RESEARCH ARTICLE The Prevalence of Metabolic Syndrome Using Three Different Diagnostic Criteria among Low Earning Nomadic Kazakhs in the Far Northwest of China: New Cut-Off Points of Waist Circumference to Diagnose MetS and Its Implications Heng Guo, Jiaming Liu, Jingyu Zhang, Rulin Ma, Yusong Ding, Mei Zhang, Jia He, Shangzhi Xu, Shugang Li, Yizhong Yan, Lati Mu, Dongsheng Rui, Qiang Niu, Shuxia Guo* Department of Preventive Medicine, School of Medicine, Shihezi University, Shihezi, Xinjiang, 832000, China *
[email protected] OPEN ACCESS Citation: Guo H, Liu J, Zhang J, Ma R, Ding Y, Abstract Zhang M, et al. (2016) The Prevalence of Metabolic Syndrome Using Three Different Diagnostic Criteria among Low Earning Nomadic Kazakhs in the Far Background Northwest of China: New Cut-Off Points of Waist Circumference to Diagnose MetS and Its Although the epidemic of metabolic syndrome (MetS) has aroused wide public concern, Implications. PLoS ONE 11(2): e0148976. most studies on MetS tend to examine urban and high income settings, and few studies doi:10.1371/journal.pone.0148976 cover nomadic areas and low earning populations. This research aims to investigate the Editor: Shengxu Li, Tulane School of Public Health prevalence of MetS and explore the cut-off point of waist circumference in a nomadic minor- and Tropical Medicine, UNITED STATES ity typical of low income populations in the remote northwest region of China. Received: October 18, 2015 Accepted: January 26, 2016 Methods Published: February 22, 2016 A cross-sectional study was performed in a representative sample of 3900 Kazakh adults aged 18–84 years from 2009–2010.