Objectives: To determine the overall prevalence of metabolic syndrome using the World
Health Organization (WHO); National Cholesterol Education Program (NCEP), and the International
Diabetes Federation (IDF) guidelines and to study its association with vitamin D and other biochemical
parameters in patients with type 2 Diabetes mellitus, as well as to identify the set of biochemical parameters
that jointly influence the metabolic syndrome using different diagnostic criteria.
Methods: A cross-sectional study was carried out at a private health care center in -a total of 291 diabetic
patients. Socio-demographic, clinical, and laboratory data were obtained from the medical records
of patients. Statistical analysis was carried out using the Statistical Package for the Social Sciences
(SPSS, version 23).
Results: A total number of 291 patients with T2DM were included in this study. The overall prevalence
of metabolic syndrome among the study subjects was 48.1%, 87.3%, 64.9% using the WHO, IDF, and
NCEP-ATPIII criteria, respectively. The highest prevalence was reported following IDF diagnostic criteria.
Sex, triglyceride, and fasting blood sugar were associated factors of metabolic syndrome by all the
three diagnostic criteria of metabolic syndrome.
Conclusion: The study revealed a high prevalence rate of metabolic syndrome among type 2 diabetic
patients, which was highest at 87.3% according to IDF and lowest was observed according to the WHO
criteria i.e, 48.1%. A significant variance in the prevalence of metabolic syndrome was reported between
WHO, IDF, and NCEP criteria.