Comparison of metabolic syndrome prevalence and characteristics using five different definitions in China: a population-based retrospective study
BackgroundMetabolic syndrome (MetS) is on the rise in developing countries and is characterized by a series of indications of metabolic disturbance. However, the prevalence of MetS varies under different definitions. The study aimed to compare five definitions of MetS in the China adult population,...
| Main Authors: | , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2024-02-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1333910/full |
| _version_ | 1827347489782497280 |
|---|---|
| author | Keli Ma Haiyang Liu Leilei Guo Jinlong Li Yunxiao Lei Xiaoping Li Lu Sun Liu Yang Ting Yuan Congzhi Wang Dongmei Zhang Jing Li Mingming Liu Ying Hua Lin Zhang |
| author_facet | Keli Ma Haiyang Liu Leilei Guo Jinlong Li Yunxiao Lei Xiaoping Li Lu Sun Liu Yang Ting Yuan Congzhi Wang Dongmei Zhang Jing Li Mingming Liu Ying Hua Lin Zhang |
| author_sort | Keli Ma |
| collection | DOAJ |
| description | BackgroundMetabolic syndrome (MetS) is on the rise in developing countries and is characterized by a series of indications of metabolic disturbance. However, the prevalence of MetS varies under different definitions. The study aimed to compare five definitions of MetS in the China adult population, to explore their prevalence, characteristics and agreement.MethodsThe data for the retrospective study came from the China Health and Retirement Longitudinal Study (CHARLS), consisting of 9,588 participants (≥45). MetS definitions from International Diabetes Federation (IDF) (2006), National Cholesterol Education Program Adult Treatment Panel III (ATPIII) (2005), National Cholesterol Education Program Adult Treatment Panel III (ATPIII) (2001), Chinese Diabetes society (CDS) (2004) and the World Health Organization (WHO) (1999). We used binary and multivariable logistic analysis to explore factors connected with MetS.ResultsThe five definitions of MetS led to different prevalence of MetS:34.52% by IDF (2006), 38.63% by ATP (2005), 25.94% by ATP (2001), 26.31% by CDS (2004), 21.57% by WHO (1999). According to the definition of IDF (2006) (22.32% vs. 45.06%), ATPIII (2005) definition (27.99% vs. 47.82%), ATPIII (2001) definition (15.37% vs. 35.07%), CDS (2004) definition (19.96% vs. 31.80%), and WHO (1999) definition (17.44% vs. 25.14%), the prevalence of MetS in men was low but in women was high. The agreement between the five definitions for men was good except for the IDF (2006) definition and ATPIII (2001) definition (kappa = 0.51), with kappa values from 0.64 to 0.85. For women, the agreement between the five definitions was good ranging from 0.67 to 0.95, however, except for the definition of CDS (2004) and the definition of IDF (2006) (kappa = 0.44), the definition of WHO (1999) and the definition of IDF (2006) (kappa = 0.55), and the definition of WHO (1999) and the definition of ATPIII (2005) (kappa = 0.54). Binary logistic analysis indicated that although the impact and relevance varied by sex and definition, age, education, marital status, current residence, current smoking, alcohol using, taking activities and number of chronic diseases were factors connected to MetS.Conclusionthe prevalence and characteristics of the five definitions of MetS are different in the Chinese population. Therefore, it is vital to use the same definition for a country to diagnose MetS. On the other side, a lower prevalence in men than in women and the consistency of five MetS definitions are good in men but relatively poor in women. |
| first_indexed | 2024-03-07T23:51:22Z |
| format | Article |
