Skip to main content
Top
Published in: BMC Geriatrics 1/2017

Open Access 01-12-2017 | Research Article

Prevalence and clinical profile of metabolic syndrome in longevity: study from Guangxi Zhuang Autonomous Region, China

Authors: Xianghua He, Wei Zhang, Guofang Pang, Yuan Lv, Caiyou Hu, Ze Yang

Published in: BMC Geriatrics | Issue 1/2017

Login to get access

Abstract

Background

Metabolic syndrome (MetS) was a risk factor for cardiovascular diseases, yet the prevalence of MetS among nonagenarians and centenarians was rarely reported. Here we investigated the prevalence of MetS and its components among nonagenarians and centenarians in our Zhuang population from Bama, Guangxi Zhuang Autonomous Region, China.

Method

In Bama area, there registered 881 individuals who lived more than 90 years old in 269,800 local residents and our study involved 307 long-lived participants and 486 local younger (35–68 years) persons, as controls. MetS was defined according to the revised National Cholesterol Education Program’s Adult Treatment Panel III (NCEP ATPIII) criteria.

Results

The overall prevalence estimates of MetS among longevity group were 28.0% based on NCEP ATPIII criteria. The most common metabolic component was elevated blood pressure (61.1%), followed by raised fasting glucose (39.1%) and low high-density lipoprotein cholesterol (low HDL-C) (28.0%). The prevalence of MetS and abdominal obesity in women (33.6% and 22.1% respectively) was higher than that of men (19.8% and 3.7% respectively) (Prange < .001–0.019). Compared with controls, long-lived individuals were more likely to have two or more metabolic abnormalities (Prange < 0.001), and less likely to have zero or one metabolic abnormality (Prange < 0.001–0.020).

