Table 1

The characteristics of study population according to changes in metabolic syndrome status at the index date

TotalChanges in MetSP
(N = 3 688 787)FreeDevelopedRecoveredPersistent
(N = 3 100 497)(N = 239 540)(N = 163 675)(N = 185 075)
Clinical parameters
 Age, years32.1 ± 4.331.8 ± 4.333.3 ± 3.933.7 ± 3.834.2 ± 3.6<0.001
 Age subgroups, %<0.001
  <30 years1 096 809 (29.7)1 008 840 (32.5)42 770 (17.9)24 373 (14.9)20 826 (11.2)
  ≥30 years2 591 978 (70.3)2 091 657 (67.5)196 770 (82.1)139 302 (85.1)164 249 (88.8)
 Sex, %<0.001
  Male2 317 539 (62.8)1 793 699 (57.9)211 372 (88.2)143 440 (87.6)169 028 (91.3)
  Female1 371 248 (37.2)1 306 798 (42.1)28 168 (11.8)20 235 (12.4)16 047 (8.7)
 BMI, kg/m223.3 ± 3.722.5 ± 3.127.0 ± 3.426.2 ± 3.429.0 ± 3.7<0.001
 WC, cm78.5 ± 10.276.3 ± 9.089.3 ± 8.386.1 ± 8.393.6 ± 8.5<0.001
 Obesity, %899 114 (29.2)583 387 (20.4)134 450 (73.0)83 568 (63.1)97 709 (88.3)<0.001
 Income, lowest 25%, %377 536 (10.2)327 303 (10.6)20 798 (8.7)14 522 (8.9)14 913 (8.1)<0.001
 Smoking, %<0.001
  Non1 995 439 (54.1)1 809 506 (58.3)78 797 (32.9)54 961 (33.6)52 175 (28.2)
  Ex453 902 (12.3)355 419 (11.5)39 763 (16.6)27 439 (16.7)31 281 (16.9)
  Current1 239 446 (33.6)935 572 (30.2)120 980 (50.5)81 275 (49.7)101 619 (54.9)
 Alcohol consumption, %<0.001
  Non1 305 432 (35.4)1 150 781 (37.1)62 653 (26.2)45 032 (27.5)46 966 (25.4)
  Mild-to-moderate2 076 939 (56.3)1 728 585 (55.8)142 298 (59.4)97 316 (59.5)108 740 (58.7)
  Heavy306 416 (8.3)221 131 (7.1)34 589 (14.4)21 327 (13.0)29 369 (15.9)
 Regular exercise, %547 720 (14.9)456 058 (14.7)33 267 (13.9)30 600 (18.7)27 795 (15.0)<0.001
Comorbidities, %
 Hypertension270 312 (7.3)121 727 (3.9)56 186 (23.5)21 571 (13.2)70 828 (38.3)<0.001
 Diabetes mellitus71 288 (1.9)22 618 (0.7)14 309 (6.0)5176 (3.2)29 185 (15.8)<0.001
 Dyslipidaemia289 321 (7.8)165 651 (5.3)48 369 (20.2)21 525 (13.2)53 776 (29.1)<0.001
 Chronic kidney disease58 841 (1.6)48 026 (1.6)4270 (1.8)2765 (1.7)3780 (2.0)<0.001
Vital signs
 Systolic BP, mmHg117.9 ± 13.2115.8 ± 12.1130.1 ± 11.7123.5 ± 12.2132.5 ± 13.3<0.001
 Diastolic BP, mmHg74.1 ± 9.472.7 ± 8.781.7 ± 9.178.0 ± 9.083.9 ± 10.2<0.001
Laboratory parameters
 Fasting glucose91.4 ± 16.089.3 ± 11.6102.0 ± 21.294.6 ± 19.8110.0 ± 36.7<0.001
 Total cholesterol187.3 ± 33.7184.1 ± 32.0204.0 ± 37.0199.6 ± 35.3208.1 ± 38.5<0.001
 HDL-c56.9 ± 18.158.8 ± 17.846.6 ± 15.949.9 ± 16.844.5 ± 14.8<0.001
 LDL-c107.0 ± 31.3105.2 ± 29.8115.4 ± 36.6118.0 ± 33.6116.5 ± 38.9<0.001
 Triglycerides95 (64–148)85 (60–124)195 (158–259)138 (103–201)221 (168–300)<0.001
 eGFR98.7 ± 52.899.1 ± 52.796.5 ± 54.696.7 ± 53.795.8 ± 51.0<0.001
Number of metabolic components at the First National Health Screening Examination (E1)
 01 718 045 (46.6)1 684 592 (54.3)33 453 (14.0)<0.001
 11 076 909 (29.2)992 977 (32.0)83 932 (35.0)
 2545 083 (14.8)422 928 (13.6)122 155 (51.0)
 3247 011 (6.7)133 585 (81.6)113 426 (61.3)
 485 688 (2.3)27 462 (16.8)58 226 (31.5)
 516 051 (0.4)2628 (1.6)13 423 (7.3)
Number of metabolic components at the Second National Health Screening Examination (E2)
 01 646 645 (44.6)1 627 584 (52.5)19 061 (11.7)<0.001
 11 038 229 (28.2)984 905 (31.8)53 324 (32.6)
 2579 298 (15.7)488 008 (15.7)91 290 (55.8)
 3288 738 (7.8)186 321 (77.8)102 417 (55.3)
 4111 702 (3.0)47 526 (19.8)64 176 (34.7)
