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Prevalence and determinants of metabolic syndrome-identified by three criteria among men in rural China: A population-based cross-sectional study conducted during 2007–2008

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The journal of nutrition, health & aging

Abstract

Objective

The aim of this study was to estimate MS prevalence according to three criteria and its risk factors among men in rural China.

Design

Cross-sectional study.

Setting

The Nantong Metabolic Syndrome Study (NMSS) was conducted during 2007–2008 in Nantong, China.

Participants

6997 male participants aged 18–74 years.

Measurements

In person interviews, blood glucose and lipid measurements were accomplished.

Results

The prevalence of MS was 12.86%, 8.55% and 15.28% according to IDF, ATPIII and ATPIII-modified criteria, respectively. The IDF and ATP III–modified criteria agreed only moderately with ATP III criteria (ϰ= 0.56 and 0.68), whereas ATP III–modified and the IDF criteria agreed perfectly (ϰ= 0.90). Vigorous occupational physical activity was associated with a low prevalence of MS with Odds ratio (OR) of 0.58 (95% confidence interval (CI): 0.45-0.74). Beer drinkers (alcohol ≤ 6.2 g/day) and rice wine drinkers (alcohol ≤ 9.0 g/day) had about 34% and 33% low risks of developing MS respectively, compared with non-drinkers. OR of MS was 1.95 (95% CI: 1.39-2.73) in men who had familial history of at least two diseases, including hypertension and diabetes, compared with men without familial history of those diseases.

Conclusions

Our data suggested that MS is highly prevalent among men in rural China. Family history of diabetes and hypertension is a risk factor in MS development. Physical activity, rice wine and beer consumption are associated with a significantly lower risk.

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Abbreviations

MS:

Metabolic syndrome

NMSS:

The Nantong Metabolic Syndrome Study

T2D:

Type 2 diabetes

CVD:

Cardiovascular disease

CHD:

Coronary heart disease

ATPIII:

Adult Treatment Panel

IDF:

The International Diabetes Federation

BMI:

Body mass index

WC:

Waist circumference

CDC:

Center for Disease Control and Prevention

LPA:

Physical activity during leisure time

OPA:

Occupational physical activity

CPA:

Commuting physical activity

OR:

Odds ratio

ANOVA:

Analysis of variance

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Author information

Authors and Affiliations

  1. Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Nantong, Jiangsu, China

    Y. Liu, S. He, J. Zhang, X. Wang & Yi Shen

  2. Department of Chronic Disease and Prevention, Center for Disease Control and Prevention of Nantong, Nantong, Jiangsu, China

    J. Huang

  3. Department of Nutrition and Food Science, School of Public Health, Nantong University, Nantong, Jiangsu, China

    G. Xu

  4. Department of Medicine, Vanderbilt Epidemiology Center and Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, USA

    Hui Cai

Authors
  1. Y. Liu
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  2. J. Huang
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  3. G. Xu
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  4. S. He
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  5. J. Zhang
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Corresponding authors

Correspondence to Hui Cai or Yi Shen.

Additional information

Yi Shen and Hui Cai contributed equally to this work.

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Liu, Y., Huang, J., Xu, G. et al. Prevalence and determinants of metabolic syndrome-identified by three criteria among men in rural China: A population-based cross-sectional study conducted during 2007–2008. J Nutr Health Aging 20, 574–582 (2016). https://doi.org/10.1007/s12603-015-0615-8

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  • DOI: https://doi.org/10.1007/s12603-015-0615-8

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