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Objective:  Criteria for metabolic syndrome (MS) differ particularly regarding the definition of central obesity and consequently, there could be differences in the assessment of cardiovascular risk. We estimated the prevalence of metabolic syndrome, compared the agreement of the World Health Organization (WHO) criteria with the standard and a modified National Cholesterol Education Program (NCEP) criterion and investigated whether additional factors were associated with the diagnosis of the syndrome in a Japanese descendant population.

Methods:  In this cross‐sectional, population‐based survey, 1166 Japanese‐Brazilians (533 men, 633 women) aged 57.4 ± 12.4 years with mean body mass index (BMI) and waist of 25.2 ± 4.0 kg/m² and 84.5 ± 10.6 cm, respectively, were included. McNemar and kappa statistics were used to assess the concordance between WHO criteria with the standard and …