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Metabolic syndrome vs.its components for prediction of cardiovascular mortality: A cohort study in Chinese elderly adults

Dong-Ling Sun Jian-Hua Wang Bin Jiang Liang-Shou Li Lan-Sun Li Lei Wu Hai-Yun Wu Yao He

老年心脏病学杂志(英文版)2012,Vol.9Issue(2):123-129,7.
老年心脏病学杂志(英文版)2012,Vol.9Issue(2):123-129,7.DOI:10.3724/SP.J.1263.2012.01172

Metabolic syndrome vs.its components for prediction of cardiovascular mortality: A cohort study in Chinese elderly adults

Metabolic syndrome vs.its components for prediction of cardiovascular mortality: A cohort study in Chinese elderly adults

Dong-Ling Sun 1Jian-Hua Wang 1Bin Jiang 2Liang-Shou Li 3Lan-Sun Li 4Lei Wu 1Hai-Yun Wu 5Yao He6

作者信息

  • 1. Institute of Geriatrics, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China
  • 2. Department of Acupuncture, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China
  • 3. Department of Epidemiology, the 4th Military Medical University, No.17, Changle West Road, Xi'an 710032, Shaanxi Province, China
  • 4. Department of Cardiology, the 4th Military Medical University, No.17, Changle West Road, Xi'an 710032, Shaanxi Province, China
  • 5. Institute of Geriatric Cardiology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China
  • 6. Institute of Geriatrics, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China
  • 折叠

摘要

Abstract

Objective The predictive value of the metabolic syndrome (MetS) for mortality from all-cause and cardiovascular disease (CVD) in the Chinese population is unclear. The aim of this present study was to compare MetS with its individual components as predictors of mortality in Chinese elderly adults. Methods A cohort of 1,535 subjects (994 men and 541 women) aged 50 years or older was selected from employees of a machinery factory in 1994 and followed until 2009. Cox models were used to estimate the hazard ratios (HRs) predicted by MetS according to the harmonized definition and by its individual components. Results The baseline prevalence of MetS was 28.0% in men and 48.4% in women. During a median follow-up of 15 years, 414 deaths occurred, of these, 153 participants died from CVD. Adjusted for age and gender, the HRs of mortality from all-cause and CVD in participants with MetS were 1.47 (95% confidence interval (CI): components. On evaluating the MetS components individually, we found that, independent of MetS, only hypertension and impaired glucose predicted higher mortality. Conclusions The number of positive MetS components seems no more informative than classifying (dichotomous) MetS for CVD risks assessment in this Chinese cohort.

关键词

Cardiovascular disease/ Metabolic syndrome/ Cohort study/ Chinese adults

Key words

Cardiovascular disease/ Metabolic syndrome/ Cohort study/ Chinese adults

引用本文复制引用

Dong-Ling Sun,Jian-Hua Wang,Bin Jiang,Liang-Shou Li,Lan-Sun Li,Lei Wu,Hai-Yun Wu,Yao He..Metabolic syndrome vs.its components for prediction of cardiovascular mortality: A cohort study in Chinese elderly adults [J].老年心脏病学杂志(英文版),2012,9(2):123-129,7.

基金项目

This study was supported by the National Natural Science Foundation of China (30771859,81072355),Ministry of Science and Technology of China (2009BAI86B01) and National Department Public Benefit Research Foundation by Ministry of Health of China(201002011). (30771859,81072355)

老年心脏病学杂志(英文版)

OACSCDSCI

1671-5411

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