Dataset Information

Comparison of the Prevalence of Metabolic Disease Between Two Types of Urbanization in China.

ABSTRACT: Objective: China is experiencing the world's largest urbanization. There are two primary types of urbanization in China: rural-to-urban migration and in situ urbanization, represented by Zhejiang Shangyu (SY) and Jiangsu Nanjing (NJ), respectively. Our aim is to compare changes in the prevalence of metabolic disease between these two types of urbanization in China. Methods: This is a cross-sectional study derived from the SPECT-China 2014 study. This study includes subjects and metabolic parameters from SY and NJ. Furthermore, biochemical and anthropometric indexes were taken into consideration and compared between the areas of interest. Results: The prevalence rates of diabetes, prediabetes and healthy subjects were 6.5, 17.9, and 75.7% in SY and 16.0, 31.0, and 53.0% in NJ, respectively. Industrial and agricultural jobs accounted for 77.9% and 32.0% of employment in SY and NJ, respectively. Fasting plasma glucose (FPG) was higher in SY than in NJ; however, HbA1c was lower in SY than in NJ. There was a significant difference in nonalcoholic fatty liver disease (NAFLD) and healthy subjects between SY and NJ (P < 0.05). Significant differences were also found with respect to body mass index (BMI), waist circumference (WC) and hip circumference (HC) between these two locations (P < 0.001). Logistic regression analysis revealed that the prevalence of prediabetes, diabetes, overweight, obesity and dyslipidemia was higher in NJ than in SY. Conclusions: In situ urbanization has notably changed occupational distribution. The prevalence rates of diabetes, obesity, and NAFLD were increased in rapidly urbanized areas. Thus, more attention should be paid to rapidly urbanizing areas to reduce the prevalence of metabolic disease.

SUBMITTER: Han B

PROVIDER: S-EPMC6240687 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Comparison of the Prevalence of Metabolic Disease Between Two Types of Urbanization in China.

Han Bing B Chen Yi Y Cheng Jing J Li Qin Q Zhu Chunfang C Chen Yingchao Y Xia Fangzhen F Wang Ningjian N Lu Yingli Y

Frontiers in endocrinology 20181112

Objective: China is experiencing the world's largest urbanization. There are two primary types of urbanization in China: rural-to-urban migration and in situ urbanization, represented by Zhejiang Shangyu (SY) and Jiangsu Nanjing (NJ), respectively. Our aim is to compare changes in the prevalence of metabolic disease between these two types of urbanization in China. Methods: This is a cross-sectional study derived from the SPECT-China 2014 study. This study includes subjects ...[more]

PMID: 30483219

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Project description:The coordinated development of land urbanization and population urbanization is crucial for the advancement of new urbanization. The study applied the entropy weight method and coupling coordination degree model, taking Shaanxi-a province in China characterized by a moderate pace of economic development and volume, along with distinct geographic and demographic features within its region-as the subject. It assessed the coordination conditions of these two types of urbanization from both macro and micro scales during the years 2010-2022. Utilizing the Analytic Network Process (ANP), the study ranked and analyzed the causes of issues stemming from uneven development, thus connecting a crucial link from theoretical analysis to decision-making implementation. The results showed that: (1) The province's land urbanization index was between 0.075 and 0.203, whereas the population urbanization index ranged from 0.221 to 0.408, with the development of the former significantly lagging behind the latter. (2) The coupling degree between land and population urbanization ranged from 0.835 to 0.854, with a coordination degree between 0.148 and 0.306. This indicated that a close connection had been formed between the two, yet a benign coupling relationship had not been established, displaying a spatial distribution characterized by "high in the middle, low in the north and south". (3) The limitation on further urban expansion was identified as the primary issue to be addressed (with a weight of 0.324), followed by insufficient infrastructure (with a weight of 0.261). The extent of ecological environmental damage was comparatively lower (with a weight of 0.225), and the degree of social injustice was the lowest (with a weight of 0.191). Therefore, to alleviate the problems associated with the imbalanced development between land urbanization and population urbanization, measures such as optimizing land spatial layout, enhancing urban ecological service functions, and strengthening the central cities' radiating effect should be implemented.

Dataset Information

Comparison of the Prevalence of Metabolic Disease Between Two Types of Urbanization in China.

Publications

Comparison of the Prevalence of Metabolic Disease Between Two Types of Urbanization in China.

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