Prevalence and determinants of metabolic syndrome among women in Chinese rural areas.

BACKGROUND AND AIMS: Metabolic syndrome (MS) is prevalent in recent years but few data is reported in the rural areas in China. The aim of this study was to examine MS prevalence and its risk factors among women in rural China. METHODS AND RESULTS: The Nantong Metabolic Syndrome Study (NMSS), a popu...

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Main Authors: Hui Cai, Jianping Huang, Guangfei Xu, Zili Yang, Ming Liu, Yaoping Mi, Weisheng Liu, Hongjun Wang, Derong Qian
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3349636?pdf=render
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spelling doaj-91341d3182c44f96b08f9f59e4d026db2020-11-24T21:55:33ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-0175e3693610.1371/journal.pone.0036936Prevalence and determinants of metabolic syndrome among women in Chinese rural areas.Hui CaiJianping HuangGuangfei XuZili YangMing LiuYaoping MiWeisheng LiuHongjun WangDerong QianBACKGROUND AND AIMS: Metabolic syndrome (MS) is prevalent in recent years but few data is reported in the rural areas in China. The aim of this study was to examine MS prevalence and its risk factors among women in rural China. METHODS AND RESULTS: The Nantong Metabolic Syndrome Study (NMSS), a population based cross-sectional study, was conducted during 2007-2008 in Nantong, China. In person interviews, blood glucose and lipid measurements were completed for 13,505 female participants aged 18-74 years. The International Diabetes Federation (IDF), the US Third Report of the National Cholesterol Education Program, the Adult Treatment Panel (ATPIII) and modified ATPIII for Asian population has determined three criteria of MS. These criteria for MS were used and compared in this study. The prevalence of MS was 22.0%, 16.9% and 23.3% according to IDF, ATPIII and ATPIII-modified criteria, respectively. Levels of agreement of these criteria for MS were above 0.75. We found that vigorous-intensity of occupational physical activity was associated with a low prevalence of MS with OR of 0.76 (95% confidence interval (CI): 0.63-0.91). Rice wine drinkers (alcohol >12.8 g/day) had about 34% low risks of developing MS with OR of 0.66 (95% CI: 0.48-0.91), compared with non-drinkers. Odds ratio of MS was 1.81 (95% CI: 1.15-2.84) in women who smoked more than 20 pack-years, compared to non-smokers. Odds ratio of MS was 1.56 (95% CI: 1.25-1.95) in women who had familial history of diseases, including hypertension, diabetes and stroke, compared to women without familial history of those diseases. CONCLUSION: MS is highly prevalent among women in rural China. Both physical activity and rice wine consumption play a protective role, while family history and smoking are risk factors in MS development. Educational programs should be established for promoting healthy lifestyles and appropriate interventions in rural China.http://europepmc.org/articles/PMC3349636?pdf=render
collection DOAJ
language English
format Article
sources DOAJ
author Hui Cai
Jianping Huang
Guangfei Xu
Zili Yang
Ming Liu
Yaoping Mi
Weisheng Liu
Hongjun Wang
Derong Qian
spellingShingle Hui Cai
Jianping Huang
Guangfei Xu
Zili Yang
Ming Liu
Yaoping Mi
Weisheng Liu
Hongjun Wang
Derong Qian
Prevalence and determinants of metabolic syndrome among women in Chinese rural areas.
PLoS ONE
author_facet Hui Cai
Jianping Huang
Guangfei Xu
Zili Yang
Ming Liu
Yaoping Mi
Weisheng Liu
Hongjun Wang
Derong Qian
author_sort Hui Cai
title Prevalence and determinants of metabolic syndrome among women in Chinese rural areas.
title_short Prevalence and determinants of metabolic syndrome among women in Chinese rural areas.
title_full Prevalence and determinants of metabolic syndrome among women in Chinese rural areas.
title_fullStr Prevalence and determinants of metabolic syndrome among women in Chinese rural areas.
title_full_unstemmed Prevalence and determinants of metabolic syndrome among women in Chinese rural areas.
title_sort prevalence and determinants of metabolic syndrome among women in chinese rural areas.
publisher Public Library of Science (PLoS)
series PLoS ONE
issn 1932-6203
publishDate 2012-01-01
description BACKGROUND AND AIMS: Metabolic syndrome (MS) is prevalent in recent years but few data is reported in the rural areas in China. The aim of this study was to examine MS prevalence and its risk factors among women in rural China. METHODS AND RESULTS: The Nantong Metabolic Syndrome Study (NMSS), a population based cross-sectional study, was conducted during 2007-2008 in Nantong, China. In person interviews, blood glucose and lipid measurements were completed for 13,505 female participants aged 18-74 years. The International Diabetes Federation (IDF), the US Third Report of the National Cholesterol Education Program, the Adult Treatment Panel (ATPIII) and modified ATPIII for Asian population has determined three criteria of MS. These criteria for MS were used and compared in this study. The prevalence of MS was 22.0%, 16.9% and 23.3% according to IDF, ATPIII and ATPIII-modified criteria, respectively. Levels of agreement of these criteria for MS were above 0.75. We found that vigorous-intensity of occupational physical activity was associated with a low prevalence of MS with OR of 0.76 (95% confidence interval (CI): 0.63-0.91). Rice wine drinkers (alcohol >12.8 g/day) had about 34% low risks of developing MS with OR of 0.66 (95% CI: 0.48-0.91), compared with non-drinkers. Odds ratio of MS was 1.81 (95% CI: 1.15-2.84) in women who smoked more than 20 pack-years, compared to non-smokers. Odds ratio of MS was 1.56 (95% CI: 1.25-1.95) in women who had familial history of diseases, including hypertension, diabetes and stroke, compared to women without familial history of those diseases. CONCLUSION: MS is highly prevalent among women in rural China. Both physical activity and rice wine consumption play a protective role, while family history and smoking are risk factors in MS development. Educational programs should be established for promoting healthy lifestyles and appropriate interventions in rural China.
url http://europepmc.org/articles/PMC3349636?pdf=render
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