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Obesity and lipid-related parameters for predicting metabolic syndrome in Chinese elderly population
Authors:Zhan Gu  Ping Zhu  Qiao Wang  Huayu He  Jingjuan Xu  Li Zhang  Dong Li  Jianying Wang  Xiaojuan Hu  Guang Ji  Lei Zhang  Baocheng Liu
Affiliation:1.Shanghai Innovation Center of TCM Health Service,Shanghai University of Traditional Chinese Medicine,Shanghai,China;2.School of Rehabilitation Science,Shanghai University of Traditional Chinese Medicine,Shanghai,China;3.Zhangjiang Community Health Service Center of Pudong New District,Shanghai,China;4.Institute of Digestive Diseases, China-Canada Center of Research for Digestive Diseases (ccCRDD),Longhua Hospital, Shanghai University of Traditional Chinese Medicine,Shanghai,China
Abstract:

Background

The present study evaluated the predictive ability of five known “best” obesity and lipid-related parameters, including body mass index (BMI), waist-to-height ratio (WHtR), triglyceride-to-high-density-lipoprotein-cholesterol (TG/HDL-C), lipid accumulation product (LAP) and visceral adiposity index (VAI), in identifying metabolic syndrome (MetS) in Chinese elderly population.

Methods

A total of 6722 elderly Chinese subjects (≥60?years) were recruited into our community-based cross-sectional study from April 2015 to July 2017. The anthropometrics, blood pressure, fasting plasma glucose, blood lipid profiles, family history and health-related behaviours were assessed.

Results

The prevalence of MetS was 40.4% (32.5% in males and 47.2% in females). With the increase in the number of MetS components (from 0 to 5), all the five parameters showed an increase trend in both genders (all P for trend P?

Conclusion

LAP appeared to be a superior parameter for predicting MetS in both Chinese elderly males and females, better than VAI, TG/HDL-C, WHtR and BMI.
Keywords:
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