Effectiveness of Different Waist Circumference Cut-off Values in Predicting Metabolic Syndrome Prevalence and Risk Factors in Adults in China

ZHOU Hai Cheng; LAI Ya Xin; SHAN Zhong Yan; JIA Wei Ping; YANG Wen Ying; LU Ju Ming; WENG Jian Ping; JI Li Nong; LIU Jie; TIAN Hao Ming; JI Qiu He; ZHU Da Long; CHEN Li; GUO Xiao Hui; ZHAO Zhi Gang; Li Qiang; ZHOU Zhi Guang; GE Jia Pu; SHAN Guang Liang

doi:10.3967/bes2014.057

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Volume 27 Issue 5

May 2014

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Article Navigation > Biomedical and Environmental Sciences > 2014 > 27(5): 325-334

ZHOU Hai Cheng, LAI Ya Xin, SHAN Zhong Yan, JIA Wei Ping, YANG Wen Ying, LU Ju Ming, WENG Jian Ping, JI Li Nong, LIU Jie, TIAN Hao Ming, JI Qiu He, ZHU Da Long, CHEN Li, GUO Xiao Hui, ZHAO Zhi Gang, Li Qiang, ZHOU Zhi Guang, GE Jia Pu, SHAN Guang Liang. Effectiveness of Different Waist Circumference Cut-off Values in Predicting Metabolic Syndrome Prevalence and Risk Factors in Adults in China[J]. Biomedical and Environmental Sciences, 2014, 27(5): 325-334. doi: 10.3967/bes2014.057

Citation:

ZHOU Hai Cheng, LAI Ya Xin, SHAN Zhong Yan, JIA Wei Ping, YANG Wen Ying, LU Ju Ming, WENG Jian Ping, JI Li Nong, LIU Jie, TIAN Hao Ming, JI Qiu He, ZHU Da Long, CHEN Li, GUO Xiao Hui, ZHAO Zhi Gang, Li Qiang, ZHOU Zhi Guang, GE Jia Pu, SHAN Guang Liang. Effectiveness of Different Waist Circumference Cut-off Values in Predicting Metabolic Syndrome Prevalence and Risk Factors in Adults in China[J]. Biomedical and Environmental Sciences, 2014, 27(5): 325-334. doi: 10.3967/bes2014.057

Effectiveness of Different Waist Circumference Cut-off Values in Predicting Metabolic Syndrome Prevalence and Risk Factors in Adults in China

doi: 10.3967/bes2014.057

Department of Endocrinology and Metabolism, Institute of Endocrinology, Liaoning Provincial Key Laboratory of Endocrine Diseases, The First Affiliated Hospital of China Medical University, Shenyang 110001, Liaoning, China
Department of Endocrinology and Metabolism, The Sixth Affiliated People’s Hospital of Shanghai Jiaotong University, Shanghai 200233, China
Department of Endocrinology and Metabolism, China-Japan Friendship Hospital, Beijing 100029, China
Department of Endocrinology and Metabolism, Chinese People’s Liberation Army General Hospital, Beijing 100853, China
Department of Endocrinology and Metabolism, Sun Yat-sen University Third Hospital, Guangzhou 510630, Guangdong, China
Department of Endocrinology and Metabolism, Peking University People’s Hospital, Beijing 100044, China
Department of Endocrinology and Metabolism, Shanxi Provincial People’s Hospital, Taiyuan 030012, Shanxi, China
Department of Endocrinology and Metabolism, Sichuan University West China Hospital, Chengdu 610041, Sichuan, China
Department of Endocrinology and Metabolism, Fourth Military Medical University Xijing Hospital, Xi'an 710032, Shaanxi, China
Department of Endocrinology and Metabolism, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu, China
Department of Endocrinology and Metabolism, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
Department of Endocrinology and Metabolism, Peking University First Hospital, Beijing 100034, China
Department of Endocrinology and Metabolism, Henan Provincial People’s Hospital, Zhengzhou 450003, Henan, China
Department of Endocrinology and Metabolism, Second Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang, China
Department of Endocrinology and Metabolism, Xiangya Second Hospital of Central South University, Changsha 410008, Hunan, China
Department of Endocrinology and Metabolism, Xinjiang Uygur Autonomous Region Hospital, Urumqi 830001, Xinjiang, China
Department of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing 100730, China

Funds: grants from the Chinese Medical Association Foundation and Chinese Diabetes Society

