Journal of Community Nutrition

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Relative Risk of Metabolic Syndrome in Middle Aged Adults with Different Weight Living in Urban Beijing, China

  • Cui Zhao-Hui (National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention) ;
  • Li Yan-Ping (National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention) ;
  • Liu Ai-Ling (National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention) ;
  • Zhang Qian (National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention) ;
  • Du Wei-Jing (National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention) ;
  • Ma Guan-Sheng (National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention)
  • Published : 2004.12.01
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Abstract

The purpose of this study is to compare the relative risk of metabolic syndrome (MS) in middle aged adults with different body weights. 155 subjects living in urban Beijing were recruited from 24 neighborhood committees of urban Beijing. They were divided into normal weight, overweight and obese groups according to their BMIs. The general information of the subjects was collected using an interview-administered questionnaire. Standard procedure was followed to measure subject's weight, height and waist. Biochemical parameters (total cholesterol (TC), low- and high­density lipoprotein cholesterol (LDL-C ; HDL-C), triglyceride (TG), and fasting glucose) and blood pressure were also determined. The results indicated that the systolic and diastolic blood pressure, HDL-C of obese group was lower than that of the normal weight group. Fasting glucose of obese males was significantly higher than that of normal weight males. No significant difference of fasting glucose was found among female groups. No significant difference of TG was found among male groups, while TG of overweight and obese females was both significantly higher than normal weight females. There was no significant difference of TC and LDL-C among normal weight, overweight and obese groups in both males and females. The MS rate of obese males was significantly higher than the normal weight and overweight males, as was the female. The relative risk of MS in obese group was about 11 times higher (OR=11.249, $95\%CI$ = 3.812 - 33.191) than the normal weight group after adjusting for age, gender, smoking, drinking, family economic level and education status. It is concluded that obesity contributed to lower HDL-C, hypertriglyceride, hypertension and MS after controlling the effects of age, gender, socioeconomic status, alcohol drinking and smoking. Obese individuals have a higher risk of having MS than their normal weight counterparts.

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References

  1. AndersonPJ, Critchley J, Codkram J (2001) : Factor of analysis of the metabolic syndrome : obesity vs. insulin resistance as the central abnormality, Int J of Obes 25 : 1782-1788 https://doi.org/10.1038/sj.ijo.0801837
  2. Department of Health and Human Services(1988) : The surgeon general's report on nutritionand health, Washington DC. DHHS [PHS] publication no, pp.88-50210
  3. Han TS, Williams K, Sattar N(2002) Analysis of obesity and hyperinsulinemia in the development of metabolic syndrome : an Antonio Heart study. Obes Res 10 : 923-931 https://doi.org/10.1038/oby.2002.126
  4. Harlen WR(1993) : Epidemiology of childhood obesity : a national perspective. Annals New York Academy of Sciences
  5. Iqbal A, Abayomi O (2004) : Obesity indices and major components of metabolic syndrome in young adult Arab subjects. Ann Nutr Metab 48 : 1-7
  6. Lemieux S, Despre's JP, Moorjani S (]994) : Are gender differences in cardiovascular disease risk factorsexplainedby the level of visceral adipose tissue? Diabetologia 37 : 757-764 https://doi.org/10.1007/BF00404332
  7. Lemieux S, Despre's JP, Moorjani S (]994) : Are gender differences in cardiovascular disease risk factors explained by the level of visceral adipose tissue? Diabetologia 37 : 747-764
  8. National Cholesterol Education Program(]994) : The second report of the expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel II). Circulation 89 : 1329-1445
  9. Rachel Y(2000) : Obesity, metabolic syndrome, and physical activity. Quest 52 : 351-357 https://doi.org/10.1080/00336297.2000.10491722
  10. Segal L, Carter R, Zimmet P(1994) : The cost of obesity : the Australian perspective. Pharmacoeconimics 5 : 45-52 https://doi.org/10.2165/00019053-199400051-00009
  11. Seidell JC, Deerenberg I(1994) : Obesity in Europe: prevalence and consequences for use of medical care. Pharmacoeconimics 5 : 38-44 https://doi.org/10.2165/00019053-199400051-00008
  12. Smith SR, Zachwieja JJ (1999) : Visceral adipose tissue : a critical review of intervention strategies. Int J Obes 23 : 329-335 https://doi.org/10.1038/sj.ijo.0800834
  13. WHO/INUT/INCD (]998) : Preventing and managing the global epidemic. Report of a WHO Consultation on Obesity.Geneva : WHO
  14. Wolf AM, Co1ditz GA(]994) : The cost of obesity: The US perspective. Pharmacoeconomics 5 : 34-37
  15. Zeng P(2003) : The relationship between obesity and metabolic syndrome in the elderly. Chin J Geriatr 22 : 689-692