期刊论文详细信息
BMC Public Health
Men in Macau SAR have higher prevalence in metabolic syndrome and among related metabolic components: a cross-sectional Macau Health Survey
Ken Gu2  Chan Kin Wa5  Tong Ka Io4  Martin Wong1  Qian Xiang Lao1  Dulce Trindade4  Tanja Sobko3 
[1] School of Public Health and Primary Care, Faculty of medicine, The Chinese University of Hong Kong, Hong Kong, SAR, China;Health Sciences School, Macau Polytechnic Institute, Macau Special Administrative Region (SAR), China;Institute of Human Performance, The University of Hong Kong, Room 301, 3/F, 5 Sassoon Rd, Hong Kong, SAR, China;Association of Macau Portuguese Speaking Physicians, Macau Special Administrative Region (SAR), Macau, China;Laboratory of Civic and Municipal Affairs Bureau, Macau, SAR, China
关键词: Macau SAR;    South China;    Cardio-metabolic risk factors;    Obesity;    Overweight;   
Others  :  1126217
DOI  :  10.1186/1471-2458-14-1065
 received in 2014-05-22, accepted in 2014-10-03,  发布年份 2014
PDF
【 摘 要 】

Background

Macau has recently experienced expansive socioeconomic growth, leading to lifestyle changes that could have contributed to the development of certain diseases. Little information exists on the prevalence of metabolic syndrome (MetS) and associated risk factors. This information is important, since the management of MetS is tightly connected with prevention of cardiovascular diseases in the population.

Methods

This study is based on the cross-sectional Macau Health Survey 2006. Information on anthropometry, physical measurements, socio-demographics, laboratory tests and life-style habits was collected by trained health professionals from a random sub-population sample, aged 18-44 (32.6 ± 8.3). Body Mass Index (BMI) cut-offs were based on WHO criteria for Asian population. The prevalence of MetS, as defined by the International Diabetes Federation was calculated and the associated lifestyle factors were analysed.

Results

Among Macau’s adults (n = 1592), the age-adjusted prevalence of MetS was over two times higher in men (10.5%) than in woman (3.7%), (p <0.01). 15.8% were overweight (BMI ≥23 < 25) and 18.8% were obese (BMI ≥25). Man had significantly higher risk profile in almost all components of MetS (p <0.001), except the waist circumference and HDL. BMI, age and education were significantly related to MetS in both genders (p <0.001).

Conclusions

We found significant gender differences in MetS among the 18 – 44 year old population of Macau, which should be addressed separately in the gender-specific preventive strategies.

【 授权许可】

   
2014 Sobko et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150218095426539.pdf 219KB PDF download
Figure 1. 30KB Image download
【 图 表 】

Figure 1.

