Diabetes, Metabolic Syndrome and Obesity (Dec 2020)
Prevalence and Correlation of Metabolic Syndrome: A Cross-Sectional Study of Nearly 10 Million Multi-Ethnic Chinese Adults
Abstract
Yinxia Su,1,2,* Yaoqin Lu,1,3,* Wenli Li,1,* Mingyue Xue,2,4 Chen Chen,5 Muyaseer Haireti,1 Yuanyuan Li,1 Zhenhui Liu,6 Yanshi Liu,6 Shuxia Wang,2 Hua Yao2 1School of Public Health, Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China; 2Health Management Institute, Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China; 3Center of Disease Control and Prevention, Urumqi, Xinjiang, People’s Republic of China; 4The Fourth Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China; 5School of Biomedical Sciences, University of Queensland, Brisbane 4072, Australia; 6Department of Microrepair and Reconstruction, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People’s Republic of China*These authors contributed equally to this workCorrespondence: Hua Yao; Shuxia Wang Email [email protected]; [email protected]: This study aimed to examine the prevalence and correlates of metabolic syndrome (MetS) in multi-ethnic populations of Northwest China based on Large-scale provincial health checking data.Patients and Methods: A total of 9,745,640 Chinese aged ≥ 18 years in Xinjiang, the largest autonomous region of multi-ethnic in China, were enrolled from Feb. to Sep. 2019. MetS was defined by modified Adult Treatment Panel (ATP III) criteria.Results: The overall prevalence of MetS was 20.85% [Sex: 20.06% female, 21.56% male; Age: 39.22% 60-years and above, 26.32% 40- to 59-years and 9.56% 18- to 39-years; Ethnicity: 28.19% Hui followed by Han (26.39%), Uyghur (18.56%), Other (18.61%), Kazak (17.98%), Mongolian (17.87%), Kyrgyz (14.44%)]. People living in cities and towns (23.03%) or North (24.78%) had higher prevalence of MetS than rural (19.94%) and South (17.66%). Although the prevalence of hypertension, smoking, drinking and lack of physical activity were higher in Kyrgyz, Mongolian and Kazak than those of other ethnic groups, the risk of MetS was lower.Conclusion: The results indicated that a high prevalence of MetS in Hui and Han groups and people living in cities and towns. Living in North Xinjiang and elder population tend to have higher prevalence of MetS. The prevention and management of MetS in these populations should be prioritized.Keywords: metabolic syndrome; MetS, Chinese, ethnic groups, adults, prevalence