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Prevalence of metabolic syndrome (MetS) and hyperglycemia in US adults: NHANES 2003–06 and 2007–10
Author(s) -
Gee David L.,
Bailey Regan L.
Publication year - 2013
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.27.1_supplement.622.8
Subject(s) - medicine , diabetes mellitus , overweight , insulin resistance , metabolic syndrome , endocrinology , obesity , plasma glucose , calorie , national health and nutrition examination survey , population , environmental health
MetS consists of a cluster of risk factors that strongly predict developing diabetes and is associated with increased mortality. The purpose of this analysis was to characterize MetS and hyperglycemia in US adults using NHANES 2003–6 (n=3532) & 2007–10 (n=4717). The prevalence of MetS remained constant at 33% between the two time periods. The prevalence of MetS was unchanged within gender, age group, weight categories, or race/ethnic group except among male Mexican‐Americans which significantly increased (32% to 38%). However, the prevalence of hyperglycemia (FBG >; 100 mg/dl) increased from 36% to 41% and was greatest in young adults (20–39y, 25% increase) and for those with a normal BMI (28% increase). The increase in the prevalence of pre‐diabetes & diabetes was observed regardless if the criteria were fasting blood glucose or fasting glycohemoglobin. The prevalence of pre‐diabetes and diabetes significantly increased in normal, overweight, and obese weight categories. Fasting plasma insulin concentrations, homeostasis model assessment of insulin resistance (HOMA‐IR), and glycohemoglobin concentrations significantly increased by 17%, 19%, & 2% respectively between these two time periods. These findings indicate that while the prevalence of MetS remained constant, the significant increase in diabetes and pre‐diabetes reflects an additional 22 million cases in adult Americans.