scholarly journals Temporal trends in the prevalence of metabolic syndrome among middle-aged and elderly adults from 2011 to 2015 in China: the China health and retirement longitudinal study (CHARLS)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bo Liu ◽  
Guanqun Chen ◽  
Ruijie Zhao ◽  
Dan Huang ◽  
Lixin Tao
Keyword(s):  
Metabolic Syndrome ◽  
Longitudinal Study ◽  
Urban Areas ◽  
Elderly Women ◽  
Temporal Trends ◽  
International Diabetes Federation ◽  
Temporal Changes ◽  
Blood Cholesterol ◽  
Elderly Adults ◽  
Middle Aged

Abstract Background Metabolic syndrome (MetS) is a major risk factor for cardiovascular diseases. The objective of the study was to evaluate the updated prevalence of MetS and provide a comprehensive illustration of the possible temporal changes in MetS prevalence in China from 2011 to 2015. Methods The data for this study are from the 2011 and 2015 waves of the China Health and Retirement Longitudinal Study (CHARLS). CHARLS is a nationally representative survey targeting populations aged 45 and above from 28 provinces in mainland China. A total of 11,847 and 13,013 participants were eligible for data analysis at the two time points. Results The estimated prevalence of MetS in 2015 was 20.41% (95% CI: 19.02–21.8%) by the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (ATP III) criteria, 34.77% (95% CI: 33.12–36.42%) by the International Diabetes Federation (IDF) criteria, 39.68% (95% CI: 37.88–41.47%) by the revised ATP III criteria, and 25.55% (95% CI: 24.19–26.91%) by the Chinese Diabetes Society (CDS) criteria. The prevalence was higher among women and elderly adults and in urban and northern populations. Furthermore, the trends in the prevalence decreased significantly between 2011 and 2015 by the ATP III, revised ATP III and CDS criteria. However, trends increased significantly from 2011 to 2015 by the IDF criteria. Conclusions A higher prevalence of MetS is found in those who reported being middle aged and elderly, women, residing in northern China or living in urban areas. Additionally, temporal changes in the prevalence of MetS varied according to different criteria. Increased attention to the causes associated with populations who have higher levels of MetS is warranted.

scholarly journals Temporal Trends in the Prevalence of Metabolic Syndrome among Middle-aged and Elderly adults from 2011 to 2015 in China: The China Health and Retirement Longitudinal Study (CHARLS)

2020 ◽  
Author(s):  
Bo Liu ◽  
Guanqun Chen ◽  
Ruijie Zhao ◽  
Dan Huang ◽  
Lixin Tao
Keyword(s):  
Metabolic Syndrome ◽  
Longitudinal Study ◽  
Urban Areas ◽  
Elderly Women ◽  
Temporal Trends ◽  
Mainland China ◽  
International Diabetes Federation ◽  
Temporal Changes ◽  
Elderly Adults ◽  
Nationally Representative

Abstract Background: Metabolic syndrome (MetS) is a major risk factor for cardiovascular diseases. The objective of the study was to evaluate the updated prevalence of MetS and provide a comprehensive illustration of the possible temporal changes in MetS prevalence in China from 2011 to 2015.Methods: The data for this study are from the 2011 and 2015 waves of the China Health and Retirement Longitudinal Study (CHARLS). CHARLS is a nationally representative survey targeting populations aged 45 and above from 28 provinces in mainland China. A total of 11847 and 13013 participants were eligible for data analysis at the two time points.Results: The estimated prevalence of MetS in 2015 was 20.41% (95% CI: 19.02%-21.8%) by the ATP III criteria, 34.77% (95% CI: 33.12%-36.42%) by the International Diabetes Federation (IDF) criteria, 39.68% (95% CI: 37.88%-41.47%) by the revised ATP III criteria, and 25.55% (95% CI: 24.19%-26.91%) by the Chinese Diabetes Society (CDS) criteria. The prevalence was higher among women and elderly adults and in urban and northern populations. Furthermore, the trends in the prevalence decreased significantly between 2011 and 2015 by the ATP III, revised ATP III and CDS criteria. However, trends increased significantly from 2011 to 2015 by the IDF criteria.Conclusions: In China, elderly women living in northern urban areas should receive more attention. Notably, temporal changes in the prevalence of MetS varied somewhat according to different criteria.

