OBJECTIVETo compare the applicative effect of four diagnostic criteria of metabolic syndrome (MS) among the urban adult population of Zhejiang Province.

METHODSAccording to multi-stage stratified and proportional to size, cluster, random sampling principle, 3 417 adults population at urban areas were extracted by random number method from 320 families of Shangcheng and Jianggan community in Hangzhou,Jiangdong community in Ningbo and Wucheng community in Jinhua in 2009 and 2010 respectively, which excluded pregnant, wet nurse, children, and those who were at least 18 years of age. Height, weight, waist, blood pressure, fasting plasma glucose (FBG) , 2-hour postprandial blood glucose (2h-PBG), TG and HDL-C of all the subjects were measured by standard method. MS was diagnosed and compared according to four diagnostic criteria:Chinese Medical Association Diabetic Society (CDS), Joint Committee for Developing Chinese Guidelines (JCDCG), American National Cholesterol Education Program Adult Treatment PaneI II in 2005 (ATPIII) and International Diabetes Federation (IDF), respectively.

RESULTSThe high prevalence of MS diagnosed by the criteria of ATPIII was 21.6% (737/3 417) , while the lowest prevalence diagnosed by CDS was 9.8% (335/3 417), the result of consistency check demonstrated the MS diagnostic criteria of ATPIII and IDF, ATPIII and JCDCG were in strong and the same accordance with the concordance rate, Kappa value was 0.75, while the consistency of the criteria of ATP III and CDS were in relatively weak agreement, Kappa value was 0.53; the detection result of MS abnormal components showed the highest proportion of having ≥ 3 risk factors was presented by ATPIII among subjects diagnosed as MS (100.0%) , meanwhile, the lowest proportion of having ≥ 3 risk factors was also found by ATPIII among those MS-free (0.8%) .

CONCLUSIONSThe criteria of ATPIII may have more sensitivity when screening MS and its abnormal components.However, it's limited to extrapolate the results from the cross-sectional survey to the total population.

Adult ; Blood Glucose ; Body Weight ; Body Weights and Measures ; Cholesterol ; Cross-Sectional Studies ; Diabetes Mellitus ; Diagnostic Techniques and Procedures ; Humans ; Metabolic Syndrome ; Prevalence ; Risk Factors ; Urban Population

Objective To investigate the effect of community diabetic prevented and treated by integrated traditional Chinese and western medicine based on TCM constitution identification. Methods There were 700 patients with diabetes aged 45 to 65 by cluster sampling in community, divided into two groups:experimental group and observation group. The observation group was treated with standardized management and treatment of diabetes. The experimental group was in addition to treated with standardized management and treatment of diabetes, but also given targeted Chinese medicine health guidance and intervention based on TCM Constitution identification. The research last for one year. To observe the fasting blood glucose, 2-hour postprandial blood glucose, glycosylated hemoglobin and diabetic symptoms scale of the two groups before and after intervention. Results The fasting blood glucose and 2-hour postprandial blood glucose had significant difference before and after the intervention (P<0.01), between the experimental and observation group (P=0.001, 0.014). It had significant differences between the two groups in postprandial 2 h blood glucose by analysed of interaction comparison (P=0.002). The scores of diabetic symptoms had significant difference before and after the intervention in different groups (P<0.01). And it also had significant differences in analysis of interaction comparison (P<0.01). Before and after the intervention of diabetes symptoms curative effect index difference was statistically significant (mann whitney U=-2.302, P=0.021). Conclusions Community diabetic prevented and treated by integrated traditional Chinese and western medicine based on TCM constitution identification plays a certain role in the control of blood sugar. It can effectively improve the patient's disease symptoms. While the mechanism still need further study.