 524 175 (0.7)5693 (2.4)18 482 (10.0)
TotalChanges in MetSP
(N = 3 688 787)FreeDevelopedRecoveredPersistent
(N = 3 100 497)(N = 239 540)(N = 163 675)(N = 185 075)
Clinical parameters
 Age, years32.1 ± 4.331.8 ± 4.333.3 ± 3.933.7 ± 3.834.2 ± 3.6<0.001
 Age subgroups, %<0.001
  <30 years1 096 809 (29.7)1 008 840 (32.5)42 770 (17.9)24 373 (14.9)20 826 (11.2)
  ≥30 years2 591 978 (70.3)2 091 657 (67.5)196 770 (82.1)139 302 (85.1)164 249 (88.8)
 Sex, %<0.001
  Male2 317 539 (62.8)1 793 699 (57.9)211 372 (88.2)143 440 (87.6)169 028 (91.3)
  Female1 371 248 (37.2)1 306 798 (42.1)28 168 (11.8)20 235 (12.4)16 047 (8.7)
 BMI, kg/m223.3 ± 3.722.5 ± 3.127.0 ± 3.426.2 ± 3.429.0 ± 3.7<0.001
 WC, cm78.5 ± 10.276.3 ± 9.089.3 ± 8.386.1 ± 8.393.6 ± 8.5<0.001
 Obesity, %899 114 (29.2)583 387 (20.4)134 450 (73.0)83 568 (63.1)97 709 (88.3)<0.001
 Income, lowest 25%, %377 536 (10.2)327 303 (10.6)20 798 (8.7)14 522 (8.9)14 913 (8.1)<0.001
 Smoking, %<0.001
  Non1 995 439 (54.1)1 809 506 (58.3)78 797 (32.9)54 961 (33.6)52 175 (28.2)
  Ex453 902 (12.3)355 419 (11.5)39 763 (16.6)27 439 (16.7)31 281 (16.9)
  Current1 239 446 (33.6)935 572 (30.2)120 980 (50.5)81 275 (49.7)101 619 (54.9)
 Alcohol consumption, %<0.001
  Non1 305 432 (35.4)1 150 781 (37.1)62 653 (26.2)45 032 (27.5)46 966 (25.4)
  Mild-to-moderate2 076 939 (56.3)1 728 585 (55.8)142 298 (59.4)97 316 (59.5)108 740 (58.7)
  Heavy306 416 (8.3)221 131 (7.1)34 589 (14.4)21 327 (13.0)29 369 (15.9)
 Regular exercise, %547 720 (14.9)456 058 (14.7)33 267 (13.9)30 600 (18.7)27 795 (15.0)<0.001
Comorbidities, %
 Hypertension270 312 (7.3)121 727 (3.9)56 186 (23.5)21 571 (13.2)70 828 (38.3)<0.001
 Diabetes mellitus71 288 (1.9)22 618 (0.7)14 309 (6.0)5176 (3.2)29 185 (15.8)<0.001
 Dyslipidaemia289 321 (7.8)165 651 (5.3)48 369 (20.2)21 525 (13.2)53 776 (29.1)<0.001
 Chronic kidney disease58 841 (1.6)48 026 (1.6)4270 (1.8)2765 (1.7)3780 (2.0)<0.001
Vital signs
 Systolic BP, mmHg117.9 ± 13.2115.8 ± 12.1130.1 ± 11.7123.5 ± 12.2132.5 ± 13.3<0.001
 Diastolic BP, mmHg74.1 ± 9.472.7 ± 8.781.7 ± 9.178.0 ± 9.083.9 ± 10.2<0.001
Laboratory parameters
 Fasting glucose91.4 ± 16.089.3 ± 11.6102.0 ± 21.294.6 ± 19.8110.0 ± 36.7<0.001
 Total cholesterol187.3 ± 33.7184.1 ± 32.0204.0 ± 37.0199.6 ± 35.3208.1 ± 38.5<0.001
 HDL-c56.9 ± 18.158.8 ± 17.846.6 ± 15.949.9 ± 16.844.5 ± 14.8<0.001
 LDL-c107.0 ± 31.3105.2 ± 29.8115.4 ± 36.6118.0 ± 33.6116.5 ± 38.9<0.001
 Triglycerides95 (64–148)85 (60–124)195 (158–259)138 (103–201)221 (168–300)<0.001
 eGFR98.7 ± 52.899.1 ± 52.796.5 ± 54.696.7 ± 53.795.8 ± 51.0<0.001
Number of metabolic components at the First National Health Screening Examination (E1)
 01 718 045 (46.6)1 684 592 (54.3)33 453 (14.0)<0.001
 11 076 909 (29.2)992 977 (32.0)83 932 (35.0)
 2545 083 (14.8)422 928 (13.6)122 155 (51.0)
 3247 011 (6.7)133 585 (81.6)113 426 (61.3)
 485 688 (2.3)27 462 (16.8)58 226 (31.5)
 516 051 (0.4)2628 (1.6)13 423 (7.3)
Number of metabolic components at the Second National Health Screening Examination (E2)
 01 646 645 (44.6)1 627 584 (52.5)19 061 (11.7)<0.001
 11 038 229 (28.2)984 905 (31.8)53 324 (32.6)
 2579 298 (15.7)488 008 (15.7)91 290 (55.8)
 3288 738 (7.8)186 321 (77.8)102 417 (55.3)
 4111 702 (3.0)47 526 (19.8)64 176 (34.7)
 524 175 (0.7)5693 (2.4)18 482 (10.0)

