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BMC Public Health
Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

Prevalence of the metabolic syndrome in Pudong New Area of Shanghai using three proposed definitions among Chinese adults

Authors: Wang-hong Xu, Xiao-nan Ruan, Xiao-jin Fu, Qiu-li Zhu, Hong Zhang, Yun Bai, Hong-yan Wu, Yi Zhou, Hua Qiu, Qiao Sun, Qing-wu Jiang, Li-ming Yang, Jian-jun Gu, Gen-ming Zhao

Published in: BMC Public Health | Issue 1/2010

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Abstract

Background

The prevalence of metabolic syndrome (MS) has been increasing in China in recent years. The aim of this study is to estimate and compare the prevalence of MS among Chinese adults in Shanghai, one of the most economic developed areas in China, using definitions proposed by World Health Organization (WHO), National Cholesterol Education Program Adult Treatment Panel (modified ATP III) and International Diabetes Federation (IDF).

Methods

This cross-sectional study included 5,584 adults at age 20-79 randomly selected from Pudong New Area of Shanghai, China, through a three-stage sampling. All participants were interviewed in-person between April and July of 2008 to collect information on demographic and lifestyle characteristics. At the interview, anthropometry and blood pressure were measured and bio-specimens were collected.

Results

The prevalence estimates for the MS increased with age for each definition in men and women, but the estimates varied greatly between the definitions and by sex. The prevalence of the MS was higher in men (20.2%) than in women (18.7%) using WHO definition but this sex difference was reversed when using the modified ATP III (28.4% for men vs. 35.1% for women) and the IDF (15.9% for men vs. 26.7% for women) criteria. The most common metabolic disorder in this population was dyslipidaemia, regardless of the definition used. Substantial agreement, estimated using the kappa statistic, was found between the modified ATP III and IDF definition, whereas the lowest agreement was observed between the WHO and ATP III criteria.

Conclusions

The MS is highly prevalent among Chinese adults in Pudong New Area of Shanghai and the most prevalent component was dyslipidemia. These findings underscore the importance of prevention and control efforts for the MS in this area and the need for a unified predictive definition for the syndrome for use by clinical practitioners and public health agencies.
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Metadata
Title
Prevalence of the metabolic syndrome in Pudong New Area of Shanghai using three proposed definitions among Chinese adults
Authors
Wang-hong Xu
Xiao-nan Ruan
Xiao-jin Fu
Qiu-li Zhu
Hong Zhang
Yun Bai
Hong-yan Wu
Yi Zhou
Hua Qiu
Qiao Sun
Qing-wu Jiang
Li-ming Yang
Jian-jun Gu
Gen-ming Zhao
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-246

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