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LETTER TO THE EDITOR
Year : 2020  |  Volume : 33  |  Issue : 1  |  Page : 332

Epidemiology of metabolic syndrome in Menoufia University students


Department of Paediatrics and Child Health, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq

Date of Submission01-Jan-2019
Date of Acceptance04-Feb-2019
Date of Web Publication25-Mar-2020

Correspondence Address:
Mahmood D Al-Mendalawi
Department of Paediatrics and Child Health, Al-Kindy College of Medicine, University of Baghdad, Baghdad Post Office, P.O. Box 55302, Baghdad
Iraq
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mmj.mmj_1_19

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How to cite this article:
Al-Mendalawi MD. Epidemiology of metabolic syndrome in Menoufia University students. Menoufia Med J 2020;33:332

How to cite this URL:
Al-Mendalawi MD. Epidemiology of metabolic syndrome in Menoufia University students. Menoufia Med J [serial online] 2020 [cited 2020 Jun 6];33:332. Available from: http://www.mmj.eg.net/text.asp?2020/33/1/332/281259




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I read an interesting study by Mahrouset al.[1] on the epidemiology of metabolic syndrome (MetS) in Menoufia University students published in the July to September 2018 issue of the Menoufia Medical Journal. On using Adult Treatment Panel-III (ATP-III) guidelines, the authors found that the overall MetS prevalence was 16.7%, which was more common among female students. The most prevalent MetS components were noticed to be increased waist circumference (41.8%), high triglyceride levels (40.2%), and reduced high-density lipoprotein-cholesterol levels (36.3%)[1]. I presume that these results ought to be interpreted cautiously. This is based on the presence of the following methodological limitation related to the MetS definition criteria employed in the study. It is explicit that in the clinical settings and researches, many definitions criteria for MetS are present, including ATP-III, American Heart Association, International Diabetes Federation (IDF), WHO, and Joint Interim Statement. Importantly, inconsistent consensus on the precision of these criteria to diagnose MetS has been noticed[2]. In Egypt, the estimation of the MetS prevalence using different criteria revealed various results, namely, 42.5% (ATP-III definition), 43.8% (American Heart Association definition), 44.3% (IDF definition), 33.8% (IDF definition with Egyptian cutoffs), and 41.5% (Joint Interim Statement with Egyptian cutoffs)[3]. As many countries have constructed their own diagnostic MetS criteria[4],[5], I presume that the construction of the national Egyptian MetS definition criteria could better measure MetS prevalence in patients with various health disorders. In spite of the already mentioned limitation, the high reported MetS prevalence in the studied population (16.7%)[1] must trigger the need for implementing strategic actions to minimize the future adverse cardiovascular aftermaths among university students.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Mahrous OA, Anwar El Shazly HM, Badr SA, Ibraheem RA, Kasemy ZA, El Sheikh GM. Epidemiology of metabolic syndrome in Menoufia University students. Menoufia Med J 2018; 31:839–845.  Back to cited text no. 1
    
2.
Katsiki N, Athyros VG, Karagiannis A, Mikhailidis D. Characteristics other than the diagnostic criteria associated with metabolic syndrome: an overview. Curr Vasc Pharmacol 2014; 12:627–641.  Back to cited text no. 2
    
3.
Assaad-Khalil SH, Mikhail MM, Aati TA, Zaki A, Helmy MA, Megallaa MH, et al. Optimal waist circumference cutoff points for the determination of abdominal obesity and detection of cardiovascular risk factors among adult Egyptian population. Indian J Endocrinol Metab 2015; 19:804–810.  Back to cited text no. 3
    
4.
Yamagishi K, Iso H. The criteria for metabolic syndrome and the national health screening and education system in Japan. Epidemiol Health 2017; 39:e2017003.  Back to cited text no. 4
    
5.
Xing Y, Xu S, Jia A, Cai J, Zhao M, Guo J, et al. Recommendations for revision of Chinese diagnostic criteria for metabolic syndrome: a nationwide study. J Diabetes 2018; 10:232–239.  Back to cited text no. 5
    




 

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