Abstract

Objective To study the effectiveness of waist circumference cut-off values in predicting the prevalence of metabolic syndrome (MetS) and risk factors in adults in China.
Methods A cross-sectional survey was condcuted in 14 provinces (autonomous region, municipality) in China. A total of 47 325 adults aged ≥20 years were selected by multistage stratified sampling, and questionnaire survey and physical and clinical examination were conducted among them. MetS was defined according to the International Diabetes Federation (IDF) criteria and modified IDF criteria.
Results The age-standardized prevalence of MetS was 24.2%(22.1%in men and 25.8%in women) and 19.5% (22.1% in men and 18.0% in women) according to the IDF criteria and modified IDF criteria respectively. The age-standardized prevalence of pre-MetS was 8.1%(8.6%in men and 7.8%in women) according to the modified IDF criteria. The prevalence of MetS was higher in urban residents than rural residents and in northern China residents than in southern China residents. The prevalence of central obesity was about 30% in both men and women according to the ethnicity-specific cut-off values of waist circumference for central obesity (90 cm for men and 85 cm for women). Multivariate regression analysis revealed no significant difference in risk factors between the two MetS definitions.
Conclusion Using both the modified IDF criteria and ethnicity-specific cut-off values of waist circumference can provide more useful information about the prevalence of MetS in China.
- Metabolic syndrome,
- Waist circumference,
- Central obesity
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通讯作者: 陈斌, bchen63@163.com

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沈阳化工大学材料科学与工程学院沈阳 110142

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Effectiveness of Different Waist Circumference Cut-off Values in Predicting Metabolic Syndrome Prevalence and Risk Factors in Adults in China

doi: 10.3967/bes2014.057

Department of Endocrinology and Metabolism, Institute of Endocrinology, Liaoning Provincial Key Laboratory of Endocrine Diseases, The First Affiliated Hospital of China Medical University, Shenyang 110001, Liaoning, China

Department of Endocrinology and Metabolism, The Sixth Affiliated People’s Hospital of Shanghai Jiaotong University, Shanghai 200233, China

Department of Endocrinology and Metabolism, China-Japan Friendship Hospital, Beijing 100029, China

Department of Endocrinology and Metabolism, Chinese People’s Liberation Army General Hospital, Beijing 100853, China

Department of Endocrinology and Metabolism, Sun Yat-sen University Third Hospital, Guangzhou 510630, Guangdong, China

Department of Endocrinology and Metabolism, Peking University People’s Hospital, Beijing 100044, China

Department of Endocrinology and Metabolism, Shanxi Provincial People’s Hospital, Taiyuan 030012, Shanxi, China

Department of Endocrinology and Metabolism, Sichuan University West China Hospital, Chengdu 610041, Sichuan, China

Department of Endocrinology and Metabolism, Fourth Military Medical University Xijing Hospital, Xi'an 710032, Shaanxi, China

Department of Endocrinology and Metabolism, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, Jiangsu, China

Department of Endocrinology and Metabolism, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China

Department of Endocrinology and Metabolism, Peking University First Hospital, Beijing 100034, China

Department of Endocrinology and Metabolism, Henan Provincial People’s Hospital, Zhengzhou 450003, Henan, China

Department of Endocrinology and Metabolism, Second Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang, China

Department of Endocrinology and Metabolism, Xiangya Second Hospital of Central South University, Changsha 410008, Hunan, China

Department of Endocrinology and Metabolism, Xinjiang Uygur Autonomous Region Hospital, Urumqi 830001, Xinjiang, China

Department of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College, Beijing 100730, China

Funds: grants from the Chinese Medical Association Foundation and Chinese Diabetes Society

Key words:

Abstract: Objective To study the effectiveness of waist circumference cut-off values in predicting the prevalence of metabolic syndrome (MetS) and risk factors in adults in China.
Methods A cross-sectional survey was condcuted in 14 provinces (autonomous region, municipality) in China. A total of 47 325 adults aged ≥20 years were selected by multistage stratified sampling, and questionnaire survey and physical and clinical examination were conducted among them. MetS was defined according to the International Diabetes Federation (IDF) criteria and modified IDF criteria.
Results The age-standardized prevalence of MetS was 24.2%(22.1%in men and 25.8%in women) and 19.5% (22.1% in men and 18.0% in women) according to the IDF criteria and modified IDF criteria respectively. The age-standardized prevalence of pre-MetS was 8.1%(8.6%in men and 7.8%in women) according to the modified IDF criteria. The prevalence of MetS was higher in urban residents than rural residents and in northern China residents than in southern China residents. The prevalence of central obesity was about 30% in both men and women according to the ethnicity-specific cut-off values of waist circumference for central obesity (90 cm for men and 85 cm for women). Multivariate regression analysis revealed no significant difference in risk factors between the two MetS definitions.
Conclusion Using both the modified IDF criteria and ethnicity-specific cut-off values of waist circumference can provide more useful information about the prevalence of MetS in China.

Citation:

ZHOU Hai Cheng, LAI Ya Xin, SHAN Zhong Yan, JIA Wei Ping, YANG Wen Ying, LU Ju Ming, WENG Jian Ping, JI Li Nong, LIU Jie, TIAN Hao Ming, JI Qiu He, ZHU Da Long, CHEN Li, GUO Xiao Hui, ZHAO Zhi Gang, Li Qiang, ZHOU Zhi Guang, GE Jia Pu, SHAN Guang Liang. Effectiveness of Different Waist Circumference Cut-off Values in Predicting Metabolic Syndrome Prevalence and Risk Factors in Adults in China[J]. Biomedical and Environmental Sciences, 2014, 27(5): 325-334. doi: 10.3967/bes2014.057