Comparison Study of Metabolic Syndrome's Differences and Diagnostic Criteria's Applicability among Xingjiang Uighur, Kazak and Han Population

Sheng Jiang,Zijing Xie

doi:10.1155/2012/212383

Abstract

Our paper is a study about metabolism syndrome (MS) incidence situations of different nationalities, including Uighur, Kazak and Han nationality in Xinjiang by means of a cross-sectional survey and compare differences and adaptabilities of applications of the diagnostic criteria for MS recommended by Adult Treatment Protocol III of National Cholesterol Education Program of America (ATP III), International Diabetes Federation (IDF) and Chinese Diabetes Society (CDS) in three groups of populations. Conclusion tell us, for Uighur population and Kazak population, IDF criterion and ATPIII criterion had a better consistence, and CDS criterion was worst. For Han population, CDS criterion and IDF criterion had a better consistence, and ATPIII criterion was worst. For the screening of MS incidence rate of Uighur and Kazak adult populations in Xinjiang region, ATPIII criterion was optimal, while CDS criterion was optimal for Han population. However, as for screening of clustering of multiple risk factors of MS, IDF criterion was better than other criteria for the three nationalities.

Highlights

Metabolism syndrome (MS) mainly manifests the clustering of hypertension (HP), obesity, lipid abnormality, hyperglycemia, and insulin resistance (IR) in individuals and rapid increase of its incidence rate has become a global public health focus
Lu et al reported that when MS was diagnosed for different nationalities of residents in Xinjiang region, there are differences for diagnosis tangency of waist circumference (WC), and it was different from the research result of inland Han population [3]
For Uighur population, central obesity ratios of diagnosed MS cases according to ATP III, International Diabetes Federation (IDF), and Chinese Diabetes Society (CDS) criteria were, respectively, 91.43%, 100%, and 91.58%, the hypertension ratios were, respectively, 40.95%, 50.06%, and 59.75%, high TG albumosemia ratios were respectively 86.67%, 81.58%, and 85.63%, low high-density lipoprotein cholesterol (HDL-C) albumosemia ratios were, respectively, 72.79%, 62.67% and 50.51%, and the ratios of cases with blood glucose increase were respectively 62.72%, 55.01%, and 72.69%

Summary

Introduction

Metabolism syndrome (MS) mainly manifests the clustering of hypertension (HP), obesity, lipid abnormality, hyperglycemia, and insulin resistance (IR) in individuals and rapid increase of its incidence rate has become a global public health focus. The adaptabilities of different diagnostic criteria in different populations are always debatable [1]. According to the incidence rate indicated by MS related epidemiological data, it is well known that MS incidence rate is apparently different form different races and nationalities. For MS incidence rate in Xinjiang region, China, Uighur (Uighur nationality) is 35.2%, Han nationality is 9.21%, and Kazak (Kazak nationality) is 20.1%. Lu et al reported that when MS was diagnosed for different nationalities of residents in Xinjiang region, there are differences for diagnosis tangency of waist circumference (WC), and it was different from the research result of inland Han population [3]

Methods

Results

Conclusion