Evidence map›Paper›PMID 34949223›Full record

ArticleArchives of public health = Archives belges de sante publique2021

Comparison of metabolic syndrome prevalence using four different definitions - a population-based study in Finland.

Elsi Haverinen, Laura Paalanen, Luigi Palmieri, Alicia Padron-Monedero, Isabel Noguer-Zambrano, Rodrigo Sarmiento Suárez, Hanna Tolonen, Joint Action on Health Information (InfAct)

Open access · goldAbstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
5.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
  2. ADHD and metabolic syndrome: behavioral and weight-related pathways to cardiovascular risk.European archives of psychiatry and clinical neuroscience · 2026
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  6. Diallyl trisulfide attenuates metabolic syndromeFrontiers in pharmacology · 2026
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  11. [The Metabolic syndrome and metabolic characteristics in blood donors]Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2024
    Article
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  13. Metabolic syndrome and epigenetic aging: a twin study.International journal of obesity (2005) · 2024
    Article
  14. Review
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  17. Review
  18. Geographic Liver.Cureus · 2023
    Article
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 3 countries.

Elsi HaverinenDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), Mannerheimintie 166, 00271, Helsinki, Finland.
Laura PaalanenDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), Mannerheimintie 166, 00271, Helsinki, Finland. laura.paalanen@thl.fi.
Luigi PalmieriDepartment of Cardiovascular, Endocrine-metabolic Diseases and Aging Istituto Superiore di Sanità (ISS), Via Giano della Bella, 34, 00161, Rome, Italy.
Alicia Padron-MonederoNational School of Public Health, Instituto de Salud Carlos III, C/ Monforte de Lemos 5, Madrid, Spain.
Isabel Noguer-ZambranoNational School of Public Health, Instituto de Salud Carlos III, C/ Monforte de Lemos 5, Madrid, Spain.
Rodrigo Sarmiento SuárezNational School of Public Health, Instituto de Salud Carlos III, C/ Monforte de Lemos 5, Madrid, Spain.
Hanna TolonenDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare (THL), Mannerheimintie 166, 00271, Helsinki, Finland.
Joint Action on Health Information (InfAct)
Escuela Nacional de Sanidad · ESFinnish Institute for Health and Welfare · FIIstituto Superiore di Sanità · IT

Funding

EU/GD SANTE 8015533 InfAct
6 · The paper itself

Abstract

backgroundMetabolic syndrome (MetS) is a public health problem in Europe, affecting all age groups. Several MetS definitions are available. The aim of this study was to compare four different MetS definitions in the Finnish adult population, to assess their agreement and to evaluate the impact of the choice of the definition on the prevalence of MetS.

methodsData from FinHealth 2017, a cross-sectional national population health survey, focusing on adults aged 25 years or older were used in the analysis (n=5687). Measured data on anthropometrics, blood pressure and biomarkers together with questionnaire data were used to classify the participants into the MetS categories according to the four definitions. The definitions chosen for the comparison were those by the World Health Organization (WHO) (1998), National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP III) (2004), International Diabetes Federation (IDF) (2005), and Joint Interim Statement (JIS) (2009).

resultsThe four MetS definitions resulted in substantially different MetS prevalence: 17.7% by WHO, 33.3% by NCEP-ATP III, 41.5% by IDF, and 43.0% by JIS. Regardless of the definition used, the prevalence of MetS increased with age. The prevalence of the different components varied between the definitions, depending on the different cut-off points adopted. Out of all participants, only 13.6% were identified to have MetS according to all four definitions. Agreement between participants recognised by different MetS definitions, estimated through kappa coefficients, was almost perfect for IDF vs. JIS (0.97), strong for JIS vs. NCEP-ATP III (0.80), moderate for IDF vs. NCEP-ATP III (0.76) and weak for WHO vs. NCEP-ATP III (0.42), WHO vs. IDF (0.41) and WHO vs. JIS (0.40).

conclusionsDifferences between observed prevalence of MetS in Finnish men and women using different MetS definitions were large. For cross-country comparisons, as well as for trend analyses within a country, it is essential to use the same MetS definition to avoid discrepancies in classification due to differences in used definitions.

Indexed as

DiabetesHealth examination surveyIndicatorsMetabolic syndromePopulation health surveyStandardization

Identifiers

PMID34949223
PMCPMC8697452
OpenAlexW4200504114

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.