scholarly journals Prevalence of metabolic syndrome among middle-aged and elderly adults in China: current status and temporal trends

2018 ◽  
Vol 50 (4) ◽  
pp. 345-353 ◽  
Author(s):  
Wenzhen Li ◽  
Fujian Song ◽  
Xiaojun Wang ◽  
Longde Wang ◽  
Dongming Wang ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Temporal Trends ◽  
Current Status ◽  
Elderly Adults ◽  
Middle Aged

scholarly journals Prevalence and Associated Factors of Metabolic Syndrome in Chinese Middle-Aged and Elderly Population: A Nationally Cross-Sectional Study

2021 ◽  
Author(s):  
Yang Xiong ◽  
Yangchang Zhang ◽  
Song Wen ◽  
Feng Qin ◽  
Jiuhong Yuan
Keyword(s):  
Metabolic Syndrome ◽  
Logistic Regression ◽  
Rural Areas ◽  
Urban Areas ◽  
Associated Factors ◽  
Elderly Population ◽  
Age Groups ◽  
International Diabetes Federation ◽  
High Risk Population ◽  
Middle Aged

Abstract Background: Currently, China has an increasingly aging population. However, the prevalence of metabolic syndrome (MetS) in this high-risk population for metabolic diseases remains unknown. To investigate the age and gender specific prevalence and associated factors of MetS in Chinese middle-aged and elderly population, we did the study on it. Methods: Data were retrieved from China Health and Retirement Longitudinal Study (CHARLS) and subjected to descriptive statistics. Further, univariate logistic regression was used to evaluate the relevant factors, and then multivariate logistic regression was selected to construct the final model. Results: In present study, a total of 10,834 participants were included. The overall prevalence of MetS was 32.97% as defined by International Diabetes Federation and 29.75% under National Cholesterol Education Program - The Adult Treatment Panel III criteria. With aging, prevalence of MetS descended in males, while ascended in females. In the >70 years old group, the prevalence of MetS was three times higher in females than that in males (50.43% versus 16.03%). Across all age groups and sexes, the prevalence of MetS in urban areas was significantly higher than in rural areas. In addition, regardless of gender, the prevalence was highest for those living in the north region (28.41% for males & 51.74% for females) and lowest for those living in the southwest region (13.91% for males & 31.58% for females). Finally, two specific correlates, afternoon nap and blood urea nitrogen (BUN), were identified in present study (P < 0.05). Conclusion: The prevalence of MetS varied in different age groups, sexes, living areas and regions and was associated with afternoon nap and BUN.

scholarly journals Trends and Inequalities in the Incidence of Acute Myocardial Infarction among Beijing Townships, 2007–2018

2021 ◽  
Vol 18 (23) ◽  
pp. 12276
Author(s):  
Jie Chang ◽  
Qiuju Deng ◽  
Moning Guo ◽  
Majid Ezzati ◽  
Jill Baumgartner ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Urban Areas ◽  
Disease Surveillance ◽  
Temporal Trends ◽  
Relative Increase ◽  
Mitigation Strategies ◽  
Middle Aged ◽  
Geographic Variations ◽  
Cross Sectional

