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BMI versus the metabolic syndrome in relation to cardiovascular risk in elderly Chinese individuals.
Diabetes Care. 2007 Aug; 30(8):2128-34.DC

Abstract

OBJECTIVE

The purpose of this study was to evaluate the associations of BMI versus metabolic syndrome with cardiovascular diseases (CVDs) in elderly Chinese individuals.

RESEARCH DESIGN AND METHODS

We conducted a population-based cross-sectional study in an urban sample of 2,334 elderly subjects (943 men and 1,391 women). Subjects were classified by BMI (< or = 18.5, < 24, < 28, and > or = 28 kg/m2) and the presence or absence of metabolic syndrome, which was defined by International Diabetes Federation (IDF) criteria. CVDs included clinically diagnosed coronary heart disease (CHD), stroke, and peripheral arterial disease (PAD).

RESULTS

The prevalence rates of overweight (BMI > or = 25 kg/m2) and metabolic syndrome according to the IDF criteria were 56.3% (53.9% in men and 57.9% in women) and 46.3% (34.8% in men and 54.1% in women), respectively. Increasing BMI was strongly associated with a higher risk of CHD, stroke, and PAD even after adjustments for metabolic syndrome and other CVD risk factors. Stratified analysis of participants with or without metabolic syndrome showed that BMI was independently associated with CHD, stroke, and PAD.

CONCLUSIONS

Both overweight and metabolic syndrome are highly prevalent in this elderly Chinese population. BMI, as a measure of overall adiposity, is strongly associated with increased prevalence of CVD independent of metabolic syndrome.

Authors+Show Affiliations

Institute of Geriatrics, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China. yhe301@sina.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17468350

Citation

He, Yao, et al. "BMI Versus the Metabolic Syndrome in Relation to Cardiovascular Risk in Elderly Chinese Individuals." Diabetes Care, vol. 30, no. 8, 2007, pp. 2128-34.
He Y, Jiang B, Wang J, et al. BMI versus the metabolic syndrome in relation to cardiovascular risk in elderly Chinese individuals. Diabetes Care. 2007;30(8):2128-34.
He, Y., Jiang, B., Wang, J., Feng, K., Chang, Q., Zhu, S., Fan, L., Li, X., & Hu, F. B. (2007). BMI versus the metabolic syndrome in relation to cardiovascular risk in elderly Chinese individuals. Diabetes Care, 30(8), 2128-34.
He Y, et al. BMI Versus the Metabolic Syndrome in Relation to Cardiovascular Risk in Elderly Chinese Individuals. Diabetes Care. 2007;30(8):2128-34. PubMed PMID: 17468350.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - BMI versus the metabolic syndrome in relation to cardiovascular risk in elderly Chinese individuals. AU - He,Yao, AU - Jiang,Bin, AU - Wang,Jie, AU - Feng,Kang, AU - Chang,Qing, AU - Zhu,Shanxiang, AU - Fan,Li, AU - Li,Xiaoying, AU - Hu,Frank B, Y1 - 2007/04/27/ PY - 2007/5/1/pubmed PY - 2007/10/5/medline PY - 2007/5/1/entrez SP - 2128 EP - 34 JF - Diabetes care JO - Diabetes Care VL - 30 IS - 8 N2 - OBJECTIVE: The purpose of this study was to evaluate the associations of BMI versus metabolic syndrome with cardiovascular diseases (CVDs) in elderly Chinese individuals. RESEARCH DESIGN AND METHODS: We conducted a population-based cross-sectional study in an urban sample of 2,334 elderly subjects (943 men and 1,391 women). Subjects were classified by BMI (< or = 18.5, < 24, < 28, and > or = 28 kg/m2) and the presence or absence of metabolic syndrome, which was defined by International Diabetes Federation (IDF) criteria. CVDs included clinically diagnosed coronary heart disease (CHD), stroke, and peripheral arterial disease (PAD). RESULTS: The prevalence rates of overweight (BMI > or = 25 kg/m2) and metabolic syndrome according to the IDF criteria were 56.3% (53.9% in men and 57.9% in women) and 46.3% (34.8% in men and 54.1% in women), respectively. Increasing BMI was strongly associated with a higher risk of CHD, stroke, and PAD even after adjustments for metabolic syndrome and other CVD risk factors. Stratified analysis of participants with or without metabolic syndrome showed that BMI was independently associated with CHD, stroke, and PAD. CONCLUSIONS: Both overweight and metabolic syndrome are highly prevalent in this elderly Chinese population. BMI, as a measure of overall adiposity, is strongly associated with increased prevalence of CVD independent of metabolic syndrome. SN - 1935-5548 UR - https://www.unboundmedicine.com/medline/citation/17468350/BMI_versus_the_metabolic_syndrome_in_relation_to_cardiovascular_risk_in_elderly_Chinese_individuals_ L2 - http://care.diabetesjournals.org/cgi/pmidlookup?view=long&amp;pmid=17468350 DB - PRIME DP - Unbound Medicine ER -