Key result
Updated MetS criteria and ethnic-specific waist cutoffs identify Andean adults with increased cIMT.
Why the study?
Optimal definitions for abdominal obesity and metabolic syndrome in Andean adults were not established, limiting accurate cardiovascular risk assessment.
Do ethnic-specific waist circumference cutoffs and the updated metabolic syndrome definition better identify cardiovascular risk in Andean adults compared to the original AHA/NHLBI definition?
Population
1,448 Andean adults
Comparison
Updated MetS definition with ethnic-specific waist circumference cutoffs vs original AHA/NHLBI MetS definition
Design
Cross-sectional study
Authors
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May support Andean-specific MetS criteria; leaves open prospective validation before practice change.
Cross-Sectional (n=1,448)
Do ethnic-specific waist circumference cutoffs and the updated metabolic syndrome definition better identify cardiovascular risk in Andean adults compared to the original AHA/NHLBI definition?
p-value: p=<0.001
Ethnic-specific waist circumference cutoffs (>97 cm for men, >87 cm for women) and the updated metabolic syndrome definition better identify subclinical vascular disease in Andean Hispanics.
Medina‐Lezama et al. (2010) conducted a cross-sectional in Abdominal obesity and metabolic syndrome (n=1,448). Updated MetS definition using ethnic-specific waist circumference cutoffs vs. Original AHA/NHLBI MetS criteria or no MetS was evaluated on Abnormal carotid intima-media thickness (cIMT) or manifest cardiovascular disease (M-CVD) (p=<0.001). Ethnic-specific waist circumference cutoffs (>97 cm in men, >87 cm in women) and the updated MetS definition identified Andean adults with significantly increased cIMT (P<0.001).
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