Research Article

JIS Definition Identified More Malaysian Adults with Metabolic Syndrome Compared to the NCEP-ATP III and IDF Criteria

Table 4

Factors associated with metabolic syndrome according to the ATP III, IDF, and JIS definitions among Malaysian adults ≥30 years of age.

Metabolic syndrome definitionsNCEP-ATP III (2001)IDF (2005)JIS (2009)
Odds ratio
(95% CI)
P valueOdds ratio
(95% CI)
P valueOdds ratio
(95% CI)
P value

Location
 Urban1.001.001.00
 Rural1.06 (0.94–1.20)0.3260.87 (0.79–1.02)0.0860.89 (0.80–1.00)0.058
Gender
 Male 1.001.001.00
 Female 1.29 (1.17–1.44)<0.001*1.19 (1.09–1.31)<0.001*1.02 (0.93–1.12)0.616
Age (years)
 30–391.001.001.00
 40–491.39 (1.13–1.73)<0.001*1.63 (1.35–1.97)<0.001*1.56 (1.30–1.87)<0.001*
 50–592.26 (1.83–2.79)<0.001*2.72 (2.25–3.27)<0.001*2.72 (2.27–3.25)<0.001*
 ≥602.34 (1.87–2.92)<0.001*2.67 (2.18–3.26)<0.001*3.08 (3.54–3.70)<0.001*
Ethnicity
 Malay1.001.001.00
 Chinese0.44 (0.36–0.53)<0.001*0.53 (0.45–0.62)<0.001*0.56 (0.49–0.66)<0.001*
 Indian1.02 (0.77–1.37)0.8671.48 (1.14–1.92)0.003*1.54 (1.18–1.99)<0.001*
 Indigenous groups0.60 (0.50–0.72)<0.001*0.56 (0.47–0.66)<0.001*0.63 (0.54–0.73)<0.001*
Education level
 No formal education1.001.001.00
 Primary1.16 (0.99–1.37)0.0671.34 (1.15–1.58)<0.001*1.18 (1.01–1.37)0.029*
 Secondary1.05 (0.89–1.25)0.5441.25 (1.06–1.48)0.009*1.12 (0.96–1.31)0.147
 Tertiary0.77 (0.63–0.95)0.012*1.04 (0.86–1.27)0.6730.92 (0.76–1.10)0.350

P value < 0.05.