title: Prevalence of metabolic syndrome and its risk factors among rural adults in Nantong, China.
abstract: The prevalence of metabolic syndrome (MS) varies worldwide due to genetic and environmental factors. A population-based cross-sectional study, with 37,582 participants recruited in Nantong, China in 2007-2008 (stage I) and 2013 (stage II). Socio-demographic, lifestyle factors, disease history and fasting blood sample were collected. The prevalence of MS was much higher in 2013 (42.6%) than that in 2007-2008 (21.6%), which was significantly higher in older people in both stages. Participants with two or more familial history of diseases were associated with a higher MS prevalence compared to those who didn't have familial history of diseases. Total physical activity (PA) was associated with 24 and 19% decreased risk of MS in men and women. Occupational PA in moderate and vigorous intensity was associated with a 25%-45% decreased risk of MS. Female smokers who smoked more than 10 cigarettes per day or over 25 years were associated with 96 and 74% increased MS risk, respectively. The highest quartile of rice wine consumption was associated with a lower risk of MS with OR of 0.63 in women, compared with female non-drinkers. These findings indicated that PA and rice wine are two protective factors in MS prevention in rural areas of East China.
authors.affiliation: Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Nantong, Jiangsu, P.R. China.
authors.forename: Jing
authors.initials: J
authors.lastname: Xiao
authors.affiliation: Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Nantong, Jiangsu, P.R. China.
authors.forename: Chuan-Li
authors.initials: CL
authors.lastname: Wu
authors.affiliation: Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Nantong, Jiangsu, P.R. China.
authors.forename: Yue-Xia
authors.initials: YX
authors.lastname: Gao
authors.affiliation: Rugao Center for Diseases Prevention and Control, Nantong, Jiangsu, P.R. China.
authors.forename: Shu-Lan
authors.initials: SL
authors.lastname: Wang
authors.affiliation: Rugao Center for Diseases Prevention and Control, Nantong, Jiangsu, P.R. China.
authors.forename: Lei
authors.initials: L
authors.lastname: Wang
authors.affiliation: Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Nantong, Jiangsu, P.R. China.
authors.forename: Qing-Yun
authors.initials: QY
authors.lastname: Lu
authors.affiliation: Department of Chronic Disease and Prevention, Center for Disease Control and Prevention of Haian, Nantong, Jiangsu, P.R. China.
authors.forename: Xiao-Jian
authors.initials: XJ
authors.lastname: Wang
authors.affiliation: Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Nantong, Jiangsu, P.R. China.
authors.forename: Tian-Qi
authors.initials: TQ
authors.lastname: Hua
authors.affiliation: Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Nantong, Jiangsu, P.R. China.
authors.forename: Huan
authors.initials: H
authors.lastname: Shen
authors.affiliation: Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Nantong, Jiangsu, P.R. China.|Division of Epidemiology, Vanderbilt University Medical Center, 2525 West End Avenue, 6th floor, Nashville, TN, 37203-1738, USA.
authors.forename: Hui
authors.initials: H
authors.lastname: Cai
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking; D002681:China / Q000453:epidemiology; D015444:Exercise; D005260:Female; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology* / Q000503:physiopathology; D008875:Middle Aged; D015995:Prevalence; D012424:Rural Population