Diabetes Metab J > Volume 33(1); 2009 > Article
Korean Diabetes Journal 2009;33(1):40-47.
DOI: https://doi.org/10.4093/kdj.2009.33.1.40    Published online February 1, 2009.
Prevalence of the Metabolic Syndrome in Type 2 Diabetic Patients.
Tae Ho Kim, Dae Jung Kim, Soo Lim, In Kyung Jeong, Hyun Shik Son, Choon Hee Chung, Gwanpyo Koh, Dae Ho Lee, Kyu Chang Won, Jeong Hyun Park, Tae Sun Park, Jihyun Ahn, Jaetaek Kim, Keun Gyu Park, Seung Hyun Ko, Yu Bae Ahn, Inkyu Lee
1Department of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, Korea. djkim@ajou.ac.kr
2Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seoul, Korea.
3Department of Internal Medicine, Kyung Hee University, East-West Neo Medical Center, Seoul, Korea.
4Department of Internal Medicine, Uijeongbu St. Mary's Hospital, Catholic University Medical College, Uijeongbu, Korea.
5Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
6Department of Internal Medicine, Cheju National University Hospital, Cheju National University School of Medicine, Jeju, Korea.
7Department of Internal Medicine, Yeungnam University College of Medicine, Yeungnam University Hospital, Daegu, Korea.
8Department of Internal Medicine, Pusan Paik Hospital, College of Medicine, Inje University, Busan, Korea.
9Department of Internal Medicine, Chonbuk National University Hospital, Jeonju, Korea.
10Department of Internal Medicine, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.
11Department of Internal Medicine, Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.
12Department of Internal Medicine, St. Vincent's Hospital, Catholic University Medical College, Suwon, Korea.
13Department of Internal Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea.
Abstract
BACKGROUND
The aim of this study was to analyze the prevalence of metabolic syndrome in Korean type 2 diabetic patients. METHODS: A total of 4,240 diabetic patients (male 2,033, female 2,207; mean age 58.7 +/- 11.3 years; DM duration 8.9 +/- 7.6 years) were selected from the data of endocrine clinics of 13 university hospitals in 2006. Metabolic syndrome was defined using the criteria of the American Heart Association/National Heart Lung and Blood Institute and the criteria of waist circumference from the Korean Society for the Study of Obesity. RESULTS: The prevalence of metabolic syndrome was 77.9% (76.7% of males, 78.9% of females). The average number of the components of metabolic syndrome was 2.4 +/- 1.1. Abdominal obesity was seen in 56.8% of the patients, hypertriglyceridemia in 42.0%, low HDL cholesterol in 65.1%, and high blood pressure in 74.9%. Abdominal obesity and high blood pressure were much more prevalent among females than males, and low HDL cholesterol was much more prevalent among males than females. The prevalence of metabolic syndrome was not different according to the duration of diabetes. Metabolic syndrome was strongly related with obesity (odds ratio, 6.3) and increased age (odds ratio in the over 70 group, 3.4). CONCLUSION: The prevalence of metabolic syndrome was 77.9% in Korean type 2 diabetic patients. Its prevalence was greater in obese patients and in those over 40 years of age.
Key Words: Diabetes mellitus, Metabolic syndrome, Obesity


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