Detecting cardiometabolic syndrome using World Health Organization public health action points for Asians and Pacific Islanders.
Ethn Dis
; 20(2): 123-8, 2010.
Article
en En
| MEDLINE
| ID: mdl-20503891
ABSTRACT
OBJECTIVE:
To assess the screening characteristics of World Health Organization (WHO) body mass index action points for cardiometabolic syndrome (CMS) in Native Hawaiians and people of Asian ancestry (ie, Filipino and Japanese). DESIGN ANDSETTING:
Cross-sectional data were collected from 1,452 residents of a rural community of Hawai'i between 1997 and 2000, of which 1,198 were analyzed in this study. Ethnic ancestry was determined by self-report. MAIN OUTCOMEMEASURES:
Metabolic status was assessed using National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATPIII) criteria. Screening characteristics of WHO criteria for overweight and obesity were compared to WHO public health action points or to WHO West Pacific Regional Office (WPRO) cut-points.RESULTS:
Among Asian-ancestry participants, WHO public health action points improved both sensitivity and specificity for detecting CMS. However, similar improvements were not observed for WPRO criteria for Native Hawaiians. Moreover, predictive values were high regardless of which criteria were utilized due to high CMS prevalence.CONCLUSIONS:
WHO public health actions points for Asians provide a significant improvement in sensitivity in detection of CMS. However, predictive value, which varies greatly with disease prevalence, should be considered when deciding which criteria to apply.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Asiático
/
Índice de Masa Corporal
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Tamizaje Masivo
/
Síndrome Metabólico
/
Nativos de Hawái y Otras Islas del Pacífico
Tipo de estudio:
Evaluation_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Ethn Dis
Asunto de la revista:
CIENCIAS SOCIAIS
/
SAUDE PUBLICA
Año:
2010
Tipo del documento:
Article
País de afiliación:
Estados Unidos