Abstract

This study was designed to validate a continuous metabolic syndrome risk score (cMSy) using the International Diabetes Federation risk factors (1). Increasing evidence supports using a cMSy instead of a binary definition for epidemiological analyses: 1 ) dichotomizing continuous outcome variables reduces statistical power (2); 2 ) cardiovascular risk is a progressive function of several metabolic syndrome (MSy) risk factors, eliminating the need to dichotomize these factors (3); and 3 ) cardiovascular and diabetes risk increase progressively with increasing numbers of MSy risk factors, eliminating the need to dichotomize …

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