Prevalence and Determinants of Metabolic Syndrome among Women in Chinese Rural Areas

Hui Cai,Jianping Huang,Derong Qian,Yaoping Mi,Weisheng Liu,Ming Liu,Hongjun Wang,Zili Yang,Guangfei Xu,Noel Christopher Barengo

doi:10.1371/journal.pone.0036936

Hui Cai, Jianping Huang + Show 8 more

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https://doi.org/10.1371/journal.pone.0036936

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Journal: PloS one	Publication Date: May 10, 2012
Citations: 102	License type: CC BY 4.0

Affiliation: Nantong University

Abstract

Background and AimsMetabolic syndrome (MS) is prevalent in recent years but few data is reported in the rural areas in China. The aim of this study was to examine MS prevalence and its risk factors among women in rural China.Methods and ResultsThe Nantong Metabolic Syndrome Study (NMSS), a population based cross-sectional study, was conducted during 2007–2008 in Nantong, China. In person interviews, blood glucose and lipid measurements were completed for 13,505 female participants aged 18–74 years. The International Diabetes Federation (IDF), the US Third Report of the National Cholesterol Education Program, the Adult Treatment Panel (ATPIII) and modified ATPIII for Asian population has determined three criteria of MS. These criteria for MS were used and compared in this study. The prevalence of MS was 22.0%, 16.9% and 23.3% according to IDF, ATPIII and ATPIII-modified criteria, respectively. Levels of agreement of these criteria for MS were above 0.75. We found that vigorous-intensity of occupational physical activity was associated with a low prevalence of MS with OR of 0.76 (95% confidence interval (CI): 0.63–0.91). Rice wine drinkers (alcohol >12.8 g/day) had about 34% low risks of developing MS with OR of 0.66 (95% CI: 0.48–0.91), compared with non-drinkers. Odds ratio of MS was 1.81 (95% CI: 1.15–2.84) in women who smoked more than 20 pack-years, compared to non-smokers. Odds ratio of MS was 1.56 (95% CI: 1.25–1.95) in women who had familial history of diseases, including hypertension, diabetes and stroke, compared to women without familial history of those diseases.ConclusionMS is highly prevalent among women in rural China. Both physical activity and rice wine consumption play a protective role, while family history and smoking are risk factors in MS development. Educational programs should be established for promoting healthy lifestyles and appropriate interventions in rural China.

Highlights

Metabolic Syndrome (MS) is characterized by a cluster of metabolic disorders, including abdominal obesity, hyperglycemia, dyslipidemia and high blood pressure [1]
MS is highly prevalent among women in rural China
Educational programs should be established for promoting healthy lifestyles and appropriate interventions in rural China

Summary

Introduction

Metabolic Syndrome (MS) is characterized by a cluster of metabolic disorders, including abdominal obesity, hyperglycemia, dyslipidemia and high blood pressure [1]. MS increases cardiovascular morbidity and mortality and increases the risk of developing diabetes because its components represent major risk factors for impaired glucose metabolism [9]. Several studies conducted in China recently have evaluated the prevalence of MS and related risk factors among elderly Chinese people [17] and minors of the Chinese population [18]. Few studies focused on association of the prevalence of MS and its determinants in the rural areas in China. Metabolic syndrome (MS) is prevalent in recent years but few data is reported in the rural areas in China.

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Conclusion