Recommendations for revision of Chinese diagnostic criteria for metabolic syndrome: A nationwide study

Xing, Ying; Shu, Xu; Jia, Ai‐Qun; Cai, Jing; Zhao, Mingwei; Guo, Jianhua; Ji, Qiuhe; Ming, Jie

doi:10.1111/1753-0407.12578

Cited by 25 publications

(25 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The final response rate was 87.3%, with a total of 46,239 participants from 17 study group field centers completed the survey. The details of the study have been described elsewhere . Complete data were not available for all participants.…”

Section: Methodsmentioning

confidence: 99%

“…The details of the study have been described elsewhere. [31][32][33][34][35][36] Complete data were not available for all participants. For that reason, we screened participants by BMI, WC, fasting plasma glucose, fasting plasma insulin, systolic blood pressure, diastolic blood pressure, serum TG, serum HDL-C and serum low-density lipoprotein cholesterol.…”

Section: Participantsmentioning

confidence: 99%

See 1 more Smart Citation

Fasting triglycerides and glucose index is more suitable for the identification of metabolically unhealthy individuals in the Chinese adult population: A nationwide study

Wang

Zhang

et al. 2018

J of Diabetes Invest

Self Cite

View full text Add to dashboard Cite

Aims/Introduction Metabolic unhealth can be defined by the components of metabolic syndrome, which is closely connected to insulin resistance. We aimed to determine a simple index to identify metabolic unhealth in the Chinese adult population. Materials and Methods A total of 30,291 individuals were screened from the China National Diabetes and Metabolic Disorders Study carried out from June 2007 to May 2008. Metabolic unhealth was defined using components of metabolic syndrome, except waist circumference. We compared the three surrogate indices of insulin resistance : the product of fasting triglycerides and glucose (TyG), triglycerides divided by high‐density lipoprotein cholesterol and the metabolic score for insulin resistance for the evaluation of metabolic status. Results All indices had high sensitivity and specificity for the identification of metabolic unhealth, especially the TyG index with an area under the curve of 0.863 for men and 0.867 for women. Participants were divided into subgroups for further analysis. The TyG index also showed high diagnostic values, especially for younger individuals and men with normal waist circumference . Sex‐specific cut‐offs for three indices were also used to define metabolic unhealth. The TyG index showed the highest agreement with κ values of 0.603 and 0.605 for men and women between the components of metabolic syndrome and three indices. Conclusions We propose that the TyG index, just read in one blood laboratory test report, is simpler and more suitable for the identification of metabolically unhealthy individuals as well as who have high risk of cardiometabolic diseases of the Chinese adult population.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

Fasting triglycerides and glucose index is more suitable for the identification of metabolically unhealthy individuals in the Chinese adult population: A nationwide study

Wang

Zhang

et al. 2018

J of Diabetes Invest

Self Cite

View full text Add to dashboard Cite

show abstract

“…Metabolic syndrome was determined according to the recommendations of the Chinese Diabetes Society, 13 including: 1) obesity, i.e., body mass index (BMI) ≥25 kg/m 2 ; 2) fasting blood glucose level ≥6.1 mmol/L or the use of antidiabetic medication; 3) triglyceride level ≥1.7 mmol/L; 4) high-density-lipoprotein (HDL) cholesterol count <1.04 mmol/L; and 5) blood pressure higher than 130/85 mm Hg or the use of hypotension medication. Metabolic syndrome was diagnosed when a patient had at least 3 of the above 5 components.…”

Section: Diagnosis Of Metabolic Syndromementioning

confidence: 99%

A new measurement site for echocardiographic epicardial adipose tissue thickness and its value in predicting metabolic syndrome

et al. 2019

View full text Add to dashboard Cite

A new measurement site for echocardiographic epicardial adipose tissue thickness and its value in predicting metabolic syndrome. AbstractBackground. Echocardiographic epicardial adipose tissue (EAT) thickness is defined as the thickness of the low-isoechoic area on the free wall of the right ventricle in the parasternal long-axis and short-axis views. Recent studies have suggested that it might support current risk stratification strategies in identifying an increased risk of metabolic syndrome.Objectives. The aim of this study is to explore a new measurement site which can better reflect EAT thickness and to assess its value in predicting metabolic syndrome. Material and methods.A total of 975 Chinese adults were measured for EAT thickness on the right ventricular anterior free wall (EAT-rv) and on the anterior interventricular groove (EAT-ivg) with echocardiography. The correlation between EAT thickness and metabolic syndrome was analyzed, as was the agreement between epicardial adipose volume (EAV) and EAT thickness. Independent risk factors of EAT thickness were identified and the predictive value of EAT thickness was assessed.Results. Epicardial adipose tissue thickness was higher in older participants and those with obesity, diabetes, hypertension, hypertriglyceridemia, and metabolic syndrome, and it was lower in male participants. The EAT-ivg was higher in the participants with hypo-high-density-lipoprotein cholesterolemia than in those without the disorder, but the EAT-rv values were not statistically different. The kappa value was 0.524 between EAT-rv and EAV, and 0.783 between EAT-ivg and EAV. Advanced age, large waist circumference and female gender were independent risk factors of high EAT-ivg, while high-density-lipoprotein (HDL) cholesterol was a protective factor. The EAT-ivg was associated with metabolic syndrome. The area under the curve of EAT-ivg applied in predicting metabolic syndrome was greater than that of EAT-rv (0.715 vs 0.648). Conclusions.The EAT-ivg was more consistent with EAV than EAT-rv, was independently associated with metabolic syndrome and had a higher value in predicting metabolic syndrome than EAT-rv. Therefore, the anterior interventricular groove can serve as a new measurement site which better reflects EAT thickness.

show abstract

“…In [], the data for rows ‘Middle school and below’ and ‘Graduate and above’, column ‘Overall’ under the entry ‘*Education, n (%)’, of Table were published incorrectly. In addition, some of participants did not complete all the items during the survey, and therefore some data were missing.…”

Section: Demographic and Clinical Characteristics Of Study Participantsmentioning

confidence: 99%

Erratum

2018

Journal of Diabetes

View full text Add to dashboard Cite

Recommendations for revision of Chinese diagnostic criteria for metabolic syndrome: A nationwide study

Abstract: We recommend eliminating the 2-h PPG blood test and lowering the FPG diagnostic cut-off value to 5.6 mmol/L in the CDS-MS diagnostic criteria.

Cited by 25 publications

References 14 publications

Fasting triglycerides and glucose index is more suitable for the identification of metabolically unhealthy individuals in the Chinese adult population: A nationwide study

Fasting triglycerides and glucose index is more suitable for the identification of metabolically unhealthy individuals in the Chinese adult population: A nationwide study

A new measurement site for echocardiographic epicardial adipose tissue thickness and its value in predicting metabolic syndrome

Erratum

Contact Info

Product

Resources

About