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目的比较代谢综合征(MS)的CDS(2004)、IDF(2005)、ATPⅢ(2005)三个诊断标准在社区人群中的应用并评价它们诊断的一致性。方法分别计算三种标准的MS患病率及MS各组分的检出率,使用Kappa值比较诊断的一致性。结果三种标准的MS患病率不同。CDS(2004)标准中肥胖的检出率、IDF(2005)和ATPⅢ(2005)高血压的检出率最高。CDS(2004)与IDF(2005)、CDS(2004)与ATPⅢ(2005)和IDF(2005)与ATPⅢ(2005)诊断一致性的Kappa值分别是0.65、0.64和0.78,其中女性的CDS(2004)与IDF(2005)诊断一致性最高。结论三种代谢综合征诊断标准的患病率、诊断一致性均不同;IDF(2005)和ATPⅢ(2005)标准使用腰围以及相应的截断值判断肥胖对中国人的适用性有待探讨。
Objective To compare the diagnostic value of three diagnostic criteria of metabolic syndrome (MS), CDS (2004), IDF (2005) and ATP Ⅲ (2005) in community population and evaluate the consistency of their diagnosis. Methods The prevalences of MS and the detection rates of each component of MS were calculated respectively. The Kappa values were used to compare the diagnostic consistency. Results The prevalence of MS was different among the three standards. The prevalence of obesity in the CDS (2004) standard is highest among IDF (2005) and ATP III (2005) hypertension. The Kappa values for diagnostic concordance between CDS (2004) and IDF (2005), CDS (2004) and ATP III (2005) and IDF (2005) and ATP III (2005) were 0.65, 0.64 and 0.78, Consistent with IDF (2005) diagnosis. Conclusion The prevalence and diagnostic concordance of the three metabolic syndrome diagnostic criteria are different. The applicability of IDF (2005) and ATPⅢ (2005) criteria to determine the applicability of obesity to Chinese using waist circumference and corresponding cut-off values remains to be explored.