Waist-to-Height Ratio and Triglycerides/High-Density Lipoprotein Cholesterol Were the Optimal Predictors of Metabolic Syndrome in Uighur Men and Women in Xinjiang, China

Chen, Bang‐Dang; Yang, Yi‐Ning; Ma, Yun; Pan, Shuo; He, Chun-Hui; Liu, Fen; Ma, Xiang; Fu, Zhen-Yan; Li, Xiaomei; Xie, Xiang; Zheng, Ying‐Ying

doi:10.1089/met.2014.0146

Cited by 22 publications

(30 citation statements)

References 34 publications

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“…and salts and less exercise. Besides, the prevalence of MetS in Caucasians was higher than that in Asia (19). These studies confirmed that ethnic and life styles could contribute to the differences of MetS prevalence.…”

Section: Discussionsupporting

confidence: 62%

Prevalence of metabolically obese but normal weight (MONW) and metabolically healthy but obese (MHO) in Chinese Beijing urban subjects

Zhang

Yang

et al. 2017

BST

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Section: Discussionsupporting

confidence: 62%

Prevalence of metabolically obese but normal weight (MONW) and metabolically healthy but obese (MHO) in Chinese Beijing urban subjects

Zhang

Yang

et al. 2017

BST

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“…Moreover, the cost and availability of diagnostic tests based on the MetS criteria have hindered the mass screening among high risk population, especially among underdeveloped areas and developing countries. Recently, several studies supported the use of waist-to-height ratio (WHtR) for the screening of MetS789, which is consistent with the notion that the metabolic complications of obesity could be more closely related to visceral adiposity than overall adiposity101112. This is particularly important in Chinese population, who, despite being generally less obese, are more prone to visceral fat accumulation and insulin resistance compared with western populations13.…”

mentioning

confidence: 58%

“…Several visceral adiposity indicators, such as LAP and VAI appeared to be better indices to predict presence of MetS, relative to WHtR, which has been widely recommended based on previous studies789. To the best of our knowledge, this is the first large-scale population-based study to directly compare the screening ability of visceral adiposity indicators (LAP and VAI) and anthropometric indices (WHtR and BAI) for the screening of MetS in a multi-ethnic population.…”

Section: Discussionmentioning

confidence: 88%

Visceral Adiposity and Anthropometric Indicators as Screening Tools of Metabolic Syndrome among Low Income Rural Adults in Xinjiang

Guo

Zhang

et al. 2016

Sci Rep

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Most previous studies on metabolic syndrome (MetS) examined urban and high income settings. We thus investigated the prevalence of MetS among a multi-ethnic population living in a low income rural area and explored the use of visceral adiposity and anthropometric indicators to identify men and women with MetS. We recruited 10,029 individuals of nomadic Kazakhs, rural Uyghur and Han residents in Xinjiang, China. MetS was defined by the Joint Interim Statement criteria. The receiver operating characteristic curve (ROC) was used to compare the area under the ROC curve (AUC) of each index. The age-adjusted prevalence of MetS was 21.8%. The visceral adiposity index (VAI), lipid accumulation product (LAP), body adiposity index (BAI) and the waist-to-height ratio (WHtR) were significantly associated with MetS, independent of ethnic, age, and other covariates. The AUC of VAI, LAP and WHtR were all greater than 0.7, and the LAP was the index that most accurately identified MetS status in men (AUC = 0.853) and women (AUC = 0.817), with the optimal cut-offs of 34.7 and 27.3, respectively. In conclusion, the prevalence of MetS in low income rural adults of Xinjiang was high and the LAP was an effective indicator for the screening of MetS.

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“…Previous studies showed that certain parameters can be used in screening of metabolic syndrome such as waist-to-height ratio [13], lipid accumulation product which is estimated from waist circumference and plasma triglyceride levels [14] and triglyceride/HDL-C ratio [15]. In females, especially if obese or overweight, age at menarche may be one of such parameters.…”

Section: Discussionmentioning

confidence: 99%

A Cutoff for Age at Menarche Predicting Metabolic Syndrome in Egyptian Overweight/Obese Premenopausal Women

et al. 2017

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Previous studies showed that early age at menarche is associated with increased risk of metabolic syndrome. However, the definition of early menarche at these studies was based on background data in the communities at which these studies was carried on. The aim of this work is to determine a cutoff for age at menarche discriminating presence or absence of metabolic syndrome in overweight/obese premenopausal women. This study included 204 overweight/obese women. Metabolic syndrome was defined according to NCEP-ATP III (National Cholesterol Education Program Adult Treatment Panel III) criteria. Of a total 204 participants, 82 (40.2%) had metabolic syndrome. By using receiver operating characteristic analysis, age at menarche ≤12.25 year discriminated individuals with from those without metabolic syndrome. The area under the curve was 0.76 (95% confidence interval, 0.70 to 0.83). Sensitivity, specificity, negative predictive value, and positive predictive value were 82%, 70%, 85%, and 64%, respectively. Age at menarche ≤12.25 years predicts the presence of metabolic syndrome in overweight/obese women.

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Waist-to-Height Ratio and Triglycerides/High-Density Lipoprotein Cholesterol Were the Optimal Predictors of Metabolic Syndrome in Uighur Men and Women in Xinjiang, China

Abstract: WHtR was the best predictor of metabolic syndrome in Uighur men, whereas TGs/HDL-C was the best predictor of metabolic syndrome in Uighur women in Xinjiang.

Cited by 22 publications

References 34 publications

Prevalence of metabolically obese but normal weight (MONW) and metabolically healthy but obese (MHO) in Chinese Beijing urban subjects

Prevalence of metabolically obese but normal weight (MONW) and metabolically healthy but obese (MHO) in Chinese Beijing urban subjects

Visceral Adiposity and Anthropometric Indicators as Screening Tools of Metabolic Syndrome among Low Income Rural Adults in Xinjiang

A Cutoff for Age at Menarche Predicting Metabolic Syndrome in Egyptian Overweight/Obese Premenopausal Women

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