Prevalence of the Metabolic Syndrome using the Modified ATP III Definitions for Workers in Japan, Korea and Mongolia
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Prevalence of the Metabolic Syndrome using the Modified ATP III Definitions for Workers in Japan, Korea and Mongolia: Kuninori Shiwaku, et al. Department of Environmental and Preventive Medicine, Shimane University School of Medicine— A clustering of insulin resistance, hypertension and dyslipidemia has been labeled as the metabolic syndrome. Asians have a lower frequency of obesity than do Caucasians, but have an increasing tendency toward metabolic syndrome. Most data on metabolic syndrome are based on studies from Western countries with only limited information derived from Asian populations. We conducted a cross‐sectional study of individuals aged 30–60 yr in workplace settings. We examined and analyzed the health data of 1,384 Japanese, Koreans and Mongolians for metabolic syndrome based on the modified definitions of the working definition proposed by the Third Report of the National Cholesterol Educational Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (ATP III definition). The prevalence of metabolic syndrome using the ATP III‐BMI30 and ATP III‐BMI25 definitions was 7% and 12% for Japanese, 7% and 13% for Koreans, and 12% and 16% for Mongolians, respectively. With the exception of obesity, the prevalences of individual metabolic abnormalities within each of the three Asian groups were similar to each other and to reported rates of prevalence in the U.S.A. Nevertheless, the values of sensitivity and specificity by the metabolic syndrome definitions are remarkably different relative to ethnicity. A universal metabolic syndrome definition is inappropriate for comparisons of metabolic syndrome among Asian ethnic groups. We believe that the ATP III‐BMI25 definition is suitable for the determination of metabolic syndrome among Japanese and Koreans, and that the ATP III‐BMI30 is more appropriate for Mongolians.
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When applying ATP III criteria in Asian countries, lower waist circumferences as defined by IDF for these populations appear appropriate as one risk factor.
“At the same time, when applying ATP III criteria in Asian countries, lower waist circumferences, as defined by IDF for these populations, appear to be appropriate as 1 risk factor.127,130,131,142”
From Diagnosis and Management of the Metabolic Syndrome: An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement (2005) · cites this paper as [131]
Some populations, including those from South Asia, China, Japan, and other Asian countries, are predisposed to insulin resistance, metabolic syndrome, and type 2 diabetes with only moderate increases in waist circumference.
“In addition, some populations are predisposed to insulin resistance, metabolic syndrome, and type 2 diabetes mellitus, with only moderate increases in waist circumference (ie, populations from South Asia, China, Japan, and other Asian countries).127,130,131,142”
From Diagnosis and Management of the Metabolic Syndrome: An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement (2005) · cites this paper as [131]
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- Authors
- Shiwaku, K., Nogi, A., Kitajima, K., Anuurad, E., Enkhmaa, B., Yamasaki, M., Kim, J., Kim, I., Lee, S., Oyunsuren, T., & Yamane, Y.
- Affiliations
- Shimane University (JP)
- Dong-A University (KR)
- Kyungpook National University (KR)
- Mongolian Academy of Sciences (MN)
- Corresponding author
- Shiwaku, Kuninori
- Venue
- Journal of Occupational Health
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-03
- Volume
- 47
- Issue
- 2
- Pages
- 126-135
- ISSN
- 1341-9145 (ISSN-L)
- 1348-9585
- OpenAlex
- W2064207713
- Cited by
- 117
- References
- 37
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 4 · 2022: 5 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 6 · 2017: 3 · 2016: 3 · 2015: 7 · 2014: 5 · 2013: 11 · 2012: 9
- FWCI
- 7.70
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Occupational Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministry of Education, Culture, Sports, Science and Technology
- Japan Society for the Promotion of Science (13680173, 14570334, 12670355)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- Health Sciences › Health Professions › General Health Professions › Indigenous Health and Education
- Keywords
- metabolic syndrome, prevalence, Asian populations, Japanese, Korean language, Mongolian language, obesity, insulin resistance, hypertension, dyslipidemia, ethnic differences, sensitivity and specificity, occupational health screening
- MeSH terms
- Adult, Anthropometry, Cross-Sectional Studies, Female, Humans, Hypertension, Japan, Korea, Life Style, Male, Metabolic Diseases, Middle Aged, Mongolia, Obesity, Sensitivity and Specificity, Prevalence, Sex Distribution
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