Prevalence of metabolic syndrome among middle-aged and elderly adults in China: current status and temporal trends

被引:65
作者
Li, Wenzhen [1 ]
Song, Fujian [2 ]
Wang, Xiaojun [1 ]
Wang, Longde [3 ]
Wang, Dongming [4 ,5 ]
Yin, Xiaoxv [1 ]
Cao, Shiyi [1 ]
Gong, Yanhong [1 ]
Yue, Wei [6 ]
Yan, Feng [7 ]
Zhang, Hong [8 ]
Sheng, Zhenjie [9 ]
Wang, Zhihong [10 ]
Lu, Zuxun [1 ]
机构
[1] Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Social Med & Hlth Management, 13 Hangkong Rd, Wuhan 430030, Hubei, Peoples R China
[2] Univ East Anglia, Fac Med & Hlth Sci, Norwich Med Sch, Norwich, Norfolk, England
[3] Natl Hlth & Family Commiss, Beijing, Peoples R China
[4] Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Occupat & Environm Hlth, Wuhan, Hubei, Peoples R China
[5] Wuhan Hosp Prevent & Treatment Occupat Dis, Wuhan, Hubei, Peoples R China
[6] Tianjin Huanhu Hosp, Dept Neurol, Tianjin, Peoples R China
[7] Capital Med Univ, Xuanwu Hosp, Beijing, Peoples R China
[8] Peoples Hosp Deyang City, Dept Sci & Educ, Deyang, Peoples R China
[9] Hebei Gen Hosp, Dept Neurol, Shijiazhuang, Hebei, Peoples R China
[10] Shenzhen Univ, Shenzhen Peoples Hosp 2, Shenzhen, Peoples R China
基金
中国博士后科学基金;
关键词
Metabolic syndrome; prevalence; trends; epidemiology; GLOBAL BURDEN; DISEASE; TRANSITION; MORTALITY; HEALTH;
D O I
10.1080/07853890.2018.1464202
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Metabolic syndrome (MetS) is a duster of major risk factors for cardiovascular diseases. We aimed to estimate prevalence and distribution of MetS among middle-aged and elderly adults in China. Methods: The present analysis used data from a national study in 2014-2015. We defined MetS by different definitions, and compared results of the present study and previous nationally representative studies to illustrate possible temporal changes in MetS prevalence. Results: The estimated prevalence of MetS was 18.4% by the ATP III criteria, 34.0% by the revised ATP III criteria, and 26.9% by IDF criteria. The prevalence was higher in women, older adults, those with lower education level, and in economically developed regions. Contrasting with previous national studies, adults in urban areas had a lower rate of MetS than those in rural areas (odds ratio 0.94; 95% CI 0.92-0.97). Rural adults had worse deterioration or less improvement in abdominal obesity, overweight, hypertension, and high fasting plasma glucose, than urban adults, which was particularly striking for women. Conclusion: While measures to prevent and control cardiovascular diseases need to be strengthened in China, rapid increasing risk factors among rural residents and women should be prioritized in making public health policy decisions.
引用
收藏
页码:345 / 353
页数:9
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