a higher prevalence than men and youngsters. The authors should search for Thai cut-off values of abdominal obesity in children and adults to have the correct data for public health plan and management. This is because there are variations among the different ethnic background and countries, even within Asia.
The prevalence of metabolic syndrome was high. The interventions in prevention and management of the metabolic syndrome should be started for overweight children.
确定代谢综合征的患病率以进行比较。
2002年3月对那空沙旺15岁及以上人群进行了横断面调查。本研究纳入636人,年龄范围为15至87岁,平均年龄为41.4±16.7岁。
采用世界卫生组织(WHO)、美国国家胆固醇教育计划(NCEP)成人高胆固醇检测、评估和治疗专家小组(成人治疗小组第三次报告,ATP III)以及国际糖尿病联盟(IDF)的定义,代谢综合征的患病率分别为6.2%、20.0%和18.7%。与泰国此前的研究以及20岁以上成年人全球代谢综合征估计患病率相比,该患病率较高。女性和老年人的患病率高于男性和年轻人。作者应寻找泰国儿童和成人腹部肥胖的临界值,以便为公共卫生计划和管理提供正确数据。这是因为不同种族背景和国家之间存在差异,即使在亚洲内部也是如此。
代谢综合征的患病率较高。应针对超重儿童开展代谢综合征的预防和管理干预措施。