Abstract
Metabolic syndrome (MetS) has become a global public health problem affecting all nations and races. Few studies on the epidemic of metabolic syndrome (MetS) examined multi-ethnic adults in rural areas in Xinjiang, China. We thus investigated the prevalence and risk factors of MetS there. A cross-sectional study was performed in a representative sample of 15020 rural multi-ethnic adults from 2009 to 2010. Four widely used criteria (ATPIII\\IDF\\JIS\\CDS) were used to measure the prevalence of MetS. Multiple logistic regression analysis was used to explore the risk factors of MetS. The age-adjusted prevalence of MetS was 14.43%, 21.33%, 26.50%, and 19.89% based on the ATP III, IDF, JIS and CDS criterion, respectively. The prevalence of MetS was higher in women and increased with age. According to JIS criterion, the prevalence of components in MetS was 57.75% for abdominal obesity, 44.05% for elevated blood pressure, 40.98% for reduced HDL-cholesterol, 23.33% for elevated triglycerides, 18.95% for raised fasting plasma glucose. Lower consumption of vegetables, milk, and higher consumption of red meat were associated with higher likelihood of having MetS. The prevalence of MetS in Xinjiang rural multi-ethnic adults was high. Diet factors were associated with the prevalence of MetS.
Highlights
Previous studies found that dietary factors, smoking and drinking were associated with Metabolic syndrome (MetS), but the conclusions were inconsistent in different regions and populations[7,8,9,10]
The overall crude prevalence of MetS was 15.90%, 23.36%, 28.66% and 19.89% according to the ATP III, IDF, JIS and Chinese Diabetes Society in 2004 (CDS) criterion, respectively
There have been many epidemiology investigations on MetS, few studies have focused on rural multi-ethnic populations
Summary
Previous studies found that dietary factors, smoking and drinking were associated with MetS, but the conclusions were inconsistent in different regions and populations[7,8,9,10]. The Uyghur, Han, Kazakh, and Kyrgyz were main ethnic groups, these four ethnic groups accounts for 45.84%, 40.48%, 6.50%, 0.83% of the total population respectively[11]. They have unique lifestyle and dietary habits due to special geographical environment and Muslim culture. There have not been serious investigations to analyze the prevalence and risk factors of MS due to limited resources in public health and poor transportation in rural multi-ethnic region of Xinjiang. This study investigated the prevalence and the risk factors of MetS from a sample size of 15020 multi-ethnic adults in rural area of Xinjiang, making it one of the largest www.nature.com/scientificreports/. The prevalence of MetS was estimated based on four widely used criteria in order to compare with the results in other studies
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