Conclusion

This study showed substantiality the prevalence and clinical profile of MetS in longevity population in Guangxi Zhuang Autonomous Region, China.
Literature
4.
go back to reference Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, Gordon DJ, Krauss RM, Savage PJ, Smith SC Jr, et al. Diagnosis and management of the metabolic syndrome. An American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Executive summary. Cardiol Rev. 2005;13(6):322–7.PubMed Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, Gordon DJ, Krauss RM, Savage PJ, Smith SC Jr, et al. Diagnosis and management of the metabolic syndrome. An American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Executive summary. Cardiol Rev. 2005;13(6):322–7.PubMed
5.
go back to reference Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, Fruchart JC, James WP, Loria CM, Smith SC Jr. Harmonizing the metabolic syndrome: a joint interim statement of the international diabetes federation task force on epidemiology and prevention; National Heart, Lung, and Blood Institute; American Heart Association; world heart federation; international atherosclerosis society; and International Association for the Study of obesity. Circulation. 2009;120(16):1640–5.CrossRefPubMed Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, Fruchart JC, James WP, Loria CM, Smith SC Jr. Harmonizing the metabolic syndrome: a joint interim statement of the international diabetes federation task force on epidemiology and prevention; National Heart, Lung, and Blood Institute; American Heart Association; world heart federation; international atherosclerosis society; and International Association for the Study of obesity. Circulation. 2009;120(16):1640–5.CrossRefPubMed
6.
go back to reference Masanovic M, Sogoric S, Kolcic I, Curic I, Smoljanovic A, Ramic S, Cala M, Polasek O. The geographic patterns of the exceptional longevity in Croatia. Coll Antropol. 2009;33(Suppl 1):147–52.PubMed Masanovic M, Sogoric S, Kolcic I, Curic I, Smoljanovic A, Ramic S, Cala M, Polasek O. The geographic patterns of the exceptional longevity in Croatia. Coll Antropol. 2009;33(Suppl 1):147–52.PubMed
7.
go back to reference Szewieczek J, Dulawa J, Francuz T, Legierska K, Hornik B, Wlodarczyk-Sporek I, Janusz-Jenczen M, Batko-Szwaczka A. Mildly elevated blood pressure is a marker for better health status in polish centenarians. Age (Dordr). 2015;37(1):9738.CrossRef Szewieczek J, Dulawa J, Francuz T, Legierska K, Hornik B, Wlodarczyk-Sporek I, Janusz-Jenczen M, Batko-Szwaczka A. Mildly elevated blood pressure is a marker for better health status in polish centenarians. Age (Dordr). 2015;37(1):9738.CrossRef
8.
go back to reference He YH, Pu SY, Xiao FH, Chen XQ, Yan DJ, Liu YW, Lin R, Liao XP, Yu Q, Yang LQ, et al. Improved lipids, diastolic pressure and kidney function are potential contributors to familial longevity: a study on 60 Chinese centenarian families. Sci Rep. 2016;6:21962.CrossRefPubMedPubMedCentral He YH, Pu SY, Xiao FH, Chen XQ, Yan DJ, Liu YW, Lin R, Liao XP, Yu Q, Yang LQ, et al. Improved lipids, diastolic pressure and kidney function are potential contributors to familial longevity: a study on 60 Chinese centenarian families. Sci Rep. 2016;6:21962.CrossRefPubMedPubMedCentral
9.
go back to reference Milman S, Atzmon G, Crandall J, Barzilai N. Phenotypes and genotypes of high density lipoprotein cholesterol in exceptional longevity. Curr Vasc Pharmacol. 2014;12(5):690–7.CrossRefPubMedPubMedCentral Milman S, Atzmon G, Crandall J, Barzilai N. Phenotypes and genotypes of high density lipoprotein cholesterol in exceptional longevity. Curr Vasc Pharmacol. 2014;12(5):690–7.CrossRefPubMedPubMedCentral
10.
go back to reference Barzilai N, Atzmon G, Schechter C, Schaefer EJ, Cupples AL, Lipton R, Cheng S, Shuldiner AR. Unique lipoprotein phenotype and genotype associated with exceptional longevity. JAMA. 2003;290(15):2030–40.CrossRefPubMed Barzilai N, Atzmon G, Schechter C, Schaefer EJ, Cupples AL, Lipton R, Cheng S, Shuldiner AR. Unique lipoprotein phenotype and genotype associated with exceptional longevity. JAMA. 2003;290(15):2030–40.CrossRefPubMed
11.
go back to reference Heijmans BT, Beekman M, Houwing-Duistermaat JJ, Cobain MR, Powell J, Blauw GJ, van der Ouderaa F, Westendorp RG, Slagboom PE. Lipoprotein particle profiles mark familial and sporadic human longevity. PLoS Med. 2006;3(12):e495.CrossRefPubMedPubMedCentral Heijmans BT, Beekman M, Houwing-Duistermaat JJ, Cobain MR, Powell J, Blauw GJ, van der Ouderaa F, Westendorp RG, Slagboom PE. Lipoprotein particle profiles mark familial and sporadic human longevity. PLoS Med. 2006;3(12):e495.CrossRefPubMedPubMedCentral
