Prevalence of the metabolic syndrome in Pudong New Area of Shanghai using three proposed definitions among Chinese adults

Wang, Xu; Ruan, Xiaonan; Fu, Xiaojin; Zhu, Qiuming; Bai, Yun; Wu, Hongyan; Zhou, Yi; Qiu, Hua; Sun, Qiang; Jiang, Qingwu; Yang, Li‐Ming; J, Gu

doi:10.1186/1471-2458-10-246

Cited by 26 publications

(33 citation statements)

References 26 publications

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“…Furthermore we reported the MS prevalence in 2007–2008 was 21.6% in East China, which was in line with a report of 22.4% in Northeast China22 and in urban Shanghai, East China in 200823. However, our data is lower than that in rural Handan of China in 2006–2007 in which the prevalence of MS was 39.7% and 54.2% in men and women respectively24.…”

Section: Discussionsupporting

confidence: 91%

Prevalence of metabolic syndrome and its risk factors among rural adults in Nantong, China

Xiao

Gao

et al. 2016

Sci Rep

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The prevalence of metabolic syndrome (MS) varies worldwide due to genetic and environmental factors. A population-based cross-sectional study, with 37,582 participants recruited in Nantong, China in 2007-2008 (stage I) and 2013 (stage II). Socio-demographic, lifestyle factors, disease history and fasting blood sample were collected. The prevalence of MS was much higher in 2013 (42.6%) than that in 2007-2008 (21.6%), which was significantly higher in older people in both stages. Participants with two or more familial history of diseases were associated with a higher MS prevalence compared to those who didn’t have familial history of diseases. Total physical activity (PA) was associated with 24 and 19% decreased risk of MS in men and women. Occupational PA in moderate and vigorous intensity was associated with a 25%-45% decreased risk of MS. Female smokers who smoked more than 10 cigarettes per day or over 25 years were associated with 96 and 74% increased MS risk, respectively. The highest quartile of rice wine consumption was associated with a lower risk of MS with OR of 0.63 in women, compared with female non-drinkers. These findings indicated that PA and rice wine are two protective factors in MS prevention in rural areas of East China.

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Section: Discussionsupporting

confidence: 91%

Prevalence of metabolic syndrome and its risk factors among rural adults in Nantong, China

Xiao

Gao

et al. 2016

Sci Rep

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“…Several previous studies have reported the prevalence of MetS in Chinese population using various criteria [11,17,18]. The report by Gu et al based on a national survey of Chinese adults aged 35–74 years conducted in 2000–2001 reported that the age-standardized prevalence of MetS was only 9.8% in men and 17.8% in women according to the NCEP ATP III criteria, and 15.1% (13.6% in men and 16.6% in women) using the modified NCEP ATP III criteria [11].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of metabolic syndrome among urban community residents in China

Wang

Pan³

et al. 2013

BMC Public Health

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BackgroundMetabolic risk factors and abnormalities such as obesity and hypertension are rapidly rising among the Chinese population following China’s tremendous economic growth and widespread westernization of lifestyle in recent decades. Limited information is available about the current burden of metabolic syndrome (MetS) in China.MethodsWe analyzed data on metabolic risk factors among 22,457 adults aged ≥ 32 years participating in the “Zhabei Health 2020” survey (2009–2010), a cross-sectional study of a representative sample of community residents in Zhabei District. We defined MetS using Chinese-specific cut-off points for central obesity according to consensus criteria recently endorsed by several international and national organizations in defining MetS in different populations worldwide. We used a multiple logistic regression model to assess the associations of potential risk factors with MetS.ResultsThe unadjusted prevalence of the MetS was 35.1% for men and 32.5% for women according to the consensus criteria for Chinese. The prevalence increased progressively from 12.1% among participants aged 32–45 years to 45.4% among those aged ≥ 75 years. Age, smoking, family history of diabetes, and education are significantly associated with risk of MetS.ConclusionsThe MetS is highly prevalent and has reached epidemic proportion in Chinese urban adult community residents.

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“…Several studies have reported on variations in the prevalence of MetS and combination of metabolic components across countries due to differences in the definition used, the characteristics and the magnitude of metabolic risk factors among the populations [4-7]. The prevalence of the clustering of MetS components was also varied by age and sex [5,8].…”

Section: Introductionmentioning

confidence: 99%

Urban and rural variation in clustering of metabolic syndrome components in the Thai population: results from the fourth National Health Examination Survey 2009

et al. 2011

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BackgroundInformation on the distribution of Metabolic syndrome (MetS) and its combinations by urban/rural areas in lower-middle income countries has been limited. It is not clear how the various combinations of MetS components varied by urban/rural population and if particular combinations of MetS are more common. This study aimed to estimate the prevalence of MetS and combinations of MetS components according to sex and urban/rural areas from a nationally representative sample of Thai adults.MethodsData from the fourth National Health Examination Survey of 19,256 Thai adults aged 20 years and over were analyzed. MetS was defined using the harmonized criteria of six international expert groups with Asian-specific cut-point for waist circumference.ResultsThe prevalence of MetS was 23.2% among adults aged ≥ 20 years (19.5% in men and 26.8% in women). Among men, the prevalence of MetS in urban was higher than those in rural areas (23.1% vs 17.9%, P < 0.05), but among women, the prevalence was higher in rural areas (27.9% vs 24.5%, P < 0.05). Overall, an individual component of low high density lipoprotein (HDL) and hypertriglyceridemia were more common in rural areas, while obesity, high blood pressure and hyperglycemia were more common in urban areas. The most common combination of MetS components in men was the clustering of low HDL, hypertriglyceridemia, and high blood pressure (urban: 3.4% vs. rural: 3.9%, adjusted OR 0.9, 95%CI 0.7, 1.1). Among women, the most common combination was the clustering of obesity, low HDL, and hypertriglyceridemia (urban: 3.9% vs rural: 5.9%, adjusted OR 0.8, 95%CI 0.6, 0.9), followed by the clustering of these three components with high blood pressure (urban: 3.1% vs. rural 4.5%, adjusted OR 0.8, 95%CI 0.7, 0.9).ConclusionMetabolic syndrome affects both urban and rural population with different pattern of MetS combinations. Dyslipidemia and obesity were the most common components among women in rural areas, hence, interventions to prevent and control these factors should be strengthened.

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Prevalence of the metabolic syndrome in Pudong New Area of Shanghai using three proposed definitions among Chinese adults

Cited by 26 publications

References 26 publications

Prevalence of metabolic syndrome and its risk factors among rural adults in Nantong, China

Prevalence of metabolic syndrome and its risk factors among rural adults in Nantong, China

Prevalence of metabolic syndrome among urban community residents in China

Urban and rural variation in clustering of metabolic syndrome components in the Thai population: results from the fourth National Health Examination Survey 2009

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