Prevalence and associated factors of metabolic syndrome in adults: a population-based epidemiological survey in Jiangxi province, China

Li Ting Wu,Lei Hu,Mei Ying Zhang,Xiao Yang Lai,Yun Feng Shen

doi:10.1186/s12889-020-8207-x

Abstract

BackgroundMetabolic syndrome (MS) has abruptly increased in China in the past two decades, gradually representing an important public health threat over the years. Here, we firstly reported the prevalence and associated factors of metabolic syndrome in Jiangxi province, China.MethodsA population-based cross-sectional survey was performed in Jiangxi province, China, from April to August 2015. MS was diagnosed by International Diabetes Federation (IDF) and Chinese Diabetes Society (CDS) criteria, respectively. Factors associated with MS were investigated by multivariate logistic regression.ResultsA total of 2665 residents aged over 18 years were enrolled, and 2580 effectively participated. According to IDF and CDS criteria, age-standardized prevalence of MS were 21.1 and 15.2% in all participants, respectively; prevalence were 19.6% or 17.1% in men, and 22.7% or 13.0% in women, based on these respective criteria. Rural participants had a significantly higher prevalence than urban individuals, so did rural females. Prevalence in males did not differ between rural and urban participants. Factors independently associated with MS were low education level and menopausal state.ConclusionsTo the best of our knowledge, this was the latest study on MS prevalence in Jiangxi province. In conclusion, MS prevalence is high in Jiangxi province. Considering the unhealthy lifestyle, education is urgently needed to prevent the rapid increase of MS prevalence.

Highlights

Metabolic syndrome (MS) has abruptly increased in China in the past two decades, gradually representing an important public health threat over the years
We investigated MS prevalence based on the International Diabetes Federation (IDF) and Chinese Diabetes Society (CDS) criteria in Jiangxi province, in a cross-sectional survey sponsored by the TIDE (Thyroid disorders, Iodine status and Diabetes: a national Epidemiological survey) study group
Men had higher body mass index (BMI), waist circumstance (WC), SBP and DBP, but high density lipoprotein cholesterol (HDL-C) levels were higher in women

Summary

Introduction

Metabolic syndrome (MS) has abruptly increased in China in the past two decades, gradually representing an important public health threat over the years. We firstly reported the prevalence and associated factors of metabolic syndrome in Jiangxi province, China. Different MS prevalence have been presented in published studies assessing the Chinese population [7,8,9,10,11,12,13,14,15,16,17]. MS prevalence was reported at 13.3% in 2001, rapidly rising to 18.2% in 2009 in China Health and Nutrition Survey, according to the Chinese Diabetes Society (CDS) criteria [7, 14]. Diverse dietary habits in different regions could represent an important cause of the disparate prevalence of MS.

Methods

Results

Discussion

Conclusion