Overweight, obesity, and their associations with insulin resistance and β-cell function among Chinese: a cross-sectional study in China

Chen, Gang; Liu, Chune; Yao, Jin; Jiang, Qin; Chen, Nianhui; Huang, Huibin; Liang, Jing; Li, Liantao; Li, Lin

doi:10.1016/j.metabol.2010.06.009

Cited by 34 publications

(27 citation statements)

References 58 publications

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“…Japanese Americans appear to consume a significantly greater percentage of daily calories from animal protein and weigh more than their counterparts in Japan (44). In agreement with other Asian data, Chen and colleagues confirmed that Chinese populations living in Asia exhibited lower prevalence of overweight and obesity than those seen in Western countries (26). Further, Chinese people in China have reported more time doing vigorous activity, sleeping, and walking, but less hours in sitting than Chinese in North America (87).…”

Section: Asian Immigration To the Westsupporting

confidence: 68%

Type 2 Diabetes in Asians: Prevalence, Risk Factors, and Effectiveness of Behavioral Intervention at Individual and Population Levels

et al. 2012

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This review summarizes the current data on diabetes risk factors, prevalence, and prevention efforts in Asia and Asian migrant populations. Studies indicate that type 2 diabetes mellitus is a large and growing threat to public health in Asian populations. Furthermore, Asian subgroups (e.g., South Asians/Asian Indians, Chinese) have unique risk factor profiles for developing diabetes, which differ from other populations and between Asian ethnic groups. Lifestyle intervention programs are effective in preventing diabetes in Asians, as with other ethnicities. The strength of these findings is lessened by the lack of systematically collected data using objective measurements. Large epidemiologic studies of diabetes prevalence and risk factor profiles and translational trials identifying sustainable and culturally acceptable lifestyle programs for Asian subgroups are needed.

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Section: Asian Immigration To the Westsupporting

confidence: 68%

Type 2 Diabetes in Asians: Prevalence, Risk Factors, and Effectiveness of Behavioral Intervention at Individual and Population Levels

et al. 2012

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“…Our findings were in line with reports from many previous studies; Chen et al . [25], Mokdad et al . [26], and Wilson et al .…”

Section: Discussionmentioning

confidence: 99%

Predictive value of body mass index to metabolic syndrome risk factors in Syrian adolescents

Al-Bachir

Bakir

2017

J Med Case Reports

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Background: Obesity has become a serious epidemic health problem in both developing and developed countries. There is much evidence that obesity among adolescents contributed significantly to the development of type 2 diabetes and coronary heart disease in adulthood. Very limited information exists on the prevalence of overweight, obesity, and associated metabolic risk factors among Syrian adolescents. Therefore, the purpose of this study was to determine the relationship between obesity determined by body mass index and the major metabolic risk factors among Syrian adolescents. Methods: A cross-sectional study of a randomly selected sample of 2064 apparently healthy Syrian adolescents aged 18 to 19 years from Damascus city, in Syria, was performed. Body mass index and blood pressure were measured. Serum concentrations of glucose, triglycerides, total cholesterol, high-density lipoprotein-cholesterol, and low-density lipoprotein-cholesterol were determined. Metabolic syndrome was defined using the national criteria for each determined metabolic risk factor. Individuals with a body mass index 25 to 29.9 were classified as overweight, whereas individuals with a body mass index ≥30 were classified as obese. A receiver operating characteristics curve was drawn to determine appropriate cut-off points of the body mass index for defining overweight and obesity, and to indicate the performance of body mass index as a predictor of risk factors. Results: The obtained data showed that blood pressure and the overall mean concentrations of fasting blood sugar, triglycerides, cholesterol, low-density lipoprotein-cholesterol, and triglycerides/high-density lipoproteincholesterol were significantly higher in overweight and obese adolescent groups (p <0.0001) in comparison with the normal group. Based on receiver operating characteristics calculation for body mass index and some metabolic risks, the data suggest the best body mass index cut-offs ranged between 23.25 and 24.35 kg/m

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“…BMI has been widely used in these population-based studies to classify overweight and obesity in adults (22) and has been demonstrated to be an independent risk factor for type 2 DM, as well as the indexes of insulin resistance and β-cell function (23). Although Asians generally have lower prevalence rates of overweight and obesity (as assessed by BMI) than their Western counterparts, the absolute risk of diabetes tends to be higher among Asians for any given level of BMI (24,25).…”

Section: Risk Factors Of Dm In Chinamentioning

confidence: 99%

The Diabetes Epidemic in China: An Integrated Review of National Surveys

Shen

Vaidya

et al. 2016

Endocrine Practice

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Objective To review trends in the prevalence and incidence of diabetes mellitus (DM) and related risk factors in China. Methods We searched the literature using PubMed, China Knowledge Resource Integrated Database, and China Wanfang Digital Database for large epidemiologic studies and national surveys. Results During the past 30 years (1980–2010), 7 national diabetes mellitus surveys were conducted in China mainland, indicating that the prevalence of DM has increased 17-fold, from 0.67 to 11.6% of the population. The prevalence of impaired glucose regulation (IGR, including impaired fasting glucose and impaired glucose tolerance) also increased, from 2.09 in 1994 to 27.2% in 2010. There was no national representative study of the incidence of diabetes to date; the reported incidence of type 2 diabetes during past 25 years in several cohort studies varied (2.7 to 15.8 per 1,000 person-years). Potential risk factors which could have contributed to the increasing prevalence and incidence of DM and IGR in the Chinese population include social and economic development, urbanization, dietary pattern, and Westernized lifestyle. Further, genetic studies have suggested that unique inheritable risk factors in the Chinese population may increase the risk for DM when compared to Caucasians. Conclusion DM and IGR have become epidemic in China. Public health strategies should focus on modifying lifestyle and dietary factors, particularly among those with a susceptible genetic background.

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Overweight, obesity, and their associations with insulin resistance and β-cell function among Chinese: a cross-sectional study in China

Cited by 34 publications

References 58 publications

Type 2 Diabetes in Asians: Prevalence, Risk Factors, and Effectiveness of Behavioral Intervention at Individual and Population Levels

Type 2 Diabetes in Asians: Prevalence, Risk Factors, and Effectiveness of Behavioral Intervention at Individual and Population Levels

Predictive value of body mass index to metabolic syndrome risk factors in Syrian adolescents

The Diabetes Epidemic in China: An Integrated Review of National Surveys

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