International Journal of Preventive Medicine (Int J Prev Med)2008-78022420110421132132ENNutrition Program, School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia and Dietetic Program, Faculty of Medicine and Health Sciences, Universiti Sultan Zainal Abidin, Terengganu, Malaysia.Nutrition Program, School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.Nutrition Program, School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.Nutrition Program, School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.201102232011041720110407Objectives: Metabolic&nbsp; syndrome&nbsp; can&nbsp; be&nbsp; diagnosed&nbsp; according&nbsp; to several&nbsp; different&nbsp; criteria&nbsp; such&nbsp; as&nbsp; the&nbsp; latest&nbsp; International Diabetes Federation (IDF), National Cholesterol Education Program Adult Treatment&nbsp; Program&nbsp; III&nbsp; (NCEP ATPIII),&nbsp; and World Health Organization (WHO). The objectives of this study were to determine the&nbsp; prevalence&nbsp; of metabolic&nbsp; syndrome&nbsp; and&nbsp; the&nbsp; concordance&nbsp; between&nbsp; the above mentioned definition, and hypertriglyceridemicwaist criteria. <br />Methods: This cross sectional study was done in Bachok, Malaysia and involved 298 respondents aged between 18 to 70 years. Multistage&nbsp; random&nbsp; sampling method was&nbsp; used&nbsp; to&nbsp; identify&nbsp; study&nbsp; locations while&nbsp; convenient&nbsp; random&nbsp; sampling method was&nbsp; applied&nbsp; to select individuals. Hypertriglyceridemic waist was defined from an internationally acceptable cut-off criterion. Kappa statistic&nbsp; (&kappa; test) was&nbsp; used&nbsp; to&nbsp; determine&nbsp; the&nbsp; concordance&nbsp; between&nbsp; various&nbsp; definitions and hypertriglyceridemic-waist. <br />Results: The prevalence of metabolic syndrome based on different definitions was&nbsp; 32.2%&nbsp; (IDF),&nbsp; 28.5%&nbsp; (NCEP ATP&nbsp; III)&nbsp; and&nbsp; 12.4% (modified WHO).&nbsp; The&nbsp; prevalence&nbsp; of&nbsp; hypertriglyceridemic-waist was 19.7% and based on&nbsp; the&nbsp; IDF criteria a&nbsp; total of 97.5% participants&nbsp; with&nbsp; hypertriglyceridemic-waist&nbsp; had&nbsp; metabolic&nbsp; syndrome. <br />The&nbsp; IDF&nbsp; criteria&nbsp; showed&nbsp; the&nbsp; highest&nbsp; concordance&nbsp; with&nbsp; NCEP ATPIII criteria (&kappa; = 0.63), followed by hypertriglyceridemic-waist criteria (&kappa; = 0.62) and WHO criteria (&kappa; = 0.26). <br />Conclusions: The prevalence of metabolic&nbsp; syndrome was highest using&nbsp; the&nbsp; IDF&nbsp; criteria&nbsp; compared&nbsp; to&nbsp; NCEP&nbsp; ATPIII,&nbsp; modified WHO and hypertriglyceridemic-waist. There was a good concordance&nbsp; of&nbsp; IDF&nbsp; criteria&nbsp; with&nbsp; NCEP&nbsp; ATP&nbsp; III&nbsp; and&nbsp; hypertriglyceridemic-waist criteria. <br />Keywords:&nbsp; Hypertriglyceridemic-waist,&nbsp; Metabolic&nbsp; syndrome, <br />Malaysia.http://ijpm.mui.ac.ir/index.php/ijpm/article/view/132http://ijpm.mui.ac.ir/index.php/ijpm/article/download/132/353