Table 3

Characteristics and outcomes of individuals classified as No metabolic syndrome, At-risk-for metabolic syndrome, and with Metabolic syndrome using individuals with all five criteria measured*

No metabolic syndrome*

At-risk-for metabolic syndrome*

Metabolic syndrome*

0 criteria

1-2 criteria

3 or more


Baseline characteristics


N = 30,461

9,529

16,674

4,258

Age, years (SD)

45 (14)

51 (15)

52 (14)

Women, %

65.8%

59.9%

51.2%

Race (% White)

76.9%

76.0%

78.1%

Insurance (% Commercial)

80.2%

66.4%

61.2%

Income, $US (SD)

$80,859 ($60,623)

$69,846 ($54,333)

$61,086 ($45,290)


Three-year outcomes

p-value †


Inpatient admissions, mean number per patient (SD)

0.10 (0.52)

0.23 (1.07)

0.36 (1.25)

<.0001

Length of stay, mean days (SD) §

4 (3)

6 (3)

6 (3)

<.0001

Outpatient clinic visits, mean number per patient (SD) §

4.3 (2.2)

7.2 (2.5)

11.0 (2.4)

<.0001

Total cost, US dollars

(SD) §

$3,804 ($4)

$4,665 ($4)

$5,271 ($4)

<.0001

Incidence of diabetes mellitus

1.1%

3.7%

11.0%

<.0001

Incidence of CHD

2.1%

4.7%

6.5%

<.0001


*patients categorized after excluding patients with diabetes and/or CHD, having all five criteria measured (formal or surrogate); prevalence of each risk factor were 40.8% for obesity, 35.6% for blood pressure, 25.1% for HDL, 18.6% for triglycerides, and 6.7% for glycemia.

† p-values for trend in age-sex-adjusted regression analysis in all three categories of metabolic syndrome status

§log-transformed for analysis and then back-transformed for display

Hivert et al. BMC Health Services Research 2009 9:170   doi:10.1186/1472-6963-9-170

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