12.
go back to reference Gong YY, Xie L, Zhou WP, Zhang YP, Gong YY, Xie L, Lian SG, Yang J, Wang XY, Yang Z, et al. Glucose and lipid profile of a long-lived rural Han Chinese population and their families in southwest China. J Am Geriatr Soc. 2009;57(3):567–8.CrossRefPubMed Gong YY, Xie L, Zhou WP, Zhang YP, Gong YY, Xie L, Lian SG, Yang J, Wang XY, Yang Z, et al. Glucose and lipid profile of a long-lived rural Han Chinese population and their families in southwest China. J Am Geriatr Soc. 2009;57(3):567–8.CrossRefPubMed
13.
go back to reference Liu M, Wang J, Jiang B, Sun D, Wu L, Yang S, Wang Y, Li X, He Y. Increasing prevalence of metabolic syndrome in a Chinese elderly population: 2001-2010. PLoS One. 2013;8(6):e66233.CrossRefPubMedPubMedCentral Liu M, Wang J, Jiang B, Sun D, Wu L, Yang S, Wang Y, Li X, He Y. Increasing prevalence of metabolic syndrome in a Chinese elderly population: 2001-2010. PLoS One. 2013;8(6):e66233.CrossRefPubMedPubMedCentral
14.
go back to reference Feng J, Zhang J, Liu M, Wan G, Qi K, Zheng C, Lv Z, Hu C, Zeng Y, Gregory SG, et al. Association of mtDNA haplogroup F with healthy longevity in the female Chuang population, China. Exp Gerontol. 2011;46(12):987–93.CrossRefPubMed Feng J, Zhang J, Liu M, Wan G, Qi K, Zheng C, Lv Z, Hu C, Zeng Y, Gregory SG, et al. Association of mtDNA haplogroup F with healthy longevity in the female Chuang population, China. Exp Gerontol. 2011;46(12):987–93.CrossRefPubMed
15.
go back to reference Luo L, Yang M, Hao Q, Yue J, Dong B. Cross-sectional study examining the association between metabolic syndrome and cognitive function among the oldest old. J Am Med Dir Assoc. 2013;14(2):105–8.CrossRefPubMed Luo L, Yang M, Hao Q, Yue J, Dong B. Cross-sectional study examining the association between metabolic syndrome and cognitive function among the oldest old. J Am Med Dir Assoc. 2013;14(2):105–8.CrossRefPubMed
16.
go back to reference Hao Q, Song X, Yang M, Dong B, Rockwood K. Understanding risk in the oldest old: frailty and the metabolic syndrome in a Chinese community sample aged 90+ years. J Nutr Health Aging. 2016;20(1):82–8.CrossRefPubMed Hao Q, Song X, Yang M, Dong B, Rockwood K. Understanding risk in the oldest old: frailty and the metabolic syndrome in a Chinese community sample aged 90+ years. J Nutr Health Aging. 2016;20(1):82–8.CrossRefPubMed
17.
go back to reference Kuk JL, Ardern CI. Age and sex differences in the clustering of metabolic syndrome factors: association with mortality risk. Diabetes Care. 2010;33(11):2457–61.CrossRefPubMedPubMedCentral Kuk JL, Ardern CI. Age and sex differences in the clustering of metabolic syndrome factors: association with mortality risk. Diabetes Care. 2010;33(11):2457–61.CrossRefPubMedPubMedCentral
18.
go back to reference Lee S, Ko Y, Kwak C, Yim ES. Gender differences in metabolic syndrome components among the Korean 66-year-old population with metabolic syndrome. BMC Geriatr. 2016;16:27.CrossRefPubMedPubMedCentral Lee S, Ko Y, Kwak C, Yim ES. Gender differences in metabolic syndrome components among the Korean 66-year-old population with metabolic syndrome. BMC Geriatr. 2016;16:27.CrossRefPubMedPubMedCentral
19.
go back to reference He Y, Jiang B, Wang J, Feng K, Chang Q, Fan L, Li X, Hu FB. Prevalence of the metabolic syndrome and its relation to cardiovascular disease in an elderly Chinese population. J Am Coll Cardiol. 2006;47(8):1588–94.CrossRefPubMed He Y, Jiang B, Wang J, Feng K, Chang Q, Fan L, Li X, Hu FB. Prevalence of the metabolic syndrome and its relation to cardiovascular disease in an elderly Chinese population. J Am Coll Cardiol. 2006;47(8):1588–94.CrossRefPubMed
20.
go back to reference Stefanska A, Bergmann K, Sypniewska G. Metabolic syndrome and menopause: Pathophysiology, clinical and diagnostic significance. Adv Clin Chem. 2015;72:1–75.CrossRefPubMed Stefanska A, Bergmann K, Sypniewska G. Metabolic syndrome and menopause: Pathophysiology, clinical and diagnostic significance. Adv Clin Chem. 2015;72:1–75.CrossRefPubMed
21.
