Validation of a non-laboratorial questionnaire to identify Metabolic Syndrome among a population in central Mexico
Objective. To determine the reliability of a non-laboratorial questionnaire, the Encuesta de Identificación de Sujetos Metabólicamente Comprometidos en Fase-I (ESF-I) for identifying Metabolic Syndrome among a population in central Mexico. Methods. Clinical and biochemical parameters were collected...
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2019-01-01
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doaj-9d7eea2962a044c89a79fb11e9598cb22020-11-25T01:18:36ZengPan American Health OrganizationRevista Panamericana de Salud Pública1020-49891680-53482019-01-014311010.26633/RPSP.2019.9e9Validation of a non-laboratorial questionnaire to identify Metabolic Syndrome among a population in central MexicoLeonardo M. Porchia0Beatriz Lara-Solis1Enrique Torres-Rasgado2M. Elba Gonzalez-Mejia3Guadalupe Ruiz-Vivanco4Ricardo Pérez-Fuentes5Independent researcher and consultant. Laboratorio de Investigación en Fisiopatología de Enfermedades Crónicas, Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico.Independent researcher and consultant. Laboratorio de Investigación en Fisiopatología de Enfermedades Crónicas, Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social, Puebla, Mexico.Facultad de Medicina, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico.Facultad de Medicina, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico.Programa de Ciencias Biológicas, Centro Tlaxcala de Biología de la Conducta, Universidad Autónoma de Tlaxcala, Tlaxcala, Mexico.Facultad de Medicina, Benemérita Universidad Autónoma de Puebla, Puebla, Mexico.Objective. To determine the reliability of a non-laboratorial questionnaire, the Encuesta de Identificación de Sujetos Metabólicamente Comprometidos en Fase-I (ESF-I) for identifying Metabolic Syndrome among a population in central Mexico. Methods. Clinical and biochemical parameters were collected for 232 participants from 1 June 2012 – 31 August 2013. Three definitions of Metabolic Syndrome (Harmonizing, National Cholesterol Education Program Expert Panel and Adult Treatment Panel III [ATPIII], and International Diabetes Federation [IDF]) were used to allocate subjects to either the normal or Metabolic Syndrome positive (MetS+) group. The predictability of the questionnaire was determined by the Area-Under-the-Receiver-Operating Characteristic curve (AUC). Youden's index was calculated and the highest score was considered the optimal cutoff value. Cohen´s kappa (κ) was calculated to determine the level of agreement between the ESF-I questionnaire (max score: 15 based on 15 items) and Metabolic Syndrome. Results. From 53.8% – 60.7% of the participants were determined to be MetS+. The average questionnaire score was significantly higher in the MetS+ group for each definition (4.0 vs. 8.0, P < 0.05). The ESF-I questionnaire was predictive for the Harmonizing definition (AUC = 0.841, 95%CI: 0.790 – 0.892), the ATPIII definition (AUC = 0.827, 95%CI: 0.774 – 0.880), and the IDF definition (AUC = 0.836, 95%CI: 0.785 – 0.887). A cutoff value of 7 was determined for each definition; therefore, the cohort was re-categorized based on questionnaire results. There was a strong agreement between the ESF-I questionnaire and MetS (Harmonizing: accuracy = 77.6%, κ = 0.554; ATPIII: accuracy = 74.1%, κ = 0.489; IDF: accuracy = 74.6%, κ = 0.495, P < 0.001). Conclusion. The ESF-I questionnaire can identify MetS+ patients, and therefore, lead to earlier diagnoses, reduced number of consultations, and lower costs with easier application.http://iris.paho.org/xmlui/handle/123456789/49726Metabolic syndrome, diagnosissurveys and questionnairesnoncommunicable diseasesMexico |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Leonardo M. Porchia Beatriz Lara-Solis Enrique Torres-Rasgado M. Elba Gonzalez-Mejia Guadalupe Ruiz-Vivanco Ricardo Pérez-Fuentes |
