Association between community environment and metabolic sydrome among Chinese middle-aged and older adults — Evidence from the national longitudinal surveys from 2011 to 2015

• Xiangyu Tang ^[1] ; Feifei Yao ^[2] ; Fengyan Li ^[3] ; Liqin Xiao ^[4] ; Xiaoming Liu ^[1] ; Fen Liu ^[1] ; Jian Yang ^[1] ; Shujia Xu ^[1] ; Zhiling Liu ^[1] ; Fulan Hu ^[1] ; Xiuyun Chen ^[1]
  1. [1] Department of Gastroenterology. Qianhai Shekou Free Trade Zone Hospital. Shenzhen, Guangdong. People’s Republic of China.
  2. [2] linical Public Health Center. Qianhai Shekou Free Trade Zone Hospital. Shenzhen, Guangdong. People’s Republic of China.
  3. [3] eaching and Scientific Research Department. Qianhai Shekou Free Trade Zone Hospital. Shenzhen, Guangdong. People’s Republic of China.
  4. [4] Quality Management Department. Qianhai Shekou Free Trade Zone Hospital. Shenzhen, Guangdong. People’s Republic of China.

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• Localización: Nutrición hospitalaria: Órgano oficial de la Sociedad Española de Nutrición Clínica y Metabolismo (SENPE), ISSN-e 1699-5198, ISSN 0212-1611, Vol. 42, Nº. 4, 2025, págs. 678-685
• Idioma: inglés
• DOI: 10.20960/nh.05474
• Títulos paralelos:
  • Asociación entre el entorno comunitario y el síndrome metabólico en adultos chinos de mediana edad y mayores: evidencia en las encuestas longitudinales nacionales de 2011 a 2015
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• Resumen
  • español

    Antecedentes: los entornos comunitarios que promueven estilos de vida activos y comprometidos pueden mitigar los factores de riesgo del síndrome metabólico (SM). Este estudio investiga la asociación entre los entornos culturales y recreativos comunitarios y la incidencia del SM entre personas chinas de mediana edad y mayores.

    Métodos: utilizando datos del Estudio de Salud y Jubilación en China (CHARLS) de 2011 a 2015, se incluyeron participantes de 45 años o más con datos relevantes completos. Los entornos comunitarios se clasificaron en tres categorías mediante análisis de conglomerados jerár- quicos. Se emplearon modelos de regresión logística multivariada para examinar las asociaciones entre los entornos comunitarios y el SM.

    Resultados: de 6321 participantes, 1403 desarrollaron SM. Aquellos que desarrollaron SM eran mayores, menos educados, con- sumían alcohol, trabajaban en la agricultura y vivían en áreas rurales o del norte, principalmente en comunidades de la Cate- goría 1. Los participantes en comunidades de la Categoría 2 (OR: 0,69, IC 95 %: 0,55-0,87) y Categoría 3 (OR: 0,57, IC 95 %: 0,33- 0,93) tenían un menor riesgo de SM en comparación con los de la Categoría 1. Se encontraron asociaciones significativas entre los individuos de mediana edad y los hombres en la Categoría 2, y entre las mujeres en las comunidades de las Categorías 2 y 3.

    Conclusión: este estudio encontró que los entornos comunitarios con un fuerte apoyo cultural, deportivo y recreativo están asociados con un menor riesgo de SM entre adultos de mediana edad y mayores en China. Estos hallazgos enfatizan la importancia de entornos comunitarios integrales para promover la salud metabólica.

  • English

    Background: community environments that encourage active and socially engaged lifestyles may help reduce the risk of metabolic syndrome (MetS). This study aims to examine the relationship between community cultural and recreational environments and the incidence of MetS among middle-aged and older Chinese individuals.

    Methods: we used data from the China Health and Retirement Longitudinal Study (CHARLS) from 2011 to 2015, we included participants aged 45 years and older with complete relevant data. Community environments were classified into three categories using hierarchical clustering analysis. Multivariate logistic regression models were employed to examine associations between community environments and MetS.

    Findings: among 6,321 participants, 1,403 developed MetS during the follow-up period. Those who developed MetS were older, less educated, currently drinking, engaged in agricultural work, and lived in northern or rural areas, primarily in Category 1 communities. Participants in Category 2 (OR: 0.69, 95 % CI: 0.55-0.87) and Category 3 (OR: 0.57, 95 % CI: 0.33-0.93) communities had a lower risk of MetS compared to those in Category 1. Significant associations were found among middle-aged individuals and males in Category 2, and among females in both Category 2 and Category 3 communities.

    Conclusion: our findings suggest that community environments with robust cultural, sports, and recreational support are associated with a lower risk of MetS among middle-age

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