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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“Many studies have in fact found an association between cardiovascular risk and MetS in type 2 [8-10] and some also in type 1 diabetes [11,12], yet others have found conflicting results in both types of diabetes [13,14].”
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“'e adverse side effect of hyperglycaemia upon the cardiovascular system comes from the frequent accompaniment of impaired fibrinolytic pathways and hypercoagulation [7].”
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“Although it is not the focus of this paper, the significant correlation between fasting and peak TAG concentrations with fasting insulin and glucose reveals the usefulness of this tool for investigations into clustered and related risk factors for chronic disease, such as the metabolic syndrome (NCEP 2002; Robinson an…”
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“13 A recent study demonstrated a higher prevalence of metabolic syndrome in young women METABOLIC SYNDROME IN WOMEN OF 45 years of age than young men with newly diagnosed premature coronary artery disease.”
Dyslipidemia in the metabolic syndrome
Chan, D. C., & Watts, G. F. (2004) · Journal of Drug Evaluation · doi:10.3109/14791130410001728524 · Cited by 10
Aggravation of albuminuria by metabolic syndrome in type 2 diabetic Asian subjects
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Genetic Studies of Metabolic Syndrome in Arab Populations: A Systematic Review and Meta-Analysis
Al-Homedi, Z., Afify, N., Memon, M., AlSafar, H. S., Tay, G. K., Jelinek, H. F., Mousa, M., Abu-Samra, N., & Osman, W. M. (2021) · Frontiers in Genetics · doi:10.3389/fgene.2021.733746 · Cited by 9
“To reduce the risk of selection and methodological bias, studies that reported one of the standard definitions of MetS (IDF, AHA/NHLBI, or NCEP - ATP III) were included in the meta-analysis (Supplementary Table S1).”
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Benchmarks of Diabetes Care in Men Living With Treated HIV-Infection: A Tertiary Center Experience
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Obesity: the modern view of a problem
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Metabolic syndrome as an actual health problem (analytical review)
Агарков, Н. М., Титов, А. А., Ивановна, К. С., Коломиец, В. И., Aksenov, V. V., & Kolpina, L. V. (2023) · Health Care of the Russian Federation · doi:10.47470/0044-197x-2023-67-2-136-141 · Cited by 9
Heart failure in patients with metabolic syndrome X
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Oxidative Stress in the Metabolic Syndrome
Calhau, C., & Santos, A. (2009) · Springer eBooks · doi:10.1007/978-1-4020-9701-0_3 · Cited by 9
Key considerations in pharmacotherapy for type 2 diabetes mellitus: a multiple target organ approach
Cornell, S. A. (2011) · Journal of Clinical Pharmacy and Therapeutics · doi:10.1111/j.1365-2710.2011.01302.x · Cited by 9
What is the clinical usefulness of the metabolic syndrome? The Casale Monferrato study
Bruno, G., Fornengo, P., Segre, O., Novelli, G., Panero, F., Perotto, M., Zucco, C., Bargero, G., & Cavallo‐Perin, P. (2009) · Journal of Hypertension · doi:10.1097/hjh.0b013e3283310ee5 · Cited by 9
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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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