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Aims/Introduction  To compare the prevalence of metabolic syndrome ( MS ) using the modified National Cholesterol Education Program Adult Treatment Plan  III  ( NCEP ) and the International Diabetes Federation ( IDF ) definitions and, using both definitions, determine and compare the association of  MS , prediabetes, type 2 diabetes, hypertension ( HTN ) and cardiovascular disease risk ( CVD ).    Materials and Methods  A total of 2,293 randomly selected participants (aged ≥20 years) in a rural community in Bangladesh were investigated in a population‐based cross‐sectional study. Sociodemographic and anthropometric characteristics, blood pressure, blood glucose, and lipid profiles were studied. Age‐adjusted data for  MS  and cardiometabolic risk factors were assessed, and their relationships were examined.    Results  The age‐adjusted prevalence of  MS  was 30.7% (males 30.5%; females 30.5%) using the  NCEP  definition, and 24.5% (males 19.2%, females 27.5%) using the  IDF  definition. The prevalence of  MS  using the  NCEP  definition was also higher in study participants with prediabetes, type 2 diabetes,  HTN  and  CVD  risk. The agreement rate between both definitions was 92% (k = 0.80). The  NCEP  definition had a stronger association with type 2 diabetes and  HTN  (odds ratio 12.4 vs 5.2; odds ratio 7.0 vs 4.7, respectively) than the  IDF  definition. However, the odds ratios for prediabetes and  CVD  risk were not significantly different.    Conclusions  The prevalence of  MS  was higher using the  NCEP  definition, and was more strongly associated with prediabetes, type 2 diabetes,  HTN  and  CVD  in this Bangladeshi population.

journal of diabetes investigation

Comparison of the prevalence of metabolic syndrome and its association with diabetes and cardiovascular disease in the rural population of Bangladesh using the modified National Cholesterol Education Program Expert Panel Adult Treatment Panel  III  and International Diabetes Federation definitions