COMPARATIVE EVALUATION OF DIAGNOSTIC CRITERIA FOR METABOLIC SYNDROME IN OVERWEIGHT/OBESE ADULT PATIENTS

Background. Diagnostic criteria for metabolic syndrome (MetS), which is a cluster of risk factors for noninfectious diseases, continue to be discussed and refined by various professional communities. The aim of the study was determination of the incidence of MetS in overweight/obese adult cardiac hospital patients according to the IDF (2005), AHA/NHLBI (2004)/AHA (2023) diagnostic criteria and criteria agreed by IDF/AHA/NHLBI and other scientific societies (2009). Material and methods. 222 patients (103 men and 119 women) with overweight/obesity aged 18 years and older were examined using clinical, laboratory, and instrumental research methods. Results. Among adult patients (46.4% men, 53.6% women), 85.6% (95% CI 80.4-89.6) were found to have MetS according to the IDF (2005) criteria, 82.4% (95% CI 76.9-86.9) according to the AHA/NHLBI (2004) and AHA (2023) criteria, and 87.4% (95% CI 82.4-91.1) according to the criteria agreed by IDF/AHA/NHLBI and other scientific communities (2009). Metabolic syndrome established on the basis of the IDF criteria (2005) and the criteria agreed by the IDF/AHA/NHLBI and other scientific communities (2009) was more often four-component, while that based on the AHA/NHLBI (2004) and AHA (2023) criteria was three-component. Arterial hypertension occurred in 100% of patients with MetS. Conclusion. The presence of four and five components of MS, in particular arterial hypertension in all MetS patients included in the study, indicates the severity of cardiometabolic disorders.