Acute myocardial infarction (AMI) poses a serious disease burden in China, but studies on small-area characteristics of AMI incidence are lacking. We therefore examined temporal trends and geographic variations in AMI incidence at the township level in Beijing. In this cross-sectional analysis, 259,830 AMI events during 2007–2018 from the Beijing Cardiovascular Disease Surveillance System were included. We estimated AMI incidence for 307 consistent townships during consecutive 3-year periods with a Bayesian spatial model. From 2007 to 2018, the median AMI incidence in townships increased from 216.3 to 231.6 per 100,000, with a greater relative increase in young and middle-aged males (35–49 years: 54.2%; 50–64 years: 33.2%). The most pronounced increases in the relative inequalities was observed among young residents (2.1 to 2.8 for males and 2.8 to 3.4 for females). Townships with high rates and larger relative increases were primarily located in Beijing’s northeastern and southwestern peri-urban areas. However, large increases among young and middle-aged males were observed throughout peri-urban areas. AMI incidence and their changes over time varied substantially at the township level in Beijing, especially among young adults. Targeted mitigation strategies are required for high-risk populations and areas to reduce health disparities across Beijing.

Abstract T P139: Rising Rates of the Metabolic Syndrome Among Stroke Survivors in the United States

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Michael McManus ◽  
Daniela Markovic ◽  
Natalie Valle ◽  
Bruce Ovbiagele ◽  
Amytis Towfighi
Keyword(s):  
United States ◽  
Metabolic Syndrome ◽  
Stroke Risk ◽  
Recurrent Stroke ◽  
Temporal Trends ◽  
The United States ◽  
Self Report ◽  
Stroke Survivors ◽  
Middle Aged ◽  
The Metabolic Syndrome

BACKGROUND: Metabolic syndrome (MetS), a constellation of cardiometabolic risk factors clustering together, affects >47 million US adults and has been independently linked to primary and recurrent stroke risk. Prevalence and trends in MetS among stroke survivors in the United States are unknown. OBJECTIVES: To evaluate recent temporal trends in age and sex-specific MetS prevalence among adults with/without stroke in the US. METHODS: Prevalence of MetS was assessed among fasting adults ≥35 years who participated in National Health and Nutrition Examination Surveys 1999-2010 (n=9,343). Prevalence estimates were weighted to obtain nationally representative estimates (n=430,371,669). MetS was defined by the 2009 harmonized definition. Stroke was determined by self-report. RESULTS: In all groups except men 35-64 years, MetS prevalence was similar among adults with and without stroke in 1999-2002 (Table). MetS prevalence rates were flat from 1999 to 2010 among those without stroke, but increased among stroke survivors, such that up to 80% of men and 86% of women with stroke had MetS, with the greatest rise among the middle-aged. Stroke survivors aged 35-64 years were ~3 times more likely to have MetS than their counterparts without stroke (OR 3.24, 95% CI 1.60-6.55 for men and OR 2.55, 95% CI 1.45-4.50 for women). DISCUSSION: Due to a differential rise in MetS in stroke survivors over the last 10 years, as many as 9 out of 10 stroke survivors now have MetS, suggesting that Mets may increasingly be placing people at risk for stroke. Intensified efforts aimed at identifying and treating MetS, especially among middle-aged individuals, may be warranted to avert stroke risk.

Serum gamma glutamyltransferase as a marker of metabolic syndrome and coronary disease likelihood in nondiabetic middle-aged and elderly adults

2006 ◽  
Vol 43 (2) ◽  
pp. 136-139 ◽  
Author(s):  
Altan Onat ◽  
Gülay Hergenç ◽  
Ahmet Karabulut ◽  
Serdar Türkmen ◽  
Yüksel Doğan ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Coronary Disease ◽  
Elderly Adults ◽  
Middle Aged ◽  
Gamma Glutamyltransferase

Dietary Glycemic Index and Glycemic Load Are Positively Associated with Risk of Developing Metabolic Syndrome in Middle-Aged and Elderly Adults

2015 ◽  
Vol 63 (10) ◽  
pp. 1991-2000 ◽  
Author(s):  
Martí Juanola-Falgarona ◽  
Jordi Salas-Salvadó ◽  
Pilar Buil-Cosiales ◽  
Dolores Corella ◽  
Ramón Estruch ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Glycemic Index ◽  
Glycemic Load ◽  
Elderly Adults ◽  
Middle Aged ◽  
Dietary Glycemic Index

scholarly journals Association of postprandial and fasting triglycerides with traits of the metabolic syndrome in the Metabolic Intervention Cohort Kiel

