Du Zhi, Xing Liying, Liu Shuang, Jing Li, Tian Yuanmeng, Zhang Boqiang, Yan Han, Lin Min, Yu Shiwen, Sun Yingxian
Department of Cardiovascular Medicine, The First Hospital of China Medical University, Shenyang, Liaoning110001, People's Republic of China.
Disease Control and Prevention of Liaoning Province, Shenyang, Liaoning110001, People's Republic of China.
Public Health Nutr. 2020 Dec;23(18):3379-3386. doi: 10.1017/S1368980019004166. Epub 2020 Mar 23.
To gain more comprehensive understanding of metabolic syndrome (Mets) among in general Chinese population.
Cross-sectional study. Mets was defined by three widely accepted definitions including modified Adults Treatment Panel (ATP) III criteria, International Diabetes Federation (IDF) criteria and harmonized definition. Risk factors were evaluated by using multivariate logistic regression.
Nineteen rural villages in northeast China.
The survey was conducted in September 2017 and May 2018 on 10 926 individuals.
According to modified ATP III criteria, IDF criteria and harmonised definition, the overall prevalence of Mets was 41·3 % (95 % CI 40·3, 42·2), 34·2 % (95 % CI 33·2, 35·1) and 44·1 % (95 % CI 43·1, 45·1), respectively. Females had a higher prevalence, and elevated blood pressure was the most frequent. Age, female sex, non-peasant worker, higher BMI and lower-annual income were independent risk factors of Mets in all three definitions (all ps < 0·05). Based on modified ATP III criteria and harmonised definition, heavy drinking was positively correlated with Mets. In contrast, former drinking was inversely associated with Mets.
Mets is highly prevalent in rural areas of northeast China. Its independent risk factors include higher age, female sex, non-peasantry worker, higher BMI and lower-annual income. Modified ATP III criteria and harmonised definition may be superior definitions of Mets.
更全面地了解中国普通人群中的代谢综合征（Mets）。
横断面研究。Mets由三种广泛接受的定义确定，包括修改后的成人治疗小组（ATP）III标准、国际糖尿病联盟（IDF）标准和统一定义。通过多变量逻辑回归评估风险因素。
中国东北的19个农村村庄。
2017年9月和2018年5月对10926人进行了调查。
根据修改后的ATP III标准、IDF标准和统一定义，Mets的总体患病率分别为41.3%（95%CI 40.3，42.2）、34.2%（95%CI 33.2，35.1）和44.1%（95%CI 43.1，45.1）。女性患病率更高，且血压升高最为常见。年龄、女性、非农民工、较高的体重指数（BMI）和较低的年收入是所有三种定义中Mets的独立危险因素（所有p<0.05）。根据修改后的ATP III标准和统一定义，大量饮酒与Mets呈正相关。相比之下，既往饮酒与Mets呈负相关。
Mets在中国东北农村地区高度流行。其独立危险因素包括年龄较大、女性、非农民、较高的BMI和较低的年收入。修改后的ATP III标准和统一定义可能是Mets的更优定义。
