Diabetes Research and Clinical Practice
Volume 88, Issue 2 , Pages 209-216 , May 2010

Prevalence of metabolic syndrome and optimal waist circumference cut-off points for adults in Beijing

  • Wei Wang

      Affiliations

    • Department of Epidemiology and Health Statistics, School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China
    • Wei Wang and Yanxia Luo are joint first authors. They contributed equally to the work.
    • ,
  • Yanxia Luo

      Affiliations

    • Department of Epidemiology and Health Statistics, School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China
    • Wei Wang and Yanxia Luo are joint first authors. They contributed equally to the work.
    • ,
  • Yunning Liu

      Affiliations

    • Department of Epidemiology and Health Statistics, School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China
    • ,
  • Can Cui

      Affiliations

    • School of Statistics, Southwestern University of Finance and Economics, Cheng Du 611130, Sichuan, China
    • ,
  • Lijuan Wu

      Affiliations

    • Department of Epidemiology and Health Statistics, School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China
    • ,
  • Youxin Wang

      Affiliations

    • Department of Epidemiology and Health Statistics, School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China
    • ,
  • Hong Wang

      Affiliations

    • Department of Epidemiology and Health Statistics, School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China
    • ,
  • Puhong Zhang

      Affiliations

    • Institute of Chronic and Noncommunicable Disease Control and Prevention, Beijing Center for Disease Control and Prevention, Beijing 100013, China
    • School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China
    • Now: National Center for Chronic and Noncommunicable Disease Control and Prevention, Beijing 100050, China.
    • Corresponding Author InformationCorresponding author. Tel.: +86 1083911508; fax: +86 1083911508.
    • ,
  • Xiuhua Guo

      Affiliations

    • Department of Epidemiology and Health Statistics, School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China
    • Corresponding Author InformationCorresponding author. Tel.: +86 1083911508; fax: +86 1083911508.

Received 11 October 2009 ,Revised 11 January 2010 ,Accepted 18 January 2010.

