The prevalence of metabolic syndrome in Chinese postmenopausal women and the optimum body composition indices to predict it

Ruan, Xiangyan; Jin, Jing; Hua, Lin; Liu, Yulan; Wang, Juan; Liu, Shunyu

doi:10.1097/gme.0b013e3181c8f4e1

Cited by 45 publications

(40 citation statements)

References 21 publications

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“…However, the prevalence of MS in our study (21.7%) was lower than that reported from an earlier study in China. In the study of 181 postmenopausal women conducted in 2006-2008, the prevalence of MS was 33.7% [9]. Variation in the prevalence of MS could be due to heterogeneity of population characteristics such as age distribution, socioeconomic status or nutritional status, or due to different genetic background.…”

Section: Discussionmentioning

confidence: 99%

Associations of cardiorespiratory fitness, physical activity, and obesity with metabolic syndrome in Hong Kong Chinese midlife women

Yau

et al. 2013

BMC Public Health

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BackgroundSeveral studies have simultaneously examined physical activity (PA) and cardiorespiratory fitness (CRF) with metabolic syndrome (MS). However, the independent roles of both PA and CRF with MS are less firmly established. The combined contributions of PA and CRF with MS are less studied, particularly among Chinese women. There is uncertainty over the extent to which metabolically healthy but overweight/obese individuals have a higher CRF level.MethodsThe sample included 184 Chinese women aged 55 to 69 years with available metabolic data and lifestyle factors. PA was assessed by self-reported questionnaire; CRF was assessed by maximal oxygen consumption (VO2max) during a symptom-limited maximal exercise test on a cycle ergometer. Metabolically healthy/abnormal was defined on the basis of absence or presence of MS. Overweight was defined as a body mass index (BMI) of ≥ 23 kg/m2 and obese was defined as a BMI of ≥ 25 kg/m2.ResultsThe prevalence of MS was 21.7%. PA was inversely associated with the prevalence of MS after adjustment for age, BMI, and dietary total calories intake, but the association was eliminated after further adjustment for CRF. CRF was inversely associated with the prevalence of MS independent of age, BMI, and dietary total calories intake, and the association remained significant after further adjustment for PA. In the PA and CRF combined analysis, compared with those in the lowest tertile of PA (inactive) and lowest tertile of CRF (unfit), the OR (95%CI) of having MS was 0.31 (0.09–1.06) for subjects in the higher tertiles (2nd–3rd) of PA (active) but were unfit, 0.23 (0.06–0.88) for subjects who were inactive but in the higher tertiles (2nd–3rd) of CRF (fit), and 0.14 (0.04–0.45) for subjects who were active and fit. Metabolically healthy but overweight/obese subjects had a higher CRF level than their metabolically abnormal and overweight/obese peers. However, the difference did not reach statistically significance.ConclusionsCRF has greater association with the prevalence of MS compared with PA in Chinese midlife women. The interrelationships between CRF, obesity, and MS needs further study.

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Section: Discussionmentioning

confidence: 99%

Associations of cardiorespiratory fitness, physical activity, and obesity with metabolic syndrome in Hong Kong Chinese midlife women

Yau

et al. 2013

BMC Public Health

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“…19,22 Some studies also have reported that the prevalence of IR increased in postmenopausal women. 12,13,20,23,24 In addition, Dorum et al 21 revealed that bilateral oophorectomy before 50 years was significantly associated with T2DM and metabolic syndrome. 21 In animal studies, ovariectomy was associated with an increased risk of diabetes, whereas estrogen administration protected against diabetes and increased the insulin response to glucose.…”

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confidence: 97%

Glucosamine-induced insulin resistance in ovariectomized rats is relevant to decreasing the expression of glucose transport protein subtype 4 in the skeletal muscle and in increasing the size of pancreatic islets

Kang

Cheng

et al. 2012

Menopause

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“…[13][14][15][16][17][18] In this study, the waist circumference in postmenopausal women was higher than that of premenopausal women and result was statistically non signi cant. Similar types of observations were found by other workers.…”

Section: Discussionmentioning

confidence: 97%

Association of obesity with serum estrogen level in postmenopausal women

Yeasmin

Hossain

et al. 2016

Bangladesh Med J

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The prevalence of metabolic syndrome in Chinese postmenopausal women and the optimum body composition indices to predict it

Abstract: The prevalence of MetS in Chinese postmenopausal women is 33.7%. Body composition indices (WC > or = 80.75 cm, BF > or = 36.695%, sagittal abdominal diameter > or = 18.35 cm, or BMI > or = 24.835 kg/m) were discovered to predict MetS.

Cited by 45 publications

References 21 publications

Associations of cardiorespiratory fitness, physical activity, and obesity with metabolic syndrome in Hong Kong Chinese midlife women

Associations of cardiorespiratory fitness, physical activity, and obesity with metabolic syndrome in Hong Kong Chinese midlife women

Glucosamine-induced insulin resistance in ovariectomized rats is relevant to decreasing the expression of glucose transport protein subtype 4 in the skeletal muscle and in increasing the size of pancreatic islets

Association of obesity with serum estrogen level in postmenopausal women

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