2010 ◽  
Vol 162 (4) ◽  
pp. 719-727 ◽  
Author(s):  
Diana Rubin ◽  
Ulf Helwig ◽  
Michael Nothnagel ◽  
Ulrich R Fölsch ◽  
Stefan Schreiber ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Lipid Metabolism ◽  
Cell Function ◽  
International Diabetes Federation ◽  
Tolerance Test ◽  
Oral Glucose ◽  
Middle Aged ◽  
The Metabolic Syndrome ◽  
Β Cell Function ◽  
Design And Methods

ObjectivePostprandial (pp) lipid metabolism is associated with insulin resistance and type 2 diabetes. In young men, pp triglycerides (TGs) are more strongly associated with traits of metabolic syndrome (MS) than fasting TGs. We established a cohort of middle-aged men selected for traits of MS and pp lipid metabolism to determine if fasting TGs or pp TGs are more closely related to MS.Research design and methodsA total of 1558 men were characterized for MS. A total of 755 men underwent an oral metabolic tolerance test consisting of a standardized high-fat meal and an oral glucose tolerance test. Blood samples were drawn in the fasting state and hourly until 9 h to determine pp TGs and free fatty acids. Glucose and insulin were analyzed until 5 h pp.ResultsIn the overall cohort, 329 subjects (21.1%) had a complete MS based on the Adult Treatment Panel III criteria, and 650 subjects (41.7%) had a complete MS based on the International Diabetes Federation criteria. The association of pp TGs with MS parameters was not stronger than the association of fasting TGs with them. Pp TGs were independently associated with β-cell function.ConclusionsPp TGs did not show a higher correlation with MS traits than fasting TGs. This finding is probably due to the high incidence of overweight subjects in this middle-aged cohort.

scholarly journals Prevalence and Associated Factors of Compliance Behaviors among Middle-Aged and Older Hypertensive Patients in China: Results from the China Health and Retirement Longitudinal Study

2020 ◽  
Vol 17 (19) ◽  
pp. 7341
Author(s):  
Jianjian Liu ◽  
Ying Yang ◽  
Jiayi Zhou ◽  
Tianyu Liu ◽  
Wenjie Zhang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Longitudinal Study ◽  
Urban Areas ◽  
Associated Factors ◽  
Medication Compliance ◽  
Blood Pressure Monitoring ◽  
Pressure Monitoring ◽  
Middle Aged ◽  
Hypertensive Patients ◽  
Overweight Or Obesity

Partial or total non-adherence has been recognized as major issues in the long-term management of hypertension. This study aims to investigate the prevalence and associated factors of compliance behaviors among Chinese middle-aged and older hypertensive patients. A sample of 6308 hypertensive patients aged ≥45 years was obtained from the 2015 China Health and Retirement Longitudinal Study (CHARLS) data. Two compliance behaviors were involved including medication and blood pressure monitoring. Stratified binary logistic regression analysis was employed to examine the associated factors. 77.2% of the participants reported medication compliance, and 40.7% complied with blood pressure monitoring. Better medication compliance associated with older age, overweight or obesity, one or ≥3 complications, no drinking, living in urban areas, and health education. Better blood pressure monitoring compliance associated with older age, overweight or obesity, ≥3 complications, normal activities of daily living (ADL), no smoking, sleep duration of 6–8 h, better cognitive function, living in urban areas, education level of middle school or above, and health education. Chinese middle-aged and older hypertensive patients experienced unoptimistic compliance behaviors, especially for blood pressure monitoring. Special attention and targeted interventions are urgent for the high-risk population of poor compliance behaviors, such as rural individuals, low educational population, and younger hypertensive patients.

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