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Int. J. Environ. Res. Public Health 2015, 12(11), 13662-13677; doi:10.3390/ijerph121113662

Prevalence and Determinants of Metabolic Health in Subjects with Obesity in Chinese Population

1
Department of Epidemiology & Biostatistics, School of Public Health, Zhejiang University, Hangzhou 310058, China
2
Department of Nutrition, School of Public Health, Zhejiang University, Hangzhou 310058, China
3
Shanghai Diabetes Institute, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai 200233, China
4
Department of Endocrinology, Sir Run Run Shaw Hospital, Affiliated to School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang, China
5
Department of Endocrinology and Metabolism, The First Affiliated Hospital, China Medical University, Beier Road No. 92, Shenyang 110001, China
6
Department of Endocrinology, China-Japan Friendship Hospital, Beijing 100029, China
7
Department of Endocrinology and Diabetes Center, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China
8
Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China
9
Department of Chronic and Noncommunicable Disease Control and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou 310021, China
10
Department of Pathology, Zhejiang University School of Medicine, Hangzhou 310058, China
These authors contributed equally to this work.
*
Authors to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 3 July 2015 / Revised: 14 September 2015 / Accepted: 14 October 2015 / Published: 28 October 2015
(This article belongs to the Special Issue Health Behavior and Public Health)
View Full-Text   |   Download PDF [726 KB, uploaded 28 October 2015]   |  

Abstract

Background: The study was to investigate the prevalence of metabolic health in subjects with obesity in the Chinese population and to identify the determinants related to metabolic abnormality in obese individuals. Methods: 5013 subjects were recruited from seven provincial capitals in China. The obesity and metabolic status were classified based on body mass index (BMI) and the number of abnormalities in common components of metabolic syndrome. Results: 27.9% of individuals with obesity were metabolically healthy. The prevalence of the metabolically healthy obese (MHO) phenotype was significantly decreased with age in women (p trend < 0.001), but not significantly in men (p trend = 0.349). Central obesity (odds ratio [OR] = 4.07, 95% confidence interval [CI] = 1.93–8.59), longer sedentary time (OR = 1.97, 95%CI = 1.27–3.06), and with a family history of obesity related diseases (hypertension, diabetes, dyslipidemia) (OR = 1.85, 95%CI = 1.26–2.71) were significantly associated with having metabolic abnormality in obese individuals. Higher levels of physical activity and more fruit/vegetable intake had decreased ORs of 0.67 (95%CI = 0.45–0.98) and 0.44 (95%CI = 0.28–0.70), respectively. Conclusion: 27.9% of obese participants are in metabolic health. Central obesity, physical activity, sedentary time, fruits/vegetables intake and family history of diseases are the determinants associated with metabolic status in obesity. View Full-Text
Keywords: metabolic; prevalence; obesity; dietary; public health metabolic; prevalence; obesity; dietary; public health
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Zheng, R.; Yang, M.; Bao, Y.; Li, H.; Shan, Z.; Zhang, B.; Liu, J.; Lv, Q.; Wu, O.; Zhu, Y.; Lai, M. Prevalence and Determinants of Metabolic Health in Subjects with Obesity in Chinese Population. Int. J. Environ. Res. Public Health 2015, 12, 13662-13677.

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