Prevalence of metabolic syndrome MetS in Chinese subjects gradually increased with impaired glucose homeostasis: a multicenter, clinical based, cross-sectional studyReport as inadecuate




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BMC Public Health

, 12:675

Chronic Disease epidemiology

Abstract

BackgroundMetabolic Syndrome MetS is a high risk factor for Cardiovascular Diseases CVD. We estimated to investigate how MetS prevalence by glucose homeostasis varies across different age and gender groups.

MethodsWe studied 9257 Chinese subjects over the age of 15 years in two cross-sectional surveys in 2006. With oral glucose tolerance test OGTT test, 2341 subjects were normal glucose tolerance NGT, and 5448 were diagnosed as having type 2 diabetes T2D. All other 1468 subjects were considered to be impaired fasting glucose IFG or impaired glucose tolerance IGT subjects. Diabetes was diagnosis by WHO99 criteria. We used modified NCEP-III criteria for the diagnosis of MetS.

ResultsThe prevalences of MetS in the male NGT, IFG-IGT and T2D groups were 25.9% 404-1559, 65.6% 769-1172, and 73.5% 2483-3376, respectively. The prevalences of MetS in the female NGT, IFG-IGT and T2D groups were 13.4% 105-782, 51.0% 151-296, and 75.4% 1563-2072, respectively. The prevalence of MetS in the male IFG-IGT group gradually decreased from 73.26% to 41.08% in subjects over the age of 30 years. The prevalence of MetS in the female IFG-IGT group gradually increased from 30% to 75% with aging.

ConclusionsThe prevalence of MetS in subjects with different glucose tolerances in China was high and gradually increased with impaired glucose homeostasis both in males and females.

KeywordsMetabolic syndrome Diabetes Impaired fasting glucose Impaired glucose tolerance AbbreviationsMetSMetabolic Syndrome

NGTNormal Glucose Tolerance

IFGImpaired Fasting Glucose

IGTImpaired Glucose Tolerance

CVDCardiovascular Disease

T2DType 2 Diabetes

NCEP-ATPIIIThird Report of the National Cholesterol Education Program NCEP Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults Adult Treatment Panel III

LADALatent Autoimmune Diabetes in Adults

FPGFasting Plasma Glucose

HtHeight

WtWeight

BMIBody Mass Index

WCWaist Circumference

HCHip Circumference

WHRWaist to Hip Ratio

SBPSystolic Blood Pressure

DBPDiastolic Blood Pressure

TGTriglycerides

TCTotal Cholesterol

HDL-ChHigh-Density Lipid cholesterol

LDL-ChLow-Density Lipid cholesterol.

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Author: Yufei Xiang - Gan Huang - Weidong Zhou - Zhihong Che - Pengcheng Zhou - Zhiguang Zhou

Source: https://link.springer.com/







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