The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.
NCEP-Defined Metabolic Syndrome, Diabetes, and Prevalence of Coronary Heart Disease Among NHANES III Participants Age 50 Years and Older
Abstract
Although the individual components of the metabolic syndrome are clearly associated with increased risk for coronary heart disease (CHD), we wanted to quantify the increased prevalence of CHD among people with metabolic syndrome. The Third National Health and Nutrition Examination Survey (NHANES III) was used to categorize adults over 50 years of age by presence of metabolic syndrome (National Cholesterol Education Program [NCEP] definition) with or without diabetes. Demographic and risk factor information was determined for each group, as well as the proportion of each group meeting specific criteria for metabolic syndrome. The prevalence of CHD for each group was then determined. Metabolic syndrome is very common, with ∼44% of the U.S. population over 50 years of age meeting the NCEP criteria. In contrast, diabetes without metabolic syndrome is uncommon (13% of those with diabetes). Older Americans over 50 years of age without metabolic syndrome regardless of diabetes status had the lowest CHD prevalence (8.7% without diabetes, 7.5% with diabetes). Compared with those with metabolic syndrome, people with diabetes without metabolic syndrome did not have an increase in CHD prevalence. Those with metabolic syndrome without diabetes had higher CHD prevalence (13.9%), and those with both metabolic syndrome and diabetes had the highest prevalence of CHD (19.2%) compared with those with neither. Metabolic syndrome was a significant univariate predictor of prevalent CHD (OR 2.07, 95% CI 1.66–2.59). However, blood pressure, HDL cholesterol, and diabetes, but not presence of metabolic syndrome, were significant multivariate predictors of prevalent CHD. The prevalence of CHD markedly increased with the presence of metabolic syndrome. Among people with diabetes, the prevalence of metabolic syndrome was very high, and those with diabetes and metabolic syndrome had the highest prevalence of CHD. Among all individuals with diabetes, prevalence of CHD was increased compared with those with metabolic syndrome without diabetes. However, individuals with diabetes without metabolic syndrome had no greater prevalence of CHD compared with those with neither.
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“In individuals with diabetes, the coexistence of other metabolic syndrome factors denotes a higher risk for future development of ASCVD.69”
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 [69]
In the citing paper
“the combination of MS and hypertension has been reported to result in an even higher morbidity and mortality.11”
From Sympathetic Neural Activation in Nondiabetic Metabolic Syndrome and Its Further Augmentation by Hypertension (2004) · cites this paper as [11]
In the citing paper
“It is already known that MS or EHT patients have a high cardiovascular risk”
From Sympathetic Neural Activation in Nondiabetic Metabolic Syndrome and Its Further Augmentation by Hypertension (2004) · cites this paper as [11]
In the citing paper
“ASCVD risk is higher with MetS in the absence of T2D compared with T2D without MetS (13.9% vs. 7.5%, respectively) (13).”
From The CardioMetabolic Health Alliance (2015) · cites this paper as [13]
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Association of IL-6 Polymorphism -174G/C and Metabolic Syndrome in Hypertensive Patients
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“Metabolic syndrome (MetS), a disorder intimately associated with insulin resistance, increases the risk of cardiovascular diseases (CVD) or cerebrovascular events by three times and has an important impact on global mortality [1–10].”
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Ao, H., Xu, F., Wang, X., Tang, X., Zheng, Z., & Hu, S. (2015) · PLoS ONE · doi:10.1371/journal.pone.0117671 · Cited by 14
Skouby, S. O., Sidelmann, J. J., Nilas, L., Gram, J., & Jespersen, J. (2008) · Climacteric · doi:10.1080/13697130802455150 · Cited by 14
Olijhoek, J. K., Koerselman, J., de Jaegere, P. P. T., Verhaar, M. C., Grobbee, D. E., van der Graaf, Y., Visseren, F. L. J., & for the SMART Study Group (2005) · Diabetes Care · doi:10.2337/diacare.28.3.683 · Cited by 14
Zhong, M., Shen, W., Wang, J., Yang, J., Yuan, W., He, J., Wu, P., Wang, Y., Zhang, L., Higashino, H., et al. (2011) · The Journal of Physiology · doi:10.1113/jphysiol.2011.213686 · Cited by 14
“…attempts to lower blood glucose have shown considerable discrepancies, and the role of hyper-glycaemia in macrovascular complications remains elusive (Waller et al. 1980; Stratton et al. 2000; Alexander et al. 2003; Wiernsperger, 2003; Gerstein et al. 2005; Ray et al. 2009; Molitch et al. 2010).”
