From: Prevalence of metabolic syndrome in Brazilian adults: a systematic review
Authors and publication year (Ref. no.) | City, region | Number of participants (W, M) | Age range (years) | Measurements | Criteria for diagnosis of MS | Overall prevalence of MS (%) | Overall prevalence of individual components of MS (%) | Relevant findings/Associations* |
---|---|---|---|---|---|---|---|---|
Dutra et al., 2012 [18] | Brasília, Federal District | 2130 (72.5% W, 27.5% M) | ≥18 | WC: at the midpoint between the iliac crest and the lowest rib | IDF and AHA/NHLBI harmonized criteria (2009) | 32.0 | AO: N/A | Logistic regression model adjusted for age: |
Fasting G, TAG and HDL-c BP: two measurements | High G: N/A | Age 25-34 years: female: PR = 2.06; 95% CI 1.13-3.74; male: PR = 3.35; 95% CI 1.27-8.88 | ||||||
HT: N/A | Age 35-44 years: female: PR = 3.62; 95% CI 2.04-6.44; male: PR = 4.87; 95% CI 1.94-12.20 | |||||||
High TAG: N/A | Age 45-54 years: female: PR = 5.42; 95% CI 3.08-9.55; male: PR = 7.60; 95% CI 3.08-18.70 | |||||||
Low HDL-c: N/A | Age 55-64 years: female: PR = 6.57; 95% CI 3.74-11.55; male: PR = 8.95; 95% CI 3.64-22.00 | |||||||
Age ≥65 years: female: PR = 7.45; 95% CI 4.23-13.11; male: PR = 7.89; 95% CI 3.14-19.80 | ||||||||
BMI 25-29 kg/m2: female: PR = 4.29; 95% CI 3.21-5.75; male: PR = 4.52; 95% CI 2.64-7.74 | ||||||||
BMI ≥30 kg/m2: female: PR =7.04; 95% CI 5.32-9.31; male: PR =9.99; 95% CI 5.92-16.90 | ||||||||
Schooling 9-11 years: female: PR = 0.78; 95% CI 0.64-0.96 | ||||||||
Schooling ≥12 years: female: PR = 0.51; 95% CI 0.37-0.70 | ||||||||
de Oliveira et al., 2011 [21] | Jaguapiru Indigenous Village, Dourados, Mato Grosso do Sul | 606 (55.8% W, 44.2% M) | 18-69 | WC: at the midpoint between the iliac crest and the lowest rib | IDF | 35.7 | AO: 60.9 | N/A |
Fasting G, TAG and HDL-c | High G: 11.4 | |||||||
BP: two measurements | HT: 40.3 | |||||||
High TAG: N/A | ||||||||
Low HDL-c: N/A | ||||||||
Gronner et al., 2011 [17] | Southeastern region | 1116 (64.5% W, 35.5% M) | 30-79 | WC: at the midpoint between the iliac crest and the lowest rib | NCEP-ATPIII (2005) and IDF | NCEP-ATPIII (2005): 35.9 | AO (NCEP-ATPIII 2005): 56.2 | Logistic regression model: |
Fasting G, TAG and HDL-c | IDF: 43.2 | AO (IDF): 72.6 | Age 40-49 years†: OR = 2.15; 95% CI 1.47-3.16 | |||||
BP: three measurements | High G: 13.3 | Age 50-59 years†: OR = 2.68; 95% CI 1.85-3.89 | ||||||
HT: 59.2 | Age 60-69 years†: OR = 4.64; 95% CI 3.06-7.04 | |||||||
High TAG: 16.8 | Age 70-79 years†: OR = 4.77; 95% CI 3.11-7.32 | |||||||
Low HDL-c: 76.3 | Skin color white‡: OR = 1.65; 95% CI 1.28-2.14 | |||||||
Schooling fundamental§: OR = 2.51; 95% CI 1.58-4.00 | ||||||||
BMI ≥25 kg/m2: OR = 5.68; 95% CI 4.30-7.51 | ||||||||
Pimenta et al., 2011 [14] | Virgem das Graças and Caju, Jequitinhonha Valley, Minas Gerais | 534 (49.4% W, 50.6% M) | ≥18 | WC: at the midpoint between the iliac crest and the lowest rib | NCEP-ATPIII (2005) | 14.9 | AO: 11.6 | Poisson regression model: |
