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Dramatic escalation in metabolic syndrome and cardiovascular risk in a Chinese population experiencing rapid economic development

机译:经济快速发展的中国人群代谢综合征和心血管风险急剧升级

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摘要

BackgroundMetabolic syndrome (MetSyn) increases the incidence of cardiovascular disease. Information on changes in prevalence of MetSyn in developing countries is limited. This study aims to compare MetSyn prevalence and its associated vascular risk over the period between 2002 and 2010 in a population which has had the world’s fastest economic development over the past three decades.MethodsTwo health surveys were conducted by using the multistage cluster random sampling method in a Chinese population of 85 million in southern China. The participants received a full medical check-up, including measurement of blood pressure (BP), obesity indices, fasting lipids and glucose levels. Data describing socio-economic status and lifestyle factors were also collected through interview. Metabolic syndrome was defined in accordance with the International Diabetes Federation criteria.ResultsA total of 3,561 participants from Survey 2010 were included in the data analysis. Women had a significantly higher prevalence of MetSyn than men. Comparison between the two surveys shows that age-standardized prevalence of MetSyn increased fourfold (from 5.4% in 2002 to 21.3% in 2010) in those ≧ 20 years. Among the MetSyn components, prevalence of hyperglycaemia has increased most (from 9.1% to 53.1%). The age-standardized prevalence of central obesity, hypertension, hypertriglyceridaemia and low HDL-cholesterol increased from 13.5% to 25.4%, from 23.6% to 40.8%, from 12.1% to 17.4% and from 32.1% to 71.1%, respectively. Differences between rural and urban residents in the prevalence in MetSyn and its components narrowed in 2010.ConclusionsCardiovascular risk escalated dramatically in this population between 2002 and 2010. The escalation may relate to the rapid economic development, which led to accelerating changes in nutrition, lifestyle, and socio-economic status. Our findings suggest that health transition in rapidly developing second- and third-world countries may be much faster than what has been observed in Western countries.
机译:背景代谢综合征(MetSyn)增加了心血管疾病的发病率。关于发展中国家MetSyn流行率变化的信息有限。这项研究旨在比较2002年至2010年期间经济发展最快的过去30年人口中MetSyn的患病率及其相关血管风险。方法采用多阶段整群随机抽样方法进行两次健康调查中国南方有8500万中国人口。参与者接受了全面的身体检查,包括血压(BP),肥胖指数,空腹脂质和葡萄糖水平的测量。还通过访谈收集了描述社会经济状况和生活方式因素的数据。代谢综合征的定义符合国际糖尿病联合会的标准。结果数据分析纳入了来自2010年调查的3,561名参与者。女性的MetSyn患病率明显高于男性。两次调查之间的比较表明,在≥20年的年龄中,按年龄分组的MetSyn患病率增加了四倍(从2002年的5.4%增加到2010年的21.3%)。在MetSyn组件中,高血糖症的患病率上升最快(从9.1%上升到53.1%)。中枢性肥胖,高血压,高甘油三酯血症和低HDL-胆固醇的年龄标准化患病率分别从13.5%增加到25.4%,从23.6%增加到40.8%,从12.1%增加到17.4%,从32.1%增加到71.1%。 MetSyn及其组成部分的患病率在城乡之间的差异在2010年有所缩小。结论2002年至2010年之间,该人群的心血管风险急剧上升。这种上升可能与经济的快速发展有关,导致营养,生活方式,和社会经济地位。我们的发现表明,快速发展的第二世界和第三世界国家的健康转型可能比西方国家快得多。

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