Prevalence and associated factors of metabolic syndrome in adults: a population-based epidemiological survey in Jiangxi province, China

Abstract

Background: Metabolic syndrome (MS) has abruptly increased in China in the past two decades, gradually representing an important public health threat over the years. Here, we firstly reported the prevalence and associated factors of metabolic syndrome in Jiangxi province, China. Methods: A population-based cross-sectional survey was performed in Jiangxi province, China, from April to August 2015. MS was diagnosed by International Diabetes Federation (IDF) and Chinese Diabetes Society (CDS) criteria, respectively. Factors associated with MS were investigated by multivariate logistic regression. Results: A total of 2665 residents aged over 18 years were enrolled, and 2580 effectively participated. According to IDF and CDS criteria, age-standardized prevalence of MS were 21.1 and 15.2% in all participants, respectively; prevalence were 19.6% or 17.1% in men, and 22.7% or 13.0% in women, based on these respective criteria. Rural participants had a significantly higher prevalence than urban individuals, so did rural females. Prevalence in males did not differ between rural and urban participants. Factors independently associated with MS were low education level and menopausal state. Conclusions: To the best of our knowledge, this was the latest study on MS prevalence in Jiangxi province. In conclusion, MS prevalence is high in Jiangxi province. Considering the unhealthy lifestyle, education is urgently needed to prevent the rapid increase of MS prevalence.

Sex-based differences in and risk factors for metabolic syndrome in adults aged 40 years and above in Northeast China: Results from the cross-sectional China national stroke screening survey

“…These findings were not observed among men. 42 In our study, MS was negatively associated with living in rural regions (OR: 0.74 (0.56 to 0.97), p=0.028) but not with living in urban regions. The differences may be caused by the degree of economic development, lifestyle habits and dietary patterns; for example, rural women have lower fat intake and more activity than urban women.…”

“…The percentage of included women with a primary school education or below was 37.8%, which may partially explain the high prevalence of MS in women. 24 Urban adults (≥18 years old) in China were more likely than rural adults to have MS in 2009, 22 The opposite was true among urban adults in Jiangxi province, China in 2015, as women living in rural areas were more likely than urban females to have MS. These findings were not observed among men.…”

High Prevalence of Metabolic Syndrome and Its Related Demographic Factors in North of Iran: Results from the PERSIAN Guilan Cohort Study

“…The prevalence of MetS has increased in recent decades around the world and has reached an alarming level as it is a major public health and clinical concern [ 11 ]. In West and Asian populations, cardiovascular morbidity and mortality are two to five folds higher in people with this syndrome [ 12 – 14 ]. In a systematic review and meta-analysis study, the prevalence of metabolic syndrome in Iran according to ATPIII and IDF was reported 36.9% and 34.6%, respectively [ 15 ].…”

Prevalence and biomarkers in metabolic syndrome

“…Так, распространенность МС наиболее низкая в Китае (15,2-21,1% населения) [18] и на Филиппинах (11,9%) [13], в то время как среди населения США данный показатель составляет 34,2% [19]. В Российской Федерации (РФ) МС встречается в диапазоне 40,3% -50,5% [1].…”

“…В большинстве исследований сообщалось о более высокой распространенности МС у женщин [6,13]. Так, распространенность МС в Китае составила 17,1-19,6% среди мужчин и 13,0%-22,7% среди женщин [18]. У жительниц Индонезии данный показатель превышает заболеваемость МС среди лиц мужского пола (46% и 28% соответственно) [24].…”