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Among 26,016 subjects with metabolic syndrome, 4639 (27.5%), 6650 (39.4%), 4089 (24.2%), 5687 (33.7%), 8933 (52.9%), and 11,903 (70.5%) subjects had high waist circumference (≥ 95.8 cm), high systolic BP, high diastolic BP, low HDL-C, high TG, and high FBG levels, respectively, among men, and 5131 (56.2%), 4139 (46.4%), 1658 (18.2%), 2785 (30.5%), 4155 (45%), and 6333 (69.4%) subjects had high waist circumference (≥ 85.2 cm), high systolic BP, high diastolic BP, low HDL-C, high TG, and high FBG levels, respectively, among women (data not shown).
Model 1 was unadjusted and model 2 was adjusted for age, marital status, education, occupation, smoking, drinking status, and physical activity.
A significance level of P ≤ 0.05 was used for all analyses, and SPSS 24 (IBM Corp., Armonk, NY, USA) software was used to analyze the data.
The prevalence of metabolic syndrome has been increased obviously throughout the world [2,3,4], and it has become a main public health issue in recent years.
Moreover, metabolic syndrome is one of the risk factors of cardiovascular disease (CVD).
High systolic or diastolic blood pressure (BP), low high-density lipoprotein-cholesterol (HDL-C), high low-density lipoprotein-cholesterol (LDL-C), high total cholesterol (TC), high serum triglycerides (TG), and high fasting blood glucose (FBG) were significantly correlated with increased odds ratios of high CRP in both genders.
Low HDL-C, high LDL-C, high serum TG, and high FBG were significantly associated with increased odds ratios of high NLR in both genders.However, high systolic (OR = 1.124, 95% CI 1.047–1.206, P Metabolic syndrome is defined by central obesity, increased systolic and diastolic blood pressure (BP), decreased high-density lipoprotein cholesterol (HDL-C), increased serum triglycerides (TG), and elevated fasting blood glucose (FBG).The International Diabetes Federation (IDF) declared that central obesity was strongly associated with metabolic syndrome and its components .After excluding the individuals (n = 23,377) who had renal dysfunction, liver problems, or all types of cancer, and those who (n = 11,376) with missing data on food frequency questionnaire (FFQ), anthropometric measurements, or biochemical parameters, a total of 26,016 subjects were finally recruited for analysis in this study.The components of metabolic syndrome were proposed by the IDF in 2005 and defined as individuals who had central obesity (waist circumference ≥ 90 cm for men or ≥ 80 cm for women in Taiwan) with two of four factors: (1) systolic BP ≥ 130 mm Hg, diastolic BP ≥ 85 mm Hg or history of the therapy of hypertension, (2) HDL-C 2 h a week).The cross-sectional study was performed to examine data collected from a Mei Jau (MJ) Group, a private health management screening institution in Taiwan, from 2004 to 2013.The MJ Group’s four health screening centers in Taiwan in Taipei, Taoyuan, Taichung, and Kaohsiung (listed from north to south) were used to collect pertinent information for the study.Metabolic syndrome is commonly associated with inflammation.The underlying factors of inflammation in metabolic syndrome are not fully understood.Chi-square test and general linear model test were used to determine the differences of categorical and continuous variables, respectively, in the characteristics of the subjects with low or high CRP and NLR levels.Odds ratios (OR) with 95% confidence interval were derived using multivariate logistic regression analysis to compare the association of dietary patterns, anthropometric status, and metabolic parameters with CRP and NLR levels in men and women.