{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T04:45:57Z","timestamp":1762145157693,"version":"build-2065373602"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,1,5]],"date-time":"2016-01-05T00:00:00Z","timestamp":1451952000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006765","name":"Chinese Medical Association","doi-asserted-by":"publisher","award":["13040530438"],"award-info":[{"award-number":["13040530438"]}],"id":[{"id":"10.13039\/501100006765","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Diabetes Invest"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims\/Introduction<\/jats:title><jats:p>The aim of the present study was to compare the cut\u2010off values and prediction effect of different obesity indices by different definitions of metabolic syndrome (MetS) in Zhejiang Province of China.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>We carried out a cross\u2010sectional survey of 10,100 individuals (age 40 years and older) in Jiashan, Zhejiang Province. Receiver operating characteristic analysis was used to examine discrimination and find optimal cut off values of waist circumference (<jats:styled-content style=\"fixed-case\">WC<\/jats:styled-content>), body mass index (<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>), waist\u2010to\u2010hip ratio (<jats:styled-content style=\"fixed-case\">WHR<\/jats:styled-content>) and waist\u2010to\u2010height ratio (<jats:styled-content style=\"fixed-case\">WH<\/jats:styled-content>tR) to predict two or more non\u2010adipose components of MetS by The National Cholesterol Education Program Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>) definition modified by the Asia\u2013Pacific region criteria, International Diabetes Federation definition for the Chinese population and Chinese Diabetes Society definitions of MetS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The age\u2010standardized prevalence of MetS was 23.78% vs 28.76% vs 19.37% by The National Cholesterol Education Program Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>), International Diabetes Federation and Chinese Diabetes Society definitions, respectively. Cut\u2010off values of <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> were approximately 24 kg\/m<jats:sup>2<\/jats:sup> both in men and women by three definitions; the average cut\u2010off values of <jats:styled-content style=\"fixed-case\">WC<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> WHR<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">WH<\/jats:styled-content>tR were 83 cm in men vs 81 cm in women, 0.89 in men vs 0.86 in women and 0.50 in men vs 0.51 in women, respectively. The area under receiver operating characteristic curve of <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> was larger than <jats:styled-content style=\"fixed-case\">WC<\/jats:styled-content> both in men and women (<jats:italic>P<\/jats:italic> &lt; 0.05); in women, the area under receiver operating characteristic curve of <jats:styled-content style=\"fixed-case\">WH<\/jats:styled-content>tR was larger than <jats:styled-content style=\"fixed-case\">WC<\/jats:styled-content>, and <jats:styled-content style=\"fixed-case\">WHR<\/jats:styled-content> was smaller.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>MetS is prevalent in Zhejiang Province of China, especially in the female population. <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">WH<\/jats:styled-content>tR might be more useful than <jats:styled-content style=\"fixed-case\">WC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">WHR<\/jats:styled-content> for predicting two or more non\u2010adipose components of MetS.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdi.12440","type":"journal-article","created":{"date-parts":[[2015,10,20]],"date-time":"2015-10-20T14:42:43Z","timestamp":1445352163000},"page":"594-600","source":"Crossref","is-referenced-by-count":15,"title":["Optimal cut\u2010off levels of obesity indices by different definitions of metabolic syndrome in a southeast rural Chinese population"],"prefix":"10.1111","volume":"7","author":[{"given":"Jin","family":"Pan","sequence":"first","affiliation":[{"name":"Zhejiang Provincial Center for Disease Control and Prevention Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meng","family":"Wang","sequence":"additional","affiliation":[{"name":"Zhejiang Provincial Center for Disease Control and Prevention Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhen","family":"Ye","sequence":"additional","affiliation":[{"name":"Zhejiang Provincial Center for Disease Control and Prevention Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min","family":"Yu","sequence":"additional","affiliation":[{"name":"Zhejiang Provincial Center for Disease Control and Prevention Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuhua","family":"Shen","sequence":"additional","affiliation":[{"name":"Jiashan Center for Disease Control and Prevention Jiashan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qinfang","family":"He","sequence":"additional","affiliation":[{"name":"Zhejiang Provincial Center for Disease Control and Prevention Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naxin","family":"Cao","sequence":"additional","affiliation":[{"name":"Jiashan Center for Disease Control and Prevention Jiashan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guang","family":"Ning","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism Rui\u2010Jin Hospital Shanghai Jiao\u2010Tong University School of Medicine Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yufang","family":"Bi","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism Rui\u2010Jin Hospital Shanghai Jiao\u2010Tong University School of Medicine Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weiwei","family":"Gong","sequence":"additional","affiliation":[{"name":"Zhejiang Provincial Center for Disease Control and Prevention Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruying","family":"Hu","sequence":"additional","affiliation":[{"name":"Zhejiang Provincial Center for Disease Control and Prevention Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,1,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2004.01115.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-5491.1999.00059.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.19.2486"},{"key":"e_1_2_7_5_1","first-page":"156","article-title":"Recommendations on metabolic syndrome of Chinese diabetes society","volume":"12","author":"Society EPoMSoCD","year":"2004","journal-title":"Chin J Diab"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)66378-7"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67402-8"},{"key":"e_1_2_7_8_1","unstructured":"The IDF consensus worldwide definition of the metabolic syndrome. Available from:www.idf.org\/webdata\/docs\/IDF_Metasyndrome_definition.pdfAccessed December 14 2014."},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.192644"},{"key":"e_1_2_7_10_1","first-page":"156","article-title":"The suggestions of metabolic syndrome form Chinese Diabetes Society","volume":"12","author":"Chinese Diabetes Society Metabolic Syndrome Research Group","year":"2004","journal-title":"Zhonghuatangniaobingxuezazhi"},{"key":"e_1_2_7_11_1","first-page":"188","volume-title":"BMJ","author":"Altman DG","year":"1994"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-2998(78)80014-2"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)66375-1"},{"key":"e_1_2_7_14_1","first-page":"988","article-title":"A survey of the prevalence of diabetes mellitus in adults of Zhejiang province","volume":"27","author":"Ye Z","year":"2011","journal-title":"Zhonghuaneifenmidaixiezazhi"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-0407.2008.00006.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.atherosclerosis.2007.01.006"},{"volume-title":"Obesity: Preventing and Managing the Global Epidemic: Report of a WHO Consultation on Obesity","year":"1998","author":"World Health Organization","key":"e_1_2_7_17_1"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.2008.26809"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114514002657"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-09-0303"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2009.05.017"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/76.4.743"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/79.3.379"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2007.00439.x"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2006.04.009"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/09637480500195066"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2007.109"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1047-2797(03)00067-X"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc06-0739"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-007-0651-y"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0258(19980430)17:8<857::AID-SIM777>3.0.CO;2-E"}],"container-title":["Journal of Diabetes Investigation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjdi.12440","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jdi.12440","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jdi.12440","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jdi.12440","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T16:56:26Z","timestamp":1695574586000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jdi.12440"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1,5]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1111\/jdi.12440"],"URL":"https:\/\/doi.org\/10.1111\/jdi.12440","archive":["Portico"],"relation":{},"ISSN":["2040-1116","2040-1124"],"issn-type":[{"type":"print","value":"2040-1116"},{"type":"electronic","value":"2040-1124"}],"subject":[],"published":{"date-parts":[[2016,1,5]]}}}