The association between prevalence of cardio-cerebro vascular diseases and metabolic syndrome defined by different diagnostic criteria in middle and aged people
10.3760/cma.j.issn.0254-9026.2011.10.023
- VernacularTitle:不同代谢综合征诊断标准与中老年人心脑血管病患病率分析
- Author:
Zichen WANG
;
Xianghua FANG
;
Zhe TANG
;
Xunming JI
;
Xiaoguang WU
;
Hongjun LIU
;
Shaochen GUAN
;
Fei SUN
;
Lijun DIAO
;
Ming FENG
- Publication Type:Journal Article
- Keywords:
Metabolic syndrome X;
Stroke;
Coronary disease
- From:
Chinese Journal of Geriatrics
2011;30(10):871-875
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the association of prevalence of cardio-cerebro vascular diseases (CCVD) with metabolic syndrome (MS) defined by different criteria in middle and aged people.Methods A cross-section survey was conducted among 1458 people aged 55 years and over in urban and rural areas of Beijing in 2009.MS definitions by World Health Organization (WHO),National Cholesterol Education Program-Adult Treatment Panel Ⅲ (NCEP-ATP Ⅲ ) revised,international diabetes mellitus (IDF) and Chinese Diabetes Society (CDS) were applied to analyze the association MS with the prevalence of CCVD.Results The risks of CCVD were all significantly higher in patients with MS than with non-MS using 4 definitions of MS.The definitions of WHO and CDS showed well agreement with the prevalence of CCVD.OR values of MS for CCVD were 2.14 folds (95％ CI:1.59-2.87) for WHO definition and 1.91 folds (95％ CI:1.43-2.55) for CDS definition,while OR values of MS for CCVD were 1.68 folds (95％ CI:1.32-2.15) for NCEP-ATPⅢ definition and 1.64 folds (95％ CI:1.26-2.13) for IDF definition as compared to non-MS,respectively.After adjustment for age,sex,region,history of smoking and alcohol drinking,the OR values in above four definitions were 1.91,1.88,1.67 and 1.80,respectively.The OR value of MS was highest for stroke by CDS definition and highest for coronary heart disease by WHO definition.Conclusions MS values defined by WHO and CDS are the optimal index of prevalence for CCVD in middle and aged people.
