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Original ArticleOpen Access
The Best Criteria to Diagnose Metabolic Syndrome in Hypertensive Thai Patients
Limpawattana P 
,
Sawanyawisuth K ,
Busaracome P ,
Foocharoen C ,
Phitsanuwong C ,
Chumjan S ,
Chotmongkol R ,
Chaisuksant S
,
Sawanyawisuth K ,
Busaracome P ,
Foocharoen C ,
Phitsanuwong C ,
Chumjan S ,
Chotmongkol R ,
Chaisuksant S 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
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
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