Edwards, M. K., & Loprinzi, P. D. (2016) · American Journal of Health Promotion · doi:10.1177/0890117116684889 · Cited by 14
Age and Adaptation: Stronger Decision Updating about Real World Risks in Older Age
Rolison, J. J., Wood, S. A., & Hanoch, Y. (2017) · Risk Analysis · doi:10.1111/risa.12710 · Cited by 14
“The outcomes of poor health choices are likely to be most apparent in older age as negative health outcomes, such as diabetes and heart disease, are more prevalent in later life.(1) Older adults are commonly exposed to warnings and advice”
Zhang, X., Bai, R., Zou, L., Zong, J., Yang, Q., & Wang, Y. (2021) · Journal of Diabetes Research · doi:10.1155/2021/8862573 · Cited by 14
“It is a good index of arterial stiffness; with higher stiffness, the velocity increases [13].”
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Hipertensión arterial y síndrome metabólico
Cordero, A., Moreno, J., & Alegría, E. (2005) · Revista Española de Cardiología Suplementos · doi:10.1016/s1131-3587(05)74119-4 · Cited by 14
Prevalence and Treatment of Metabolic Syndrome in Adolescents with Type 2 Diabetes
Sanders, B. H., Lubsch, L. M., & West, D. S. (2006) · Annals of Pharmacotherapy · doi:10.1345/aph.1h130 · Cited by 14
Stone, N. J., & Schmeltz, L. R. (2007) · Expert Opinion on Pharmacotherapy · doi:10.1517/14656566.8.13.2059 · Cited by 14
Increased Risk of Acute Coronary Syndrome in Patients With Diverticular Disease
Lin, J., Lin, C., Yang, C.-H., Lin, M., Lai, C.-H., Lin, H.-H., & Kao, C. (2015) · Medicine · doi:10.1097/md.0000000000002020 · Cited by 14
Metabolic syndrome and coronary artery disease: Is there a gender specific effect?
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Definition and Diagnostic Criteria for Metabolic Syndrome
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Štetić, L., Belčić, I., Sporiš, G., Stetic, L., & Starčević, N. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18010275 · Cited by 13
Evaluation of cardiovascular risk factors, events, and costs across four BMI categories
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“Many articles have been published examining the impact of obesity on the development of CV RFs and outcomes (13-16), the impact of RFs on CV events (17-21), and costs of RFs (18,22), but currently there is no literature examining the impact of BMI on the prevalence of specific combinations of CV RFs, CV events, and, f…”
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Diabetes and CVD Risk: Special Considerations in African Americans Related to Care
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The association between endometrial polyps and metabolic syndrome: A case–control study
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Metadata
- Authors
- Alexander, C. M., Landsman, P. B., Teutsch, S. M., & Haffner, S. M.
- Affiliations
- Merck & Co., Inc., Rahway, NJ, USA (United States) (US)
- The University of Texas at San Antonio Health Science Center (US)
- Venue
- Diabetes
- Publisher
- American Diabetes Association
- Published
- 2003-05-01
- Volume
- 52
- Issue
- 5
- Pages
- 1210-1214
- ISSN
- 0012-1797 (ISSN-L)
- 1939-327X
- OpenAlex
- W2151152924
- Cited by
- 1,475
- References
- 30
- Citations by year
- 2026: 9 · 2025: 14 · 2024: 18 · 2023: 20 · 2022: 30 · 2021: 37 · 2020: 32 · 2019: 30 · 2018: 42 · 2017: 39 · 2016: 51 · 2015: 43 · 2014: 61 · 2013: 65 · 2012: 73
- FWCI
- 77.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Keywords
- metabolic syndrome, coronary artery disease, prevalence, older adults, NCEP criteria, NHANES III, cardiovascular risk factors, blood pressure, HDL cholesterol
- MeSH terms
- Age Factors, Blood Pressure, Body Constitution, Coronary Disease, Diabetes Mellitus, Type 2, Diabetic Angiopathies, Female, Humans, Cholesterol, HDL, Cholesterol, LDL, Male, Middle Aged, Patient Education as Topic, Physical Examination, Surveys and Questionnaires, Risk Factors, Smoking, United States, Prevalence, Metabolic Syndrome
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