Liu Y, Huang J, Xu G, He S, Zhang J, Wang X, Cai H, Shen Y
Yi Shen, Department of Epidemiology and Medical Statistics, Nantong University, Nantong, Jiangsu, China 226019 E-mail:
J Nutr Health Aging. 2016;20(5):574-82. doi: 10.1007/s12603-015-0615-8.
The aim of this study was to estimate MS prevalence according to three criteria and its risk factors among men in rural China.
Cross-sectional study.
The Nantong Metabolic Syndrome Study (NMSS) was conducted during 2007-2008 in Nantong, China.
6997 male participants aged 18-74 years.
In person interviews, blood glucose and lipid measurements were accomplished.
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.
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.
本研究旨在根据三种标准评估中国农村男性人群代谢综合征（MS）的患病率及其危险因素。
横断面研究。
南通代谢综合征研究（NMSS）于2007年至2008年在中国南通开展。
6997名年龄在18 - 74岁的男性参与者。
进行了面对面访谈，并完成了血糖和血脂测量。
根据国际糖尿病联盟（IDF）、美国国家胆固醇教育计划成人治疗组第三次报告（ATPIII）和ATPIII修改标准，MS的患病率分别为12.86%、8.55%和15.28%。IDF与ATPIII修改标准与ATPIII标准的一致性仅为中等程度（κ分别为0.56和0.68），而ATPIII修改标准与IDF标准一致性良好（κ = 0.90）。剧烈的职业体力活动与MS低患病率相关，比值比（OR）为0.58（95%置信区间（CI）：0.45 - 0.74）。与不饮酒者相比，饮用啤酒（酒精摄入量≤6.2克/天）和饮用米酒（酒精摄入量≤9.0克/天）的男性患MS的风险分别低约34%和33%。与无至少两种疾病（包括高血压和糖尿病）家族史的男性相比，有至少两种疾病家族史的男性患MS的OR为1.95（95%CI：1.39 - 2.73）。
我们的数据表明，MS在中国农村男性中高度流行。糖尿病和高血压家族史是MS发生的一个危险因素。体力活动、米酒和啤酒消费与显著较低的风险相关。
