TY - JOUR
T1 - Prevalence of metabolic syndrome and its risk factors in adult Malaysians
T2 - Results of a nationwide survey
AU - Mohamud, Wan Nazaimoon Wan
AU - Ismail, Aziz al Safi
AU - Khir, Amir Sharifuddin Md
AU - Ismail, Ikram Shah
AU - Musa, Kamarul Imran
AU - Kadir, Khalid Abdul
AU - Kamaruddin, Nor Azmi
AU - Yaacob, Nor Azwany
AU - Mustafa, Norlaila
AU - Ali, Osman
AU - Isa, Siti Harnida Md
AU - Bebakar, Wan Mohamad Wan
PY - 2012/4
Y1 - 2012/4
N2 - Aim: To report the national prevalence of metabolic syndrome (MetS) and its risk factors among adult Malaysians (>18. years old) based on World Health Organization (WHO), the National Cholesterol Education Program Expert Panel III (ATP III), International Diabetes Federation (IDF) and the 'Harmonized' criteria. Methods: A multi-stage stratified sampling method was used to select 4341 subjects from Peninsular and East Malaysia. Subjects underwent physical and clinical examinations. Results: Based on the WHO, ATP III, IDF and Harmonized definitions, the overall crude prevalences of MetS were 32.1, 34.3, 37.1 and 42.5%, respectively. Regardless of the criteria used, MetS was higher in urban areas, in females, in the Indian population and increased significantly with age. Risk factors also increased with age; abdominal obesity was most prevalent (57.4%), was higher in females (64.2%) and was highest in Indians (68.8%). Hypertension was higher in males (56.5%) and highest among Malays (52.2%). In contrast, the Chinese had the highest prevalence of hypertriglyceridemia (47.4%). Conclusions: Malaysia has a much higher prevalence of MetS compared with other Asian countries and, unless there is immediate intervention to reduce risk factors, this may pose serious implications on the country's healthcare costs and services.
AB - Aim: To report the national prevalence of metabolic syndrome (MetS) and its risk factors among adult Malaysians (>18. years old) based on World Health Organization (WHO), the National Cholesterol Education Program Expert Panel III (ATP III), International Diabetes Federation (IDF) and the 'Harmonized' criteria. Methods: A multi-stage stratified sampling method was used to select 4341 subjects from Peninsular and East Malaysia. Subjects underwent physical and clinical examinations. Results: Based on the WHO, ATP III, IDF and Harmonized definitions, the overall crude prevalences of MetS were 32.1, 34.3, 37.1 and 42.5%, respectively. Regardless of the criteria used, MetS was higher in urban areas, in females, in the Indian population and increased significantly with age. Risk factors also increased with age; abdominal obesity was most prevalent (57.4%), was higher in females (64.2%) and was highest in Indians (68.8%). Hypertension was higher in males (56.5%) and highest among Malays (52.2%). In contrast, the Chinese had the highest prevalence of hypertriglyceridemia (47.4%). Conclusions: Malaysia has a much higher prevalence of MetS compared with other Asian countries and, unless there is immediate intervention to reduce risk factors, this may pose serious implications on the country's healthcare costs and services.
KW - Malaysia
KW - Metabolic syndrome
KW - Risk factors
UR - http://www.scopus.com/inward/record.url?scp=84858753717&partnerID=8YFLogxK
U2 - 10.1016/j.diabres.2011.11.020
DO - 10.1016/j.diabres.2011.11.020
M3 - Comment / Debate
C2 - 22553777
AN - SCOPUS:84858753717
SN - 0168-8227
VL - 96
SP - 91
EP - 97
JO - Diabetes Research and Clinical Practice
JF - Diabetes Research and Clinical Practice
IS - 1
ER -