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Open Access 01-12-2021 | Obesity | Research

Metabolically healthy obesity and unhealthy normal weight rural adults in Xinjiang: prevalence and the associated factors

Authors: Wen-qiang Wang, Bin Wei, Yan-peng Song, Heng Guo, Xiang-hui Zhang, Xin-ping Wang, Yi-zhong Yan, Jiao-long Ma, Kui Wang, Mulatibieke Keerman, Jing-yu Zhang, Ru-lin Ma, Shu-xia Guo, Jia He

Published in: BMC Public Health | Issue 1/2021

Abstract

Background

This study aimed to describe the prevalence of metabolically healthy obesity (MHO) and metabolically unhealthy normal weight (MUNW) rural adults in Xinjiang and to explore their influencing factors.

Methods

We selected 13,525 Uyghur, Kazakh and Han participants in Kashi, Yili and Shihezi areas in Xinjiang from 2009 to 2010. Weight status was classified according to body mass index. Metabolic phenotype was further defined based on the National Cholesterol Education Program Adult Treatment Panel III criteria.

Results

The prevalence of normal weight, overweight, and obesity were 51.6, 30.2, and 14.4%, respectively. The mean age of the population was 45.04 years. The prevalence of MHO was 5.5% overall and was 38.5% among obese participants. The prevalence of MUNW was 15.5% overall and was 30.1% among normal weight participants. A metabolically healthy phenotype among obese individuals was positively associated with females and vegetable consumption ≥4 plates per week. However, this was inversely associated with higher age, red meat consumption ≥2 kg per week, and larger waist circumference (WC). Conversely, a metabolically unhealthy phenotype among normal-weight individuals was positively associated with higher age, red meat consumption ≥2 kg per week, and larger WC; this was however inversely associated with vegetable consumption ≥4 plates per week.

Conclusions

The prevalence of MHO among obese adults in Xinjiang is higher than that of Han adults, while the prevalence of MUNW among normal weight adults is lower than that among Han adults. In obese and normal weight participants, higher age, more red meat consumption, and larger WC increase the risk of metabolic abnormality, and more vegetable consumption reduces the risk of metabolic abnormality.

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Title: Metabolically healthy obesity and unhealthy normal weight rural adults in Xinjiang: prevalence and the associated factors
Authors: Wen-qiang Wang
Bin Wei
Yan-peng Song
Heng Guo
Xiang-hui Zhang
Xin-ping Wang
Yi-zhong Yan
Jiao-long Ma
Kui Wang
Mulatibieke Keerman
Jing-yu Zhang
Ru-lin Ma
Shu-xia Guo
Jia He
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Obesity
Obesity
Published in: BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-021-11996-y

At a glance: The STEP trials

Springer Medicine

Metabolically healthy obesity and unhealthy normal weight rural adults in Xinjiang: prevalence and the associated factors

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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