[代谢综合征不同诊断标准的比较]

[Comparison of different diagnostic criteria for metabolic syndrome].

作者信息

Shen Minghui, Wang Chongjian, Zhang Weidong, Yang Liming, Pan Jingjing, Hu Dongsheng

机构信息

Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, China.

出版信息

Wei Sheng Yan Jiu. 2010 May;39(3):302-5.

PMID:20568458

Abstract

OBJECTIVE

To compare the prevalence of metabolic syndrome (MS) and the agreement of different diagnostic criteria for MS proposed by CDS (2004), IDF (2005) and NCEP-ATP III (2005).

METHODS

A crosssectional study of MS included 16,953 participants aged 35-74 was conducted in rural Henan Province in 2007 and 2008. The prevalence of MS was calculated by the three criteria and Kappa statistics was used to compare the agreement of the three criteria.

RESULTS

The prevalence rates of MS were 18.57%, 34.52% and 41.70% based on CDS (2004), IDF (2005) and NCEP-ATP III (2005) diagnostic criteria respectively. The agreement rates between ATPI and IDF, ATP III and CDS, IDF and CDS were 92.82%, 75.97% and 79.62%, respectively, and the Kappa indices were 0.85, 0.46 and 0.49 respectively. The areas under ROC curve were 0.945 for ATP III and 0.720 for CDS when IDF was used as the reference.

CONCLUSION

There are some differences on the prevalence rates of MS diagnosed by the three criteria, and the consistency of ATPll and IDF is higher.

摘要

目的

比较代谢综合征（MS）的患病率以及中国糖尿病学会（CDS，2004年）、国际糖尿病联盟（IDF，2005年）和美国国家胆固醇教育计划成人治疗组第三次报告（NCEP-ATP III，2005年）提出的MS不同诊断标准的一致性。

方法

2007年和2008年在河南省农村地区对16953名年龄在35至74岁之间的参与者进行了MS横断面研究。采用这三种标准计算MS的患病率，并使用Kappa统计量比较这三种标准的一致性。

结果

基于CDS（2004年）、IDF（2005年）和NCEP-ATP III（2005年）诊断标准，MS的患病率分别为18.57%、34.52%和41.70%。ATP I与IDF、ATP III与CDS、IDF与CDS之间的一致率分别为92.82%、75.97%和79.62%，Kappa指数分别为0.85、0.46和0.49。以IDF为参照时，ATP III的ROC曲线下面积为0.945，CDS的为0.720。