Fasting G, TAG and HDL-c | High G: 10.6 | Female: PR = 2.20; 95% CI 1.33-3.62 | ||||||
BP: three measurements | HT: 59.7 | Obesity (BMI ≥30 kg/m2): PR = 3.03; 95% CI 2.05-4.48 | ||||||
High TAG: 15.2 | CRP ≥4º : PR = 1.56; 95% CI 1.05-2.31 | |||||||
Low HDL-c: 44.1 | HOMA-IR ≥4º quartile: PR = 1.92; 95% CI 1.28-2.88 | |||||||
Age ≥60 years†: PR = 7.06; CI 95% 2.62-19.04 | ||||||||
Alcohol consumption (0.1 to 20 g ethanol/day): PR = 0.26; CI 95% 0.09-0.73 | ||||||||
da Rocha et al., 2011 [22] | Porto Alegre and Planalto/ Nonoai, Rio Grande do Sul | 150 (55.3% W, 44.7% M) | 40-104 | WC: at the midpoint between the iliac crest and the lowest rib | NCEP-ATPIII (2001) | 65.3 | AO: 64.7 | N/A |
Fasting G, TAG and HDL-c | High G: 38.0 | |||||||
BP: N/A | HT: 64.7 | |||||||
High TAG: 48.7 | ||||||||
Low HDL-c: 67.3 | ||||||||
Silva et al., 2011 [15] | São Paulo | 287 (74.6% W, 25.4% M) | 20-64 | WC: at the midpoint between the iliac crest and the lowest rib | IDF | 36.6 | AO: N/A | Short height adjusted for age and gender: OR = 1.25; 95% CI 1.12-1.26 |
Fasting G, TAG and HDL-c | High G: N/A | |||||||
BP: two measurements | HT: N/As | |||||||
High TAG: N/A | ||||||||
Low HDL-c: N/A | ||||||||
Marquezine et al., 2008 [16] | Vitória, Espírito Santo | 1561 (54.5% W, 45.5% M) | 25-64 | WC: at the midpoint between the iliac crest and the lowest rib | NCEP-ATPIII (2001) | 25.4 | AO: 16.3 | Logistic regression model adjusted for age in female: |
Fasting G, TAG and HDL-c | High G: 21.4 | Low social class: OR = 1.64 | ||||||
BP: three measurements | HT: 46.6 | |||||||
High TAG: 30.9 | ||||||||
Low HDL-c: 54.3 | ||||||||
Salaroli et al., 2007 [5] | Vitória, Espírito Santo | 1630 (54.4% W, 45.6% M) | 25-64 | WC: at the natural waist or the lower curvature between the lowest rib and the iliac crest | NCEP-ATPIII (2001) | 29.8 | AO: N/A | N/A |
Fasting G, TAG and HDL-c | High G: N/A | |||||||
BP: two measurements | HT: N/A | |||||||
High TAG: N/A | ||||||||
Low HDL-c: N/A | ||||||||
Velásquez-Meléndez et al., 2007 [19] | Virgem das Graças, Jequitinhonha Valley, Minas Gerais | 251 (53.4% W, 46.6% M) | 18-88 | WC: at the midpoint between the iliac crest and the lowest rib | NCEP-ATPIII (2001) | 21.6 | AO: 26.7 | Logistic regression model adjusted for BMI, age and schooling: |
Fasting G, TAG and HDL-c | High G: 6.0 | BMI ≥25 kg/m2: OR = 21.14; 95% CI 8.43-50.01 | ||||||
BP: three measurements | HT: 62.5 | Age 30-42 years†: OR = 3.15; 95% CI 1.08-9.18 | ||||||
High TAG: 22.3 | Age 43-59 years†: OR = 5.18; 95% CI 1.38-19.41 | |||||||
Low HDL-c: 37.1 | Age 60-88 years†: OR = 17.58; 95% CI 3.45-49.51 | |||||||
de Oliveira et al., 2006 [20] | Cavunge, Bahia | 240 (57.5% W, 42.5% M) | 25-87 | WC: at the umbilical level | NCEP-ATPIII (2001) | 30.0 | AO: 31.7 | Age ≥45 years: PR = 2.60; 95% CI 1.61-4.21 |
Fasting G, TAG and HDL-c | High G: 15.8 | Age ≥55 years: PR = 3.00; 95% CI 1.84-4.89 | ||||||
BP: two measurements | HT: 57.1 | |||||||
High TAG: 19.6 | ||||||||
Low HDL-c: 70.4 |