title: Visceral Adiposity and Anthropometric Indicators as Screening Tools of Metabolic Syndrome among Low Income Rural Adults in Xinjiang.
abstract: Most previous studies on metabolic syndrome (MetS) examined urban and high income settings. We thus investigated the prevalence of MetS among a multi-ethnic population living in a low income rural area and explored the use of visceral adiposity and anthropometric indicators to identify men and women with MetS. We recruited 10,029 individuals of nomadic Kazakhs, rural Uyghur and Han residents in Xinjiang, China. MetS was defined by the Joint Interim Statement criteria. The receiver operating characteristic curve (ROC) was used to compare the area under the ROC curve (AUC) of each index. The age-adjusted prevalence of MetS was 21.8%. The visceral adiposity index (VAI), lipid accumulation product (LAP), body adiposity index (BAI) and the waist-to-height ratio (WHtR) were significantly associated with MetS, independent of ethnic, age, and other covariates. The AUC of VAI, LAP and WHtR were all greater than 0.7, and the LAP was the index that most accurately identified MetS status in men (AUC = 0.853) and women (AUC = 0.817), with the optimal cut-offs of 34.7 and 27.3, respectively. In conclusion, the prevalence of MetS in low income rural adults of Xinjiang was high and the LAP was an effective indicator for the screening of MetS.
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.|Department of Pathology and Key Laboratory of Xinjiang Endemic and Ethnic Diseases (Ministry of Education), Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.
authors: Shu-Xia
authors: SX
authors: Guo
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.
authors: Xiang-Hui
authors: XH
authors: Zhang
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.
authors: Jing-Yu
authors: JY
authors: Zhang
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.
authors: Jia
authors: J
authors: He
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.
authors: Yi-Zhong
authors: YZ
authors: Yan
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.
authors: Jiao-Long
authors: JL
authors: Ma
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.
authors: Ru-Lin
authors: RL
authors: Ma
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.
authors: Heng
authors: H
authors: Guo
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.
authors: La-Ti
authors: LT
authors: Mu
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.
authors: Shu-Gang
authors: SG
authors: Li
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.
authors: Qiang
authors: Q
authors: Niu
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.
authors: Dong-Sheng
authors: DS
authors: Rui
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.
authors: Mei
authors: M
authors: Zhang
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.
authors: Jia-Ming
authors: JM
authors: Liu
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.
authors: Kui
authors: K
authors: Wang
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.
authors: Shang-Zhi
authors: SZ
authors: Xu
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.|Department of Nutritional Sciences, The Pennsylvania State University 109 Chandlee Lab, University Park, PA 16801, USA.
authors: Xiang
authors: X
authors: Gao
authors: Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang 832000, China.
authors: Yu-Song
authors: YS
authors: Ding
mesh_terms: D050154:Adiposity; D000328:Adult; D044466:Asian People; D002681:China / Q000453:epidemiology; D005260:Female; D006801:Humans; D050152:Intra-Abdominal Fat; D008297:Male; D008403:Mass Screening; D024821:Metabolic Syndrome / Q000453:epidemiology* / Q000473:pathology; D008875:Middle Aged; D012424:Rural Population; D012959:Socioeconomic Factors