spellingShingle |
Leonardo M. Porchia Beatriz Lara-Solis Enrique Torres-Rasgado M. Elba Gonzalez-Mejia Guadalupe Ruiz-Vivanco Ricardo Pérez-Fuentes Validation of a non-laboratorial questionnaire to identify Metabolic Syndrome among a population in central Mexico Revista Panamericana de Salud Pública Metabolic syndrome, diagnosis surveys and questionnaires noncommunicable diseases Mexico |
author_facet |
Leonardo M. Porchia Beatriz Lara-Solis Enrique Torres-Rasgado M. Elba Gonzalez-Mejia Guadalupe Ruiz-Vivanco Ricardo Pérez-Fuentes |
author_sort |
Leonardo M. Porchia |
title |
Validation of a non-laboratorial questionnaire to identify Metabolic Syndrome among a population in central Mexico |
title_short |
Validation of a non-laboratorial questionnaire to identify Metabolic Syndrome among a population in central Mexico |
title_full |
Validation of a non-laboratorial questionnaire to identify Metabolic Syndrome among a population in central Mexico |
title_fullStr |
Validation of a non-laboratorial questionnaire to identify Metabolic Syndrome among a population in central Mexico |
title_full_unstemmed |
Validation of a non-laboratorial questionnaire to identify Metabolic Syndrome among a population in central Mexico |
title_sort |
validation of a non-laboratorial questionnaire to identify metabolic syndrome among a population in central mexico |
publisher |
Pan American Health Organization |
series |
Revista Panamericana de Salud Pública |
issn |
1020-4989 1680-5348 |
publishDate |
2019-01-01 |
description |
Objective. To determine the reliability of a non-laboratorial questionnaire, the Encuesta de Identificación de Sujetos Metabólicamente Comprometidos en Fase-I (ESF-I) for identifying Metabolic Syndrome among a population in central Mexico. Methods. Clinical and biochemical parameters were collected for 232 participants from 1 June 2012 – 31 August 2013. Three definitions of Metabolic Syndrome (Harmonizing, National Cholesterol Education Program Expert Panel and Adult Treatment Panel III [ATPIII], and International Diabetes Federation [IDF]) were used to allocate subjects to either the normal or Metabolic Syndrome positive (MetS+) group. The predictability of the questionnaire was determined by the Area-Under-the-Receiver-Operating Characteristic curve (AUC). Youden's index was calculated and the highest score was considered the optimal cutoff value. Cohen´s kappa (κ) was calculated to determine the level of agreement between the ESF-I questionnaire (max score: 15 based on 15 items) and Metabolic Syndrome. Results. From 53.8% – 60.7% of the participants were determined to be MetS+. The average questionnaire score was significantly higher in the MetS+ group for each definition (4.0 vs. 8.0, P < 0.05). The ESF-I questionnaire was predictive for the Harmonizing definition (AUC = 0.841, 95%CI: 0.790 – 0.892), the ATPIII definition (AUC = 0.827, 95%CI: 0.774 – 0.880), and the IDF definition (AUC = 0.836, 95%CI: 0.785 – 0.887). A cutoff value of 7 was determined for each definition; therefore, the cohort was re-categorized based on questionnaire results. There was a strong agreement between the ESF-I questionnaire and MetS (Harmonizing: accuracy = 77.6%, κ = 0.554; ATPIII: accuracy = 74.1%, κ = 0.489; IDF: accuracy = 74.6%, κ = 0.495, P < 0.001). Conclusion. The ESF-I questionnaire can identify MetS+ patients, and therefore, lead to earlier diagnoses, reduced number of consultations, and lower costs with easier application. |
topic |
Metabolic syndrome, diagnosis surveys and questionnaires noncommunicable diseases Mexico |
url |
http://iris.paho.org/xmlui/handle/123456789/49726 |
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