Abstract
Aims This study aimed to understand the characteristics of metabolic syndrome (MetS) in populations (especially females) over 50 years old in Xi’an, China, to avail adjusting prevention strategies in similar regions. Methods 3001 people were included, based on data from “Xi'an Community-Based Management of Diabetes in the Elderly”. The prevalence rate was calculated and analyzed stratifying by gender, age and geography. Results The overall prevalence rates for males and females were 41.9±8.3% and 41.4±11.3% according to 2019 Chinese Diabetes Society diagnosis criteria, 32.0±9.0% and 49.7±9.8% according to International Diabetes Federation diagnosis criteria. The prevalence increased with age in females, but not in males. The prevalence of MetS, as well as abdominal obesity and hypertension, was higher in rural females than in urban and suburban females. Logistic regression analysis showed the risk factors included age, premature menopause, low family income and education level, sedentary time >9 hours/day, weight-gain, and family history of hypertension. Conclusions In Xi'an, China, under the current social-economic conditions, the prevalence of MetS in females over 50 years of age stands higher level than that in males, and the prevalence in rural females is higher than that in urban and suburban females, which deserves more attention.
Metabolic syndrome: comparison of diagnosis criteria