【 参考文献 】
  • [1]Isomaa B, Almgren P, Tuomi T, Forsen B, Lahti K, Nissen M, Taskinen MR, Groop L: Cardiovascular morbidity and mortality associated with the metabolic syndrome. Diabetes Care 2001, 24(4):683-689.
  • [2]Xu S, Gao B, Xing Y, Ming J, Bao J, Zhang Q, Wan Y, Ji Q, China National D, Metabolic Disorders Study G: Gender differences in the prevalence and development of metabolic syndrome in Chinese population with abdominal obesity. PloS One 2013, 8(10):e78270.
  • [3]Gu D, Reynolds K, Wu X, Chen J, Duan X, Reynolds RF, Whelton PK, He J: Prevalence of the metabolic syndrome and overweight among adults in China. Lancet 2005, 365(9468):1398-1405.
  • [4]Lao XQ, Zhang YH, Wong MC, Xu YJ, Xu HF, Nie SP, Ma WJ, Thomas GN, Yu IT: The prevalence of metabolic syndrome and cardiovascular risk factors in adults in southern China. BMC Public Health 2012, 12:64. BioMed Central Full Text
  • [5]Coats AJ, Shewan LG: Statement on authorship and publishing ethics in the international journal of cardiology. Int J Cardiol 2011, 153(3):239-240.
  • [6]Macao Health Survey 2006. 1st edition. China: Health Bureau, Government of Macao Special Administrative Region; 2008.
  • [7]Statistics NCHS: Plan and operation of the Third National Health and Nutrition Examination Survey, 1988 ± 1994. In Vital Health statistics. Volume 32. Hyaftsville, Maryland: National Center for Health Statistics; 1(32), US: 1994. http://www.nber.org/nhanes/nhanes-III/docs/nchs/manuals/planop.pdf webcite
  • [8]International Wellbeing Group (2006): Personal Wellbeing Index- Adult (Cantonese). Melbourne, Australia: Australian Centre on Quality of Life Deakin University; 2006.
  • [9]Population Health Survey 2003/2004. Hong Kong: Department of Health, Hong Kong Government; 2005. http://www.chp.gov.hk/files/pdf/report_on_population_health_survey_2003_2004_en.pdf webcite
  • [10]National Population Health Survey 1994–1995. Catalogue no. 82F0001XCB. Ottawa, Ontario, Canada: Division HS; 1995. http://www.statcan.gc.ca/pub/82f0068x/4198604-eng.pdf webcite
  • [11]WHO Expert Consultation: Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004, 363(9403):157-163.
  • [12]Oda E: Metabolic syndrome: its history, mechanisms, and limitations. Acta Diabetol 2012, 49(2):89-95.
  • [13]Alberti KG, Zimmet P, Shaw J: Metabolic syndrome–a new world-wide definition. A Consensus Statement from the International Diabetes Federation. Diabet Med 2006, 23(5):469-480.
  • [14]Smith SC Jr, Allen J, Blair SN, Bonow RO, Brass LM, Fonarow GC, Grundy SM, Hiratzka L, Jones D, Krumholz HM, Mosca L, Pasternak RC, Pearson T, Pfeffer MA, Taubert KA: AHA/ACC guidelines for secondary prevention for patients with coronary and other atherosclerotic vascular disease: 2006 update: endorsed by the National Heart, Lung, and Blood Institute. Circulation 2006, 113(19):2363-2372.
  • [15]Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P: International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003, 35(8):1381-1395.
  • [16]Washington RL: Evidence-based medicine and the obesogenic environment. J Pediatr 2006, 149(1):5-6.
  • [17]Asian Development Bank: An Asian Development Bank (ADB): Macao ranks 3rd in per capita GDP in Asia-Pacific. International Comparison program 2005-Preliminary Results. ICP Global Office, Asian Development Bank (ADB); 2007. http://www.adb.org/data/icp/icp-2005-outputs webcite
  • [18]Zhan Y, Yu J, Chen R, Gao J, Ding R, Fu Y, Zhang L, Hu D: Socioeconomic status and metabolic syndrome in the general population of China: a cross-sectional study. BMC Public Health 2012, 12:921. BioMed Central Full Text
  • [19]Park HS, Oh SW, Cho SI, Choi WH, Kim YS: The metabolic syndrome and associated lifestyle factors among South Korean adults. Int J Epidemiol 2004, 33(2):328-336.
  • [20]Yoo EG, Park SS, Oh SW, Nam GB, Park MJ: Strong parent-offspring association of metabolic syndrome in Korean families. Diabetes Care 2012, 35(2):293-295.
  • [21]Polotsky HN, Polotsky AJ: Metabolic implications of menopause. Semin Reprod Med 2010, 28(5):426-434.
  • [22]Hwang LC, Bai CH, Chen CJ, Chien KL: Gender difference on the development of metabolic syndrome: a population-based study in Taiwan. Eur J Epidemiol 2007, 22(12):899-906.
  • [23]Cheng TO: Cardiology in contemporary China: an update. Int J Cardiol 2008, 126(2):147-159.
  • [24]Zhao Y, Yan H, Marshall RJ, Dang S, Yang R, Li Q, Qin X: Trends in population blood pressure and prevalence, awareness, treatment, and control of hypertension among middle-aged and older adults in a rural area of Northwest China from 1982 to 2010. PLoS One 2013, 8:e 61779.
  • [25]Thompson PD, Buchner D, Pina IL, Balady GJ, Williams MA, Marcus BH, Berra K, Blair SN, Costa F, Franklin B, Fletcher GF, Gordon NF, Pate RR, Rodriguez BL, Yancey AK, Wenger NK: Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity). Circulation 2003, 107:3109-3116.
  • [26]He Y, Li Y, Lai J, Wang D, Zhang J, Fu P, Yang X, Qi L: Dietary patterns as compared with physical activity in relation to metabolic syndrome among Chinese adults. Nutr Metab Cardiovasc Dis 2012, 23:920-928.
  文献评价指标  
  下载次数:31次 浏览次数:5次