| id | doaj.art-aefbd4a09b99457e9fe08134f303b2e9 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-07T23:51:22Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-aefbd4a09b99457e9fe08134f303b2e92024-02-19T04:58:06ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-02-011210.3389/fpubh.2024.13339101333910Comparison of metabolic syndrome prevalence and characteristics using five different definitions in China: a population-based retrospective studyKeli Ma0Haiyang Liu1Leilei Guo2Jinlong Li3Yunxiao Lei4Xiaoping Li5Lu Sun6Liu Yang7Ting Yuan8Congzhi Wang9Dongmei Zhang10Jing Li11Mingming Liu12Ying Hua13Lin Zhang14Department of Graduate School, Wannan Medical College, Wuhu, Anhui, ChinaStudent Health Center, Wannan Medical College, Wuhu, Anhui, ChinaDepartment of Surgical Nursing, School of Nursing, Jinzhou Medical University, Jinzhou, Liaoning, ChinaKey Laboratory of Occupational Health and Safety for Coal Industry in Hebei Province, Department of Occupational and Environmental Health, School of Public Health, North China University of Science and Technology, Tangshan, Hebei, ChinaObstetrics and Gynecology Nursing, School of Nursing, Wannan Medical College, Wuhu, Anhui, ChinaDepartment of Emergency and Critical Care Nursing, School of Nursing, Wannan Medical College, Wuhu, Anhui, ChinaDepartment of Emergency and Critical Care Nursing, School of Nursing, Wannan Medical College, Wuhu, Anhui, ChinaDepartment of Internal Medicine Nursing, School of Nursing, Wannan Medical College, Wuhu, Anhui, ChinaObstetrics and Gynecology Nursing, School of Nursing, Wannan Medical College, Wuhu, Anhui, ChinaDepartment of Internal Medicine Nursing, School of Nursing, Wannan Medical College, Wuhu, Anhui, ChinaDepartment of Pediatric Nursing, School of Nursing, Wannan Medical College, Wuhu, Anhui, ChinaDepartment of Surgical Nursing, School of Nursing, Wannan Medical College, Wuhu, Anhui, ChinaDepartment of Surgical Nursing, School of Nursing, Wannan Medical College, Wuhu, Anhui, China0Rehabilitation Nursing, School of Nursing, Wannan Medical College, Wuhu, Anhui, ChinaDepartment of Internal Medicine Nursing, School of Nursing, Wannan Medical College, Wuhu, Anhui, ChinaBackgroundMetabolic syndrome (MetS) is on the rise in developing countries and is characterized by a series of indications of metabolic disturbance. However, the prevalence of MetS varies under different definitions. The study aimed to compare five definitions of MetS in the China adult population, to explore their prevalence, characteristics and agreement.MethodsThe data for the retrospective study came from the China Health and Retirement Longitudinal Study (CHARLS), consisting of 9,588 participants (≥45). MetS definitions from International Diabetes Federation (IDF) (2006), National Cholesterol Education Program Adult Treatment Panel III (ATPIII) (2005), National Cholesterol Education Program Adult Treatment Panel III (ATPIII) (2001), Chinese Diabetes society (CDS) (2004) and the World Health Organization (WHO) (1999). We used binary and multivariable logistic analysis to explore factors connected with MetS.ResultsThe five definitions of MetS led to different prevalence of MetS:34.52% by IDF (2006), 38.63% by ATP (2005), 25.94% by ATP (2001), 26.31% by CDS (2004), 21.57% by WHO (1999). According to the definition of IDF (2006) (22.32% vs. 45.06%), ATPIII (2005) definition (27.99% vs. 47.82%), ATPIII (2001) definition (15.37% vs. 35.07%), CDS (2004) definition (19.96% vs. 31.80%), and WHO (1999) definition (17.44% vs. 25.14%), the prevalence of MetS in men was low but in women was high. The agreement between the five definitions for men was good except for the IDF (2006) definition and ATPIII (2001) definition (kappa = 0.51), with kappa values from 0.64 to 0.85. For women, the agreement between the five definitions was good ranging from 0.67 to 0.95, however, except for the definition of CDS (2004) and the definition of IDF (2006) (kappa = 0.44), the definition of WHO (1999) and the definition of IDF (2006) (kappa = 0.55), and the definition of WHO (1999) and the definition of ATPIII (2005) (kappa = 0.54). Binary logistic analysis indicated that although the impact and relevance varied by sex and definition, age, education, marital status, current residence, current smoking, alcohol using, taking activities and number of chronic diseases were factors connected to MetS.Conclusionthe prevalence and characteristics of the five definitions of MetS are different in the Chinese population. Therefore, it is vital to use the same definition for a country to diagnose MetS. On the other side, a lower prevalence in men than in women and the consistency of five MetS definitions are good in men but relatively poor in women.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1333910/fullmetabolic syndromeprevalencecharacteristicsChinaretrospective study |
