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Journal of Public Health

Erschienen in:

01.06.2011 | Original Article

Influence of central obesity on clustering of metabolic syndrome risk variables among normal-weight adults in a low-income rural Chinese population

verfasst von: Shiying Fu, Zelin Xiang, Yujuan Zhao, Lili Ling, Congju Wang, Jialiang Xu, Jingbo Zhao

Erschienen in: Journal of Public Health | Ausgabe 3/2011

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Abstract

Aim

This study aimed to examine the influence of central obesity on the clustering patterns of adverse levels of metabolic syndrome (MetS) risk variables among adults with normal weight in a low-income rural Chinese cohort.

Subject and methods

The study cohort consisted of 1,821 adults, aged 35–74 years. Central obesity was defined as a waist to height ratio ≥ 0.5 among adults with normal weight (body mass index = 18.5–24.9). MetS risk variables included blood pressure (BP), fasting triglycerides and glucose, and high-density lipoprotein cholesterol (HDL-C).

Results

Centrally obese subjects had significantly higher levels of all the MetS risk variables than those without central obesity. The central obesity group had a higher prevalence of MetS (clustering of three or more variables) than the control group (13.9 vs 5.8%, p < 0.001). Importantly, the cluster of high triglycerides, low HDL-C, and high BP showed the greatest difference (p < 0.001) between the two groups. In multivariable logistic regression analyses, adjusting for age, sex, smoking, and alcohol drinking, the centrally obese group vs the control group was 2.25 times more likely to have MetS (p < 0.01). Among the four types of three variable clusterings, central obesity was significantly associated with the cluster of high triglycerides, low HDL-C, and high BP (odds ratio = 3.51, p < 0.01).

Conclusion

These findings indicate that the central obesity detected by the waist to height ratio plays a pivotal role in the clustering of MetS risk variables among normal-weight Chinese adults, suggesting the importance of prevention of MetS by reducing central obesity in a population with a lower prevalence of obesity.

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Titel: Influence of central obesity on clustering of metabolic syndrome risk variables among normal-weight adults in a low-income rural Chinese population
verfasst von: Shiying Fu
Zelin Xiang
Yujuan Zhao
Lili Ling
Congju Wang
Jialiang Xu
Jingbo Zhao
Publikationsdatum: 01.06.2011
Verlag: Springer-Verlag
Erschienen in: Journal of Public Health / Ausgabe 3/2011
Print ISSN: 2198-1833
Elektronische ISSN: 1613-2238
DOI: https://doi.org/10.1007/s10389-010-0378-y

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Influence of central obesity on clustering of metabolic syndrome risk variables among normal-weight adults in a low-income rural Chinese population

Abstract

Aim

Subject and methods

Results

Conclusion

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

Aim

Subject and methods

Results

Conclusion

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