Cpop1.2 Incidence Of Obesity, Type 2 Diabetes Mellitus And Metabolic Syndrome (Ncep Versus Idf Criteria )

Author(s): 
I. Kyriazis1, E. Zervas2, A. Manias2, K. Paraskevopoulos2, K. Mparlas2
1 Internal Medicine Dpt. & Diabetes Clinic, Korinthos General Hospital, Korinthos, Greece
2 Internal Medicine Dpt. Korinthos General Hospital., Korinthos, Greece
Text: 
Background.
Obesity, Type 2 Diabetes Mellitus (T2DM) and Metabolic Syndrome (MS) increases epidemically in general population.
Aim.
To study the incidence of obesity, T2DM and to compare NCEP and IDF criteria for MS diagnosis in an overage, non-Diabetic Population (n-DP).
Materials and Methods.
179 non-diabetic people [107 F / 72 M, aged 65.1 ± 11.7 (SD) yrs], residents of a home for the aged, were examined. Diagnosis of T2DM was based on ADA’s 2005 FPG screening test criteria and the incidence of MS was evaluated with both NCEP-ATP III and IDF criteria. Statistical analysis was done using SPSS 10.01. Differences were considered significant if p Results.
From the examined population, 68/179 (38%) showed some kind of disorder in glucose metabolism [12 (6.7%) newly diagnosed T2DM and 56 (31.3%) impaired fasting glucose tolerance (IFG)]. On the whole 38.5% proved to have MS with NCEP vs 57% with IDF criteria. No difference in age and BMI was detected between patients with NCEP-MS vs IDF-MS, but a statistical significant difference was revealed in obesity class (32.4% overweight and 48.6% obese patients had NCEP-MS vs 56.8% and 62.9% IDF-MS, respectively, p Conclusion.
We observe an increased prevalence of metabolic disorders, especially with IDF criteria, in this n-DP. IDF criteria, even though more broad, seems to reflect more accurately the MS since more obese people and people with glucose disorders are included in IDF’s MS, compared with NCEP criteria.
Literature: 
CPOP1.2 INCIDENCE OF OBESITY, TYPE 2 DIABETES MELLITUS AND METABOLIC SYNDROME (NCEP VERSUS IDF CRITERIA )