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Comparison of the Prevalence of Metabolic Disease Between Two Types of Urbanization in China
Objective: China is experiencing the world's largest urbanization. There are two primary types of urbanization in China: rural-to-urban migration and in situ urbanization, represented by Zhejiang Shangyu (SY) and Jiangsu Nanjing (NJ), respectively. Our aim is to compare changes in the prevalenc...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240687/ https://www.ncbi.nlm.nih.gov/pubmed/30483219 http://dx.doi.org/10.3389/fendo.2018.00665 |
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author | Han, Bing Chen, Yi Cheng, Jing Li, Qin Zhu, Chunfang Chen, Yingchao Xia, Fangzhen Wang, Ningjian Lu, Yingli |
author_facet | Han, Bing Chen, Yi Cheng, Jing Li, Qin Zhu, Chunfang Chen, Yingchao Xia, Fangzhen Wang, Ningjian Lu, Yingli |
author_sort | Han, Bing |
collection | PubMed |
description | Objective: China is experiencing the world's largest urbanization. There are two primary types of urbanization in China: rural-to-urban migration and in situ urbanization, represented by Zhejiang Shangyu (SY) and Jiangsu Nanjing (NJ), respectively. Our aim is to compare changes in the prevalence of metabolic disease between these two types of urbanization in China. Methods: This is a cross-sectional study derived from the SPECT-China 2014 study. This study includes subjects and metabolic parameters from SY and NJ. Furthermore, biochemical and anthropometric indexes were taken into consideration and compared between the areas of interest. Results: The prevalence rates of diabetes, prediabetes and healthy subjects were 6.5, 17.9, and 75.7% in SY and 16.0, 31.0, and 53.0% in NJ, respectively. Industrial and agricultural jobs accounted for 77.9% and 32.0% of employment in SY and NJ, respectively. Fasting plasma glucose (FPG) was higher in SY than in NJ; however, HbA1c was lower in SY than in NJ. There was a significant difference in nonalcoholic fatty liver disease (NAFLD) and healthy subjects between SY and NJ (P < 0.05). Significant differences were also found with respect to body mass index (BMI), waist circumference (WC) and hip circumference (HC) between these two locations (P < 0.001). Logistic regression analysis revealed that the prevalence of prediabetes, diabetes, overweight, obesity and dyslipidemia was higher in NJ than in SY. Conclusions: In situ urbanization has notably changed occupational distribution. The prevalence rates of diabetes, obesity, and NAFLD were increased in rapidly urbanized areas. Thus, more attention should be paid to rapidly urbanizing areas to reduce the prevalence of metabolic disease. |
format | Online Article Text |
id | pubmed-6240687 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-62406872018-11-27 Comparison of the Prevalence of Metabolic Disease Between Two Types of Urbanization in China Han, Bing Chen, Yi Cheng, Jing Li, Qin Zhu, Chunfang Chen, Yingchao Xia, Fangzhen Wang, Ningjian Lu, Yingli Front Endocrinol (Lausanne) Endocrinology Objective: China is experiencing the world's largest urbanization. There are two primary types of urbanization in China: rural-to-urban migration and in situ urbanization, represented by Zhejiang Shangyu (SY) and Jiangsu Nanjing (NJ), respectively. Our aim is to compare changes in the prevalence of metabolic disease between these two types of urbanization in China. Methods: This is a cross-sectional study derived from the SPECT-China 2014 study. This study includes subjects and metabolic parameters from SY and NJ. Furthermore, biochemical and anthropometric indexes were taken into consideration and compared between the areas of interest. Results: The prevalence rates of diabetes, prediabetes and healthy subjects were 6.5, 17.9, and 75.7% in SY and 16.0, 31.0, and 53.0% in NJ, respectively. Industrial and agricultural jobs accounted for 77.9% and 32.0% of employment in SY and NJ, respectively. Fasting plasma glucose (FPG) was higher in SY than in NJ; however, HbA1c was lower in SY than in NJ. There was a significant difference in nonalcoholic fatty liver disease (NAFLD) and healthy subjects between SY and NJ (P < 0.05). Significant differences were also found with respect to body mass index (BMI), waist circumference (WC) and hip circumference (HC) between these two locations (P < 0.001). Logistic regression analysis revealed that the prevalence of prediabetes, diabetes, overweight, obesity and dyslipidemia was higher in NJ than in SY. Conclusions: In situ urbanization has notably changed occupational distribution. The prevalence rates of diabetes, obesity, and NAFLD were increased in rapidly urbanized areas. Thus, more attention should be paid to rapidly urbanizing areas to reduce the prevalence of metabolic disease. Frontiers Media S.A. 2018-11-12 /pmc/articles/PMC6240687/ /pubmed/30483219 http://dx.doi.org/10.3389/fendo.2018.00665 Text en Copyright © 2018 Han, Chen, Cheng, Li, Zhu, Chen, Xia, Wang and Lu. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Endocrinology Han, Bing Chen, Yi Cheng, Jing Li, Qin Zhu, Chunfang Chen, Yingchao Xia, Fangzhen Wang, Ningjian Lu, Yingli Comparison of the Prevalence of Metabolic Disease Between Two Types of Urbanization in China |
title | Comparison of the Prevalence of Metabolic Disease Between Two Types of Urbanization in China |
title_full | Comparison of the Prevalence of Metabolic Disease Between Two Types of Urbanization in China |
title_fullStr | Comparison of the Prevalence of Metabolic Disease Between Two Types of Urbanization in China |
title_full_unstemmed | Comparison of the Prevalence of Metabolic Disease Between Two Types of Urbanization in China |
title_short | Comparison of the Prevalence of Metabolic Disease Between Two Types of Urbanization in China |
title_sort | comparison of the prevalence of metabolic disease between two types of urbanization in china |
topic | Endocrinology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240687/ https://www.ncbi.nlm.nih.gov/pubmed/30483219 http://dx.doi.org/10.3389/fendo.2018.00665 |
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