1. CONCORDANCIA ENTRE CINCO CRITERIOS DE SÍNDROME METABÓLICO EN ADOLESCENTES DE UNA ZONA ALTOANDINA DEL PERÚ.
- Author
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Romaní-Romaní, Franco, Pachacama Ramirez, Luis Fernando, Pichihua Grandez, Juan Diego, Guevara Rodríguez, Diego Maximiliano, Cornejo Luyo, Viviana, Sheen Vargas, Christian Eduardo, Aurelia Ninatanta-Ortiz, Juana, Abanto Villar, Martha Vicenta, Pérez Cieza, Katia Maribel, Chávez Farro, Rosa Ricardina, and García Flores, Segunda Aydeé
- Abstract
Objective. To determine the concordance between five diagnostic criteria for metabolic syndrome (MS) among teenagers from a Peruvian high Andes region. Materials and methods. A cross-sectional study was carried out with secondary data from an intervention study in two public schools in 2019. We included 397 teenagers who lived in the city of Cajamarca, in the Andean region of Peru. We applied the criteria from the Adult Treatment Panel III (ATP-III) modified by Cook, the International Diabetes Federation (IDF), the American Heart Association (AHA), Ferranti, and the World Health Organization (WHO). The point prevalence and interval prevalence were estimated with the five criteria. The Kappa concordance coefficient with an 95% confidence interval (95%CI) was estimated. Results. The Ferranti criterion identified 17.1% (95%CI: 13.4 to 20.8) of teenagers with MS, followed by the ATP-III criterion with 4.3% (95%CI: 2.3 to 6.3); the other criteria identified a lower frequency. The best concordance was found between the AHA and ATP-III criteria (k = 0.905); the WHO and IDF criteria had a coefficient of 0.628. The five criteria coincided in classifying six adolescents (1.5%) as MS. Conclusions. The AHA and ATP-III criteria modified by Cook had almost perfect concordance, which was also found for both sexes. The ATP-III, Ferranti, IDF, AHA and WHO criteria agree in less than 2% when identifying MS in the same group of adolescents. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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