Epidemiological characteristics and comparison of three diagnostic criteria on metabolic syndrome in adult residents of Zhejiang Province
10.3760/cma.j.cn311282-20221010-00571
- VernacularTitle:浙江省成年居民代谢综合征流行特征及三种不同诊断标准的对比研究
- Author:
Yunqi GUAN
1
;
Ruying HU
;
Minbin LIANG
;
Hao WANG
;
Weiwei GONG
;
Jin PAN
;
Xiaoyan ZHOU
;
Pinyuan DAI
;
Na LI
;
Jieming ZHONG
Author Information
1. 浙江省疾病预防控制中心慢性非传染性疾病预防控制所，杭州 310051
- Keywords:
Metabolic syndrome;
Diagnostic criteria;
Epidemiological characteristics
- From:
Chinese Journal of Endocrinology and Metabolism
2023;39(11):928-936
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the epidemiological characteristics of metabolic syndrome(MetS) among adult residents in Zhejiang Province and compare three diagnostic criteria in adult residents.Methods:In this cross-sectisnal study participants were randomly chosen using multi-stage stratified cluster sampling method from 10 national chronic disease risk factor monitoring sites in Zhejiang Province of the 2018 China Chronic Disease and Risk Factors Surveillance Project. Demographics and information on chronic disease prevalence were obtained through questionnaire, physical measurements, and laboratory. After complex weighting of the data, an analysis and comparison of the prevalence of MetS under different diagnostic criteria among adult residents in Zhejiang Province was conducted.Results:A total of 5 369 adult residents were included, 2 411 males and 2 958 females. The prevalence of MetS using JIS, CDS and IDF diagnostic criteria was 33.62%, 25.32%, and 24.25%, respectively. The consistency rate between IDF and JIS was the highest(89.11%) and the Kappa value was 0.768( P<0.001). The consistency rate between IDF and CDS diagnostic criteria was 84.53%, and the Kappa value was 0.631( P<0.001). The consistency rate between JIS and CDS was the lowest(83.17%), and the Kappa value was 0.621( P<0.001). Under CDS diagnostic criteria, the prevalence of MetS was associated to gender, marital status, smoking and drinking. Conclusion:The prevalence of MetS is at a relatively high level among adult residents in Zhejiang province. The consistency between IDF and JIS diagnostic criteria is the highest. Screening for MetS should be strengthened to detect high-risk individuals early, reduce the risk of cardiovascular and cerebrovascular diseases and diabetes, and improve the quality of life of residents.
