Unknown

Dataset Information

0

Relationship between metabolic syndrome and its components and cardiovascular disease in middle-aged and elderly Chinese population: a national cross-sectional survey.


ABSTRACT:

Objectives

To assess the relationship between metabolic syndrome (MetS) and its components and cardiovascular disease (CVD) according to different criteria of MetS, as well as whether the estimated association between MetS and CVD was affected by different definitions of MetS among the Chinese population.

Design

Population-based, cross-sectional study.

Setting

Data were from a large-scale national stroke screening survey, China National Stroke Screening and Prevention Project.

Participants

A nationally representative sample of 109?551 Chinese adults aged ?40 years in 2014-2015 were included.

Primary outcome measures

CVD conditions (stroke, coronary heart disease (CHD) and atrial fibrillation (AF)) diagnosed by clinicians were self-reported.

Results

ORs after adjusting for CHD, stroke, AF and CVD in those with MetS using the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) criterion were 1.56 (95% CI 1.48 to 1.63), 1.23 (95% CI 1.17 to 1.30), 1.14 (95% CI 1.08 to 1.21) and 1.40 (95% CI 1.35 to 1.45); 1.51 (95% CI 1.44 to 1.58), 1.20 (95% CI 1.14 to 1.26), 1.09 (95% CI 1.04 to 1.15) and 1.34 (95% CI 1.29 to 1.38) with the American Heart Association/National Heart, Lung, and Blood Institute criterion; and 1.41 (95% CI 1.35 to 1.48), 1.24 (95% CI 1.19 to 1.30), 1.12 (95% CI 1.06 to 1.18) and 1.31 (95% CI 1.27 to 1.35) with the International Diabetes Federation criterion, respectively. Elevated blood pressures were all highly related to the prevalence of stroke and AF, and reduced high-density lipoprotein-cholesterol was associated with a higher OR for CHD than other individual components of MetS.

Conclusions

MetS is significantly associated with CVD, and the prevalence of CVD was more evident when MetS was defined according to the NCEP ATP III criterion. Developing effective public health strategies for the prevention, detection and treatment of MetS should be an urgent priority to reduce the burden of CVD in China.

SUBMITTER: Li W 

PROVIDER: S-EPMC6701700 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

altmetric image

Publications

Relationship between metabolic syndrome and its components and cardiovascular disease in middle-aged and elderly Chinese population: a national cross-sectional survey.

Li Wenzhen W   Song Fujian F   Wang Xiaojun X   Wang Dongming D   Chen Dajie D   Yue Wei W   Zhang Hong H   Wang Zhihong Z   Lu Zuxun Z  

BMJ open 20190818 8


<h4>Objectives</h4>To assess the relationship between metabolic syndrome (MetS) and its components and cardiovascular disease (CVD) according to different criteria of MetS, as well as whether the estimated association between MetS and CVD was affected by different definitions of MetS among the Chinese population.<h4>Design</h4>Population-based, cross-sectional study.<h4>Setting</h4>Data were from a large-scale national stroke screening survey, China National Stroke Screening and Prevention Proje  ...[more]

Similar Datasets

| S-EPMC9352989 | biostudies-literature
| S-EPMC10726610 | biostudies-literature
| S-EPMC4769752 | biostudies-literature
| S-EPMC4966974 | biostudies-literature
| S-EPMC10500359 | biostudies-literature
| S-EPMC6701650 | biostudies-literature
| S-EPMC6830829 | biostudies-literature
| S-EPMC9086621 | biostudies-literature
| S-EPMC6815568 | biostudies-literature
| S-EPMC10391837 | biostudies-literature