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Prevalence of metabolic syndrome and its relation to body composition in a Chinese rural population.

AbstractOBJECTIVE:
To investigate the prevalence of metabolic syndrome (MetS) with three different working definitions in a rural Chinese population and to examine its relation to body composition.
RESEARCH METHODS AND PROCEDURES:
A total of 18,630 adults 25 to 64 years old (mean age, 45.8 years; 51.2% men) from 5686 families were enrolled from Anhui province of China during 2004 to 2005. Anthropometric measurement, body composition, blood pressure, plasma lipids, and fasting glucose and insulin and a questionnaire-based interview were obtained from each participant. Three different working definitions for MetS, including the U.S. National Cholesterol Education Program's Adult Treatment Panel III, a modified Adult Treatment Panel III that adopts the World Health Organization's criterion for central obesity in Asian populations, and one recently proposed by the International Diabetes Federation, were used in the study.
RESULTS:
According to the three definitions, the age-adjusted prevalence of MetS for adults 25 to 64 years old was 3.2%, 4.9%, and 3.9% in men and 7.2%, 11.5%, and 10.9% in women, respectively. MetS prevalence increases significantly with age in women, but not in men. Body fat percentage and BMI and waist circumference were significantly associated with each component of MetS, especially with triglyceride level, insulin resistance index, and number of MetS components (r = 0.28 to 0.49).
DISCUSSION:
The age-adjusted prevalence of MetS in our study population is lower than that reported in other urban Chinese populations. Significant gender differences in MetS prevalence were observed. The waist circumference is a good surrogate for abdominal fat percentage.
AuthorsYan Feng, Xiumei Hong, Zhiping Li, Wenbin Zhang, Delai Jin, Xue Liu, Yan Zhang, Frank B Hu, Lee-Jen Wei, Tonghua Zang, Xiping Xu, Xin Xu
JournalObesity (Silver Spring, Md.) (Obesity (Silver Spring)) Vol. 14 Issue 11 Pg. 2089-98 (Nov 2006) ISSN: 1930-7381 [Print] United States
PMID17135627 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
Topics
  • Abdominal Fat (metabolism)
  • Absorptiometry, Photon (methods)
  • Adult
  • Age Factors
  • Body Composition (physiology)
  • Body Mass Index
  • China (epidemiology)
  • Female
  • Health Surveys
  • Humans
  • Male
  • Metabolic Syndrome (epidemiology)
  • Middle Aged
  • Rural Health
  • Rural Population
  • Sex Factors
  • Waist-Hip Ratio

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