Prevalence and Determinants of Metabolic Syndrome among Women in Chinese Rural Areas 英文参考文献.docVIP

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Prevalence and Determinants of Metabolic Syndrome among Women in Chinese Rural Areas 英文参考文献.doc

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Prevalence and Determinants of Metabolic Syndrome among Women in Chinese Rural Areas 英文参考文献

PrevalenceandDeterminantsofMetabolicSyndrome amongWomeninChineseRuralAreas HuiCai1*.,JianpingHuang2.,GuangfeiXu1,ZiliYang2,MingLiu3,YaopingMi2,WeishengLiu3, HongjunWang3,DerongQian3 1DepartmentofEpidemiologyandMedicalStatistics,NantongUniversity,Nantong,Jiangsu,China,2DepartmentofChronicDiseaseandPrevention,CenterforDisease ControlandPreventionofNantong,Nantong,Jiangsu,China,3DepartmentofChronicDiseaseandPrevention,CenterforDiseaseControlandPreventionofTongzhou, Nantong,Jiangsu,China Abstract BackgroundandAims:Metabolicsyndrome(MS)isprevalentinrecentyearsbutfewdataisreportedintheruralareasin China.TheaimofthisstudywastoexamineMSprevalenceanditsriskfactorsamongwomeninruralChina. Methods and Results: The Nantong Metabolic Syndrome Study (NMSS), a population based cross-sectional study, was conducted during 2007–2008 in Nantong, China. In person interviews, blood glucose and lipid measurements were completedfor13,505femaleparticipantsaged18–74years.TheInternationalDiabetesFederation(IDF),theUSThirdReport oftheNationalCholesterolEducationProgram,theAdultTreatmentPanel(ATPIII)andmodifiedATPIIIforAsianpopulation hasdeterminedthreecriteriaofMS.ThesecriteriaforMSwereusedandcomparedinthisstudy.TheprevalenceofMSwas 22.0%, 16.9% and 23.3% according to IDF, ATPIII and ATPIII-modified criteria, respectively. Levels of agreement of these criteriaforMSwereabove0.75.Wefoundthatvigorous-intensityofoccupationalphysicalactivitywasassociatedwithalow prevalenceofMSwithORof0.76(95%confidenceinterval(CI):0.63–0.91).Ricewinedrinkers(alcohol .12.8g/day)had about34%lowrisksofdevelopingMSwithORof0.66(95%CI:0.48–0.91),comparedwithnon-drinkers.OddsratioofMS was1.81(95%CI:1.15–2.84)inwomenwhosmokedmorethan20pack-years,comparedtonon-smokers.OddsratioofMS was1.56(95%CI:1.25–1.95)inwomenwhohadfamilialhistoryofdiseases,includinghypertension,diabetesandstroke, comparedtowomenwithoutfamilialhistoryofthosediseases. Conclusion:MSishighlyprevalentamongwomeninruralChina.Bothphysicalactivityandri