go back to reference Park JK, Lim YH, Kim KS, Kim SG, Kim JH, Lim HG, Shin J. Body fat distribution after menopause and cardiovascular disease risk factors: Korean National Health and nutrition examination survey 2010. J Women's Health (Larchmt). 2013;22(7):587–94.CrossRef Park JK, Lim YH, Kim KS, Kim SG, Kim JH, Lim HG, Shin J. Body fat distribution after menopause and cardiovascular disease risk factors: Korean National Health and nutrition examination survey 2010. J Women's Health (Larchmt). 2013;22(7):587–94.CrossRef
22.
go back to reference Pradhan AD. Sex differences in the metabolic syndrome: implications for cardiovascular health in women. Clin Chem. 2014;60(1):44–52.CrossRefPubMed Pradhan AD. Sex differences in the metabolic syndrome: implications for cardiovascular health in women. Clin Chem. 2014;60(1):44–52.CrossRefPubMed
23.
go back to reference Akbulut G, Koksal E, Bilici S, Acar Tek N, Yildiran H, Karadag MG, Sanlier N. Metabolic syndrome (MS) in elderly: a cross sectional survey. Arch Gerontol Geriatr. 2011;53(3):e263–6.CrossRefPubMed Akbulut G, Koksal E, Bilici S, Acar Tek N, Yildiran H, Karadag MG, Sanlier N. Metabolic syndrome (MS) in elderly: a cross sectional survey. Arch Gerontol Geriatr. 2011;53(3):e263–6.CrossRefPubMed
24.
go back to reference Motta M, Bennati E, Capri M, Ferlito L, Malaguarnera M. Diabetes mellitus in the extreme longevity. Exp Gerontol. 2008;43(2):102–5.CrossRefPubMed Motta M, Bennati E, Capri M, Ferlito L, Malaguarnera M. Diabetes mellitus in the extreme longevity. Exp Gerontol. 2008;43(2):102–5.CrossRefPubMed
25.
go back to reference Vinluan CM, Zreikat HH, Levy JR, Cheang KI. Comparison of different metabolic syndrome definitions and risks of incident cardiovascular events in the elderly. Metabolism. 2012;61(3):302–9.CrossRefPubMed Vinluan CM, Zreikat HH, Levy JR, Cheang KI. Comparison of different metabolic syndrome definitions and risks of incident cardiovascular events in the elderly. Metabolism. 2012;61(3):302–9.CrossRefPubMed
26.
go back to reference Mazzotti DR, Guindalini C, Moraes WA, Andersen ML, Cendoroglo MS, Ramos LR, Tufik S. Human longevity is associated with regular sleep patterns, maintenance of slow wave sleep, and favorable lipid profile. Frontiers Aging neurosci. 2014;6:134.CrossRef Mazzotti DR, Guindalini C, Moraes WA, Andersen ML, Cendoroglo MS, Ramos LR, Tufik S. Human longevity is associated with regular sleep patterns, maintenance of slow wave sleep, and favorable lipid profile. Frontiers Aging neurosci. 2014;6:134.CrossRef
27.
go back to reference Gonzalez-Covarrubias V. Lipidomics in longevity and healthy aging. Biogerontology. 2013;14(6):663–72.CrossRefPubMed Gonzalez-Covarrubias V. Lipidomics in longevity and healthy aging. Biogerontology. 2013;14(6):663–72.CrossRefPubMed
28.
go back to reference Mahabaleshwarkar R, Taylor YJ, Spencer MD, Mohanan S. Prevalence of metabolic syndrome in a large integrated health care system in North Carolina. N C Med J. 2016;77(3):168–74.PubMed Mahabaleshwarkar R, Taylor YJ, Spencer MD, Mohanan S. Prevalence of metabolic syndrome in a large integrated health care system in North Carolina. N C Med J. 2016;77(3):168–74.PubMed
29.
go back to reference Xi B, He D, Hu Y, Zhou D. Prevalence of metabolic syndrome and its influencing factors among the Chinese adults: the China health and nutrition survey in 2009. Prev Med. 2013;57(6):867–71.CrossRefPubMedPubMedCentral Xi B, He D, Hu Y, Zhou D. Prevalence of metabolic syndrome and its influencing factors among the Chinese adults: the China health and nutrition survey in 2009. Prev Med. 2013;57(6):867–71.CrossRefPubMedPubMedCentral
30.
go back to reference Slagter SN, van Vliet-Ostaptchouk JV, Vonk JM, Boezen HM, Dullaart RP, Kobold AC, Feskens EJ, van Beek AP, van der Klauw MM, Wolffenbuttel BH. Associations between smoking, components of metabolic syndrome and lipoprotein particle size. BMC Med. 2013;11:195.CrossRefPubMedPubMedCentral Slagter SN, van Vliet-Ostaptchouk JV, Vonk JM, Boezen HM, Dullaart RP, Kobold AC, Feskens EJ, van Beek AP, van der Klauw MM, Wolffenbuttel BH. Associations between smoking, components of metabolic syndrome and lipoprotein particle size. BMC Med. 2013;11:195.CrossRefPubMedPubMedCentral
Metadata
Title
Prevalence and clinical profile of metabolic syndrome in longevity: study from Guangxi Zhuang Autonomous Region, China
Authors
Xianghua He
Wei Zhang
Guofang Pang
Yuan Lv
Caiyou Hu
Ze Yang
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2017
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-017-0536-y

Other articles of this Issue 1/2017

BMC Geriatrics 1/2017 Go to the issue