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Appendix Table A. Metabolic Syndrome Criteria Fulfilled at Ages 50 and 70 in the Total Sample

Age

50

70

Metabolic syndrome criteria

NCEP criteria

WHO criteria

NCEPBMI

WHOHOMA

NCEPWAIST

NCEPBMI

WHOCLAMP

WHOHOMA

Subjects with metabolic syndrome, n

405

270

294

282

520

258

Impaired glucose metabolism

Fasting p-glucose ≥6.1 mmol/l

IGT, IFG or diabetes mellitus and/or insulin resistance

206 (51)

219 (100)

146 (50)

146 (52)

520 (100)

258 (100)

Hypertension

Blood pressure ≥130/85 mmHg or Rx

Blood pressure ≥140/90 mmHg or Rx

385 (95)

259 (96)

288 (98)

277 (98)

468 (90)

250 (97)

Dyslipidemia

Triglycerides ≥1.7 mmol/l

Triglycerides ≥1.7 mmol/l and/or HDL cholesterol <0.91 mmol/l

387 (96)

259 (96)

215 (73)

210 (74)

246 (47)

202 (78)

HDL cholesterol <1.04 mmol/l

210 (52)

191 (65)

183 (65)

Central obesity

BMI>29.4 kg/m2

Waist/hip ratio >0.9 and/or BMI >30 kg/m2

142 (35)

87 (32)

-

139 (49)

490 (94)*

121 (47)

Waist circumference >102 cm

-

145 (49)

-

Target organ damage

-

Microalbuminuria (urinary albumin excretion rate ≥20 µg/min)

-

-

-

-

116 (22)

-

Data are numbers of individuals (percent) fulfilling the metabolic syndrome criteria according to the various definitions. *, For ease of comparison between the two ages, the modified WHOHOMA definitions are identical at ages 50 and 70, but the WHOCLAMP definition at age 70 also includes the waist/hip ratio and microalbuminuria criteria (see Table 1). NCEP, National Cholesterol Education Program; WHO, World Health Organisation; HOMA, homeostasis model assessment; IGT, impaired glucose tolerance; IFG, impaired fasting glucose; Rx, treatment; HDL, high-density lipoprotein; BMI, body mass index.

 




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