References 

  1. Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, et al. Diagnosis and management of the metabolic syndrome: an American heart association/national heart, lung, and blood institute scientific statement. Circulation. 2005;112:2735–2752
  2. Lakka HM, Laaksonen DE, Lakka TA, Niskanen LK, Kumpusalo E, Tuomilehto J, et al. The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men. JAMA. 2002;288:2709–2716
  3. Safar ME, Thomas F, Blacher J, Nzietchueng R, Bureau JM, Pannier B, et al. Metabolic syndrome and age-related progression of aortic stiffness. J. Am. Coll. Cardiol. 2006;47:72–75
  4. Sung KC, Ryu S, Reaven GM. Relationship between obesity and several cardiovascular disease risk factors in apparently healthy Korean individuals: comparison of body mass index and waist circumference. Metabolism. 2007;56:297–303
  5. Reaven GM. Banting lecture 1988. Role of insulin resistance in human disease. Diabetes. 1988;37:1595–1607
  6. World Health Organization, Definition, diagnosis and classification of diabetes mellitus and its complication, report of a WHO consultation, part I: diagnosis and classification of diabetes mellitus, Geneva, 1999.
  7. Alberti KG, Zimmet P, Shaw J. The metabolic syndrome—a new worldwide definition. Lancet. 2005;366:1059–1062
  8. Executive summary of the third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III), JAMA 285 (2001) 2486–2497.
  9. Deurenberg P, Deurenberg-Yap M, Guricci S. Asians are different from Caucasians and from each other in their body mass index/body fat percent relationship. Obes. Rev. 2002;3:141–146
  10. WHO consultation . Expert appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157–163
  11. The World Health Organization Western Pacific Region, the International Association for the Study of Obesity, the International Obesity Task Force, The Asia-Pacific perspective: redefining obesity and its treatment, health, communications, Australia Melbourne, 2000.
  12. Yu Z, Lin X, Haas JD, Franco OH, Rennie KL, Li H, et al. Obesity related metabolic abnormalities: distribution and geographic differences among middle-aged and older Chinese populations. Prev. Med. 2009;48:272–278
  13. Gu D, Reynolds K, Wu X, Chen J, Duan X, Reynolds RF, et al. Prevalence of the metabolic syndrome and overweight among adults in China. Lancet. 2005;365:1398–1405
  14. Expert panel on metabolic syndrome of Chinese diabetes society . Recommendations on metabolic syndrome of Chinese diabetes society. Chin. J. Diabetes. 2004;12:156–161
  15. Joint Committee for Developing Chinese Guidelines on Prevention and Treatment of Dyslipidemia in Adults. Chinese guidelines on prevention and treatment of dyslipidemia in adults. Zhonghua Xin Xue Guan Bing Za Zhi 35 (2007) 390–419.
  16. Zhou BF. Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults—study on optimal cut-off points of body mass index and waist circumference in Chinese adults. Biomed. Environ. Sci. 2002;15:83–96
  17. Guo XH, Zhang PH, Zeng ZC, Wang W, Li C, Shi Y, et al. Combination patterns of cardiovascular risks and sequelae at different stage of hypertension in natural hypertensive population in Beijing. Clin. Exp. Hypertens. 2009;31:142–155
  18. Kim HK, Kim CH, Park JY, Lee KU. Lower waist-circumference cutoff point for the assessment of cardiometabolic risk in Koreans. Diabetes Res. Clin. Pract. 2009;85:35–39
  19. Oka R, Kobayashi J, Yagi K, Tanii H, Miyamoto S, Asano A, et al. Reassessment of the cutoff values of waist circumference and visceral fat area for identifying Japanese subjects at risk for the metabolic syndrome. Diabetes Res. Clin. Pract. 2008;79:474–481
  20. Doi Y, Ninomiya T, Hata J, Yonemoto K, Arima H, Kubo M, et al. Proposed criteria for metabolic syndrome in Japanese based on prospective evidence: the Hisayama study. Stroke. 2009;40:1187–1194
  21. Bao Y, Lu J, Wang C, Yang M, Li H, Zhang X, et al. Optimal waist circumference cutoffs for abdominal obesity in Chinese. Atherosclerosis. 2008;201:378–384
  22. Wang F, Wu S, Song Y, Tang X, Marshall R, Liang M, et al. Waist circumference, body mass index and waist to hip ratio for prediction of the metabolic syndrome in Chinese. Nutr. Metab. Cardiovasc. Dis. 2009;19:542–547
  23. Wildman RP, Gu D, Reynolds K, Duan X, He J. Appropriate body mass index and waist circumference cutoffs for categorization of overweight and central adiposity among Chinese adults. Am. J. Clin. Nutr. 2004;80:1129–1136
  24. Zhang X, Shu XO, Gao YT, Yang G, Li H, Zheng W. General and abdominal adiposity and risk of stroke in Chinese women. Stroke. 2009;40:1098–1104
  25. He Y, Jiang B, Wang J, Feng K, Chang Q, Fan L, et al. Prevalence of the metabolic syndrome and its relation to cardiovascular disease in an elderly Chinese population. J. Am. Coll. Cardiol. 2006;47:1588–1594
  26. Gu D, Reynolds K, Wu X, Chen J, Duan X, Muntner P, et al. Prevalence, awareness, treatment, and control of hypertension in China. Hypertension. 2002;40:920–927
  27. Wu Y, Huxley R, Li L, Anna V, Xie G, Yao C, et al. Prevalence, awareness, treatment, and control of hypertension in China: data from the China national nutrition and health survey 2002. Circulation. 2008;118:2679–2686
  28. Pang XH, Jiao SF, Huang L, Duan JL, Ren ZY, Liu ZJ. Nutrition and health status of the Beijing residents. Chin. J. Prev. Med. 2005;29:269–272
  29. Zhang C, Rexrode KM, van Dam RM, Li TY, Hu FB. Abdominal obesity and the risk of all-cause, cardiovascular, and cancer mortality: sixteen years of follow-up in us women. Circulation. 2008;117:1658–1667
  30. Koster A, Leitzmann MF, Schatzkin A, Mouw T, Adams KF, van Eijk JT, et al. Waist circumference and mortality. Am. J. Epidemiol. 2008;167:1465–1475

PII: S0168-8227(10)00045-8

doi: 10.1016/j.diabres.2010.01.022

Diabetes Research and Clinical Practice
Volume 88, Issue 2 , Pages 209-216 , May 2010

Article Tools

* Image Usage & Resolution