Metabolic syndrome criteria may be lacking
Only a fraction of people of African descent with metabolic syndrome ever meet the triglyceride threshold of >150 mg/dL. And West Africans with metabolic syndrome are even less likely to have hypertriglyceridaemia than African Americans.
“It appears that when the metabolic syndrome criteria were formulated, the lack of association between insulin resistance and hypertriglyceridaemia in blacks was not fully appreciated,” the authors wrote. “The absence of elevated triglycerides in people of African descent does not mean the absence of risk for CVD and type 2 diabetes.”
According to editor-in-chief of Metabolic Syndrome and Related Disorders, Professor Ishwarlal Jialal, “this paradox of lower triglyceride levels and higher levels of HDL-cholesterol in African Americans compared to whites, in spite of increased insulin resistance in the former, needs to be researched further”.
Metabolic Syndrome and Related