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

Ruizhi Zheng, Min Yang, Yuqian Bao, Hong Li, Zhongyan Shan, Bo Zhang, Juan Liu, Qinguo Lv, Ou Wu, Yimin Zhu and Maode Lai
Additional contact information
Ruizhi Zheng: Department of Epidemiology & Biostatistics, School of Public Health, Zhejiang University, Hangzhou 310058, China
Min Yang: Department of Nutrition, School of Public Health, Zhejiang University, Hangzhou 310058, China
Yuqian Bao: Shanghai Diabetes Institute, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai 200233, China
Hong Li: Department of Endocrinology, Sir Run Run Shaw Hospital, Affiliated to School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang, China
Zhongyan Shan: Department of Endocrinology and Metabolism, The First Affiliated Hospital, China Medical University, Beier Road No. 92, Shenyang 110001, China
Bo Zhang: Department of Endocrinology, China-Japan Friendship Hospital, Beijing 100029, China
Juan Liu: Department of Endocrinology and Diabetes Center, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China
Qinguo Lv: Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China
Ou Wu: Department of Chronic and Noncommunicable Disease Control and Prevention, Hangzhou Center for Disease Control and Prevention, Hangzhou 310021, China
Yimin Zhu: Department of Epidemiology & Biostatistics, School of Public Health, Zhejiang University, Hangzhou 310058, China
Maode Lai: Department of Pathology, Zhejiang University School of Medicine, Hangzhou 310058, China

IJERPH, 2015, vol. 12, issue 11, 1-16

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.

Keywords: metabolic; prevalence; obesity; dietary; public health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2015
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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