| spellingShingle | Keli Ma Haiyang Liu Leilei Guo Jinlong Li Yunxiao Lei Xiaoping Li Lu Sun Liu Yang Ting Yuan Congzhi Wang Dongmei Zhang Jing Li Mingming Liu Ying Hua Lin Zhang Comparison of metabolic syndrome prevalence and characteristics using five different definitions in China: a population-based retrospective study Frontiers in Public Health metabolic syndrome prevalence characteristics China retrospective study |
| title | Comparison of metabolic syndrome prevalence and characteristics using five different definitions in China: a population-based retrospective study |
| title_full | Comparison of metabolic syndrome prevalence and characteristics using five different definitions in China: a population-based retrospective study |
| title_fullStr | Comparison of metabolic syndrome prevalence and characteristics using five different definitions in China: a population-based retrospective study |
| title_full_unstemmed | Comparison of metabolic syndrome prevalence and characteristics using five different definitions in China: a population-based retrospective study |
| title_short | Comparison of metabolic syndrome prevalence and characteristics using five different definitions in China: a population-based retrospective study |
| title_sort | comparison of metabolic syndrome prevalence and characteristics using five different definitions in china a population based retrospective study |
| topic | metabolic syndrome prevalence characteristics China retrospective study |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1333910/full |
| work_keys_str_mv | AT kelima comparisonofmetabolicsyndromeprevalenceandcharacteristicsusingfivedifferentdefinitionsinchinaapopulationbasedretrospectivestudy AT haiyangliu comparisonofmetabolicsyndromeprevalenceandcharacteristicsusingfivedifferentdefinitionsinchinaapopulationbasedretrospectivestudy AT leileiguo comparisonofmetabolicsyndromeprevalenceandcharacteristicsusingfivedifferentdefinitionsinchinaapopulationbasedretrospectivestudy AT jinlongli comparisonofmetabolicsyndromeprevalenceandcharacteristicsusingfivedifferentdefinitionsinchinaapopulationbasedretrospectivestudy AT yunxiaolei comparisonofmetabolicsyndromeprevalenceandcharacteristicsusingfivedifferentdefinitionsinchinaapopulationbasedretrospectivestudy AT xiaopingli comparisonofmetabolicsyndromeprevalenceandcharacteristicsusingfivedifferentdefinitionsinchinaapopulationbasedretrospectivestudy AT lusun comparisonofmetabolicsyndromeprevalenceandcharacteristicsusingfivedifferentdefinitionsinchinaapopulationbasedretrospectivestudy AT liuyang comparisonofmetabolicsyndromeprevalenceandcharacteristicsusingfivedifferentdefinitionsinchinaapopulationbasedretrospectivestudy AT tingyuan comparisonofmetabolicsyndromeprevalenceandcharacteristicsusingfivedifferentdefinitionsinchinaapopulationbasedretrospectivestudy AT congzhiwang comparisonofmetabolicsyndromeprevalenceandcharacteristicsusingfivedifferentdefinitionsinchinaapopulationbasedretrospectivestudy AT dongmeizhang comparisonofmetabolicsyndromeprevalenceandcharacteristicsusingfivedifferentdefinitionsinchinaapopulationbasedretrospectivestudy AT jingli comparisonofmetabolicsyndromeprevalenceandcharacteristicsusingfivedifferentdefinitionsinchinaapopulationbasedretrospectivestudy AT mingmingliu comparisonofmetabolicsyndromeprevalenceandcharacteristicsusingfivedifferentdefinitionsinchinaapopulationbasedretrospectivestudy AT yinghua comparisonofmetabolicsyndromeprevalenceandcharacteristicsusingfivedifferentdefinitionsinchinaapopulationbasedretrospectivestudy AT linzhang comparisonofmetabolicsyndromeprevalenceandcharacteristicsusingfivedifferentdefinitionsinchinaapopulationbasedretrospectivestudy |