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Prev Med. 2013 Dec;57(6):867-71. doi: 10.1016/j.ypmed.2013.09.023. Epub 2013 Oct 5.

Prevalence of metabolic syndrome and its influencing factors among the Chinese adults: the China Health and Nutrition Survey in 2009.

Author information

1
Department of Maternal and Child Health Care, School of Public Health, Shandong University, Jinan, China. Electronic address: xibo2007@126.com.

Abstract

OBJECTIVE:

We aimed to estimate the up-to-date prevalence of metabolic syndrome (MS) and its influencing factors among the Chinese adults.

METHODS:

Data were obtained from the China Health and Nutrition Survey conducted in 2009, which was a cross-sectional and partially nationally representative study including a total of 7488 Chinese adults (age ≥18 years).

RESULTS:

The overall age-standardized prevalence estimates of the MS were 21.3% (95%confidence interval (CI): 20.4%-22.2%), 18.2% (95%CI: 17.3%-19.1%) and 10.5% (95%CI: 9.8%-11.2%) based on definitions of revised NCEP ATPIII, IDF and CDS criteria, respectively. Individuals who were women (compared to men: odds ratio [OR]=1.37, 95% CI=1.16-1.61), 40 years or older (compared to less than 40 years old: OR=2.82, 95%CI=2.37-3.34 for 40-59 years; OR=4.41, 95%CI=3.68-5.29 for 60 years or older), overweight/obese (compared to normal weight: OR=4.32, 95%CI=3.77-4.95 for overweight; OR=11.24, 95%CI=9.53-13.26 for obese), and living in urban area (compared to living in rural area: OR=1.27, 95%CI=1.12-1.43) were more likely to have a higher prevalence estimate of MS. In addition, frequency of alcohol consumption and cigarette intake were also found to be significantly associated with probability of MS.

CONCLUSIONS:

Our results suggest an urgent need to develop national strategies for the prevention, detection, treatment and control of obesity and MS in China.

KEYWORDS:

AHA/NHLBI; Adults; American Heart Association/National Heart, Lung, and Blood Institute; CHNS; CI; CVD; China; China Health and Nutrition Surveys; DBP; HDL-C; IDF; International Diabetes Federation; JIS; MS; Metabolic syndrome; NCEP ATPIII; National Cholesterol Education Program, Adult Treatment Panel III; OR; Obesity; SBP; T2D; TG; WC; cardiovascular disease; confidence interval; diastolic blood pressure; high-density lipoprotein cholesterol; joint interim statement; metabolic syndrome; odds ratio; systolic blood pressure; triglycerides; type 2 diabetes; waist circumference

PMID:
24103567
PMCID:
PMC4044099
DOI:
10.1016/j.ypmed.2013.09.023
[Indexed for MEDLINE]
Free PMC Article

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