Prevalence of metabolic syndrome and its relation to body composition in a chinese rural population
Prevalence of metabolic syndrome and its relation to body composition in a chinese rural population
复制标题
DOI：
10.1038/oby.2006.244
复制
发表时间：
2006-11-01
期刊：
影响因子：
6.9
通讯作者：
Xu, Xin
中科院分区：
文献类型：
--
作者：
Feng, Yan;Hong, Xiumei;Xu, Xin
目的：调查三种不同工作定义的代谢综合征（MetS）在中国农村人群中的患病率，并探讨其与身体成分的关系。研究方法和程序：2004 - 2005年，从中国安徽省5686个家庭中招募了18630名25 ~ 64岁的成年人（平均45.8岁，男性51.2%）。对每位参与者进行人体测量、身体成分、血压、血脂、空腹血糖和胰岛素以及基于问卷的访谈。研究中使用了三种不同的MetS定义，包括美国国家胆固醇教育计划的成人治疗小组111，采用世界卫生组织亚洲人群中心肥胖标准的修改后的成人治疗小组III，以及最近由国际糖尿病联合会提出的定义。结果：根据这三种定义，25 - 64岁成人met的年龄调整患病率男性分别为3.2%、4.9%和3.9%，女性分别为7.2%、11.5%和10.9%。MetS的患病率随着年龄的增长在女性中显著增加，但在男性中没有。体脂率、BMI和腰围与代谢当量各组分有显著相关性，特别是与甘油三酯水平、胰岛素抵抗指数和代谢当量组分数相关（r = 0.28 ~ 0.49）。讨论：在我们的研究人群中，年龄调整后的MetS患病率低于其他中国城市人群的报道。在MetS患病率中观察到显著的性别差异。腰围是衡量腹部脂肪率的一个很好的指标。
Objective: 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 111, 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.