Cited by 1,488Diabetes, Cardiovascular Risks, and LipoproteinsDiet, Metabolism, and DiseaseObesity, Physical Activity, Diet

Increasing Prevalence of the Metabolic Syndrome Among U.S. Adults

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Ford, Earl S., Giles, Wayne H., Mokdad, Ali H.·2004·Diabetes Care

Abstract

OBJECTIVE—The prevalence of the metabolic syndrome is high among U.S. adults. Our purpose was to determine whether the prevalence of this syndrome has changed since 1988–1994. RESEARCH DESIGN AND METHODS—A total of 6,436 men and women aged ≥20 years from the National Health and Nutrition Examination Survey (NHANES) III (1988–1994) and 1,677 participants from NHANES 1999–2000 were included in the analyses. We used the definition of the metabolic syndrome developed by the Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. RESULTS—The unadjusted prevalence of the metabolic syndrome was 23.1% in NHANES III and 26.7% in NHANES 1999–2000 (P = 0.043), and the age-adjusted prevalences were 24.1 and 27.0% (P = 0.088), respectively. The age-adjusted prevalence increased by 23.5% among women (P = 0.021) and 2.2% among men (P = 0.831). Increases in high blood pressure, waist circumference, and hypertriglyceridemia accounted for much of the increase in the prevalence of the metabolic syndrome, particularly among women. CONCLUSIONS—The increased prevalence of the metabolic syndrome is likely to lead to future increases in diabetes and cardiovascular disease.

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Authors
Ford, E. S., Giles, W. H., & Mokdad, A. H.
Affiliations
Centers for Disease Control and Prevention (US)
Venue
Diabetes Care
Published
2004-10-01
Volume
27
Issue
10
Pages
2444-2449
ISSN
  • 0149-5992 (ISSN-L)
  • 1935-5548
OpenAlex
W2153661281
Cited by
1,488
References
23
Citations by year
2026: 9 · 2025: 13 · 2024: 16 · 2023: 28 · 2022: 29 · 2021: 31 · 2020: 28 · 2019: 32 · 2018: 39 · 2017: 48 · 2016: 61 · 2015: 69 · 2014: 84 · 2013: 106 · 2012: 110
FWCI
66.34
Type
journal article
Language
en
Open access
Locations
  • Diabetes Care (publishedVersion)
  • PubMed (publishedVersion)
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 › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
metabolic syndrome, prevalence trends, NHANES, hypertension, waist circumference, hypertriglyceridemia, sex differences, cardiovascular risk, diabetes risk, NCEP criteria
MeSH terms
Adult, Aged, Attitude to Health, Female, Glucose Tolerance Test, Health Surveys, Humans, Male, Middle Aged, Nutrition Surveys, Obesity, Probability, Severity of Illness Index, United States, Prevalence, Age Distribution, Sex Distribution, Risk Assessment, Metabolic Syndrome

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