Values are mean ± standard deviation, median (inter-quartile ranges), or n (%). Measurement units of laboratory findings are mg/dL and mL/min/1.73 m2 (for eGFR).

BMI, body mass index; BP, blood pressure; eGFR, estimated glomerular filtration rate; HDL-c, HDL cholesterol; LDL-c, lowLDL cholesterol; MetS, metabolic syndrome; N, numbers; WC, waist circumference.

Table 1

The characteristics of study population according to changes in metabolic syndrome status at the index date

TotalChanges in MetSP
(N = 3 688 787)FreeDevelopedRecoveredPersistent
(N = 3 100 497)(N = 239 540)(N = 163 675)(N = 185 075)
Clinical parameters
 Age, years32.1 ± 4.331.8 ± 4.333.3 ± 3.933.7 ± 3.834.2 ± 3.6<0.001
 Age subgroups, %<0.001
  <30 years1 096 809 (29.7)1 008 840 (32.5)42 770 (17.9)24 373 (14.9)20 826 (11.2)
  ≥30 years2 591 978 (70.3)2 091 657 (67.5)196 770 (82.1)139 302 (85.1)164 249 (88.8)
 Sex, %<0.001
  Male2 317 539 (62.8)1 793 699 (57.9)211 372 (88.2)143 440 (87.6)169 028 (91.3)
  Female1 371 248 (37.2)1 306 798 (42.1)28 168 (11.8)20 235 (12.4)16 047 (8.7)
 BMI, kg/m223.3 ± 3.722.5 ± 3.127.0 ± 3.426.2 ± 3.429.0 ± 3.7<0.001
 WC, cm78.5 ± 10.276.3 ± 9.089.3 ± 8.386.1 ± 8.393.6 ± 8.5<0.001
 Obesity, %899 114 (29.2)583 387 (20.4)134 450 (73.0)83 568 (63.1)97 709 (88.3)<0.001
 Income, lowest 25%, %377 536 (10.2)327 303 (10.6)20 798 (8.7)14 522 (8.9)14 913 (8.1)<0.001
 Smoking, %<0.001
  Non1 995 439 (54.1)1 809 506 (58.3)78 797 (32.9)54 961 (33.6)52 175 (28.2)
  Ex453 902 (12.3)355 419 (11.5)39 763 (16.6)27 439 (16.7)31 281 (16.9)
  Current1 239 446 (33.6)935 572 (30.2)120 980 (50.5)81 275 (49.7)101 619 (54.9)
 Alcohol consumption, %<0.001
  Non1 305 432 (35.4)1 150 781 (37.1)62 653 (26.2)45 032 (27.5)46 966 (25.4)
  Mild-to-moderate2 076 939 (56.3)1 728 585 (55.8)142 298 (59.4)97 316 (59.5)108 740 (58.7)
  Heavy306 416 (8.3)221 131 (7.1)34 589 (14.4)21 327 (13.0)29 369 (15.9)
 Regular exercise, %547 720 (14.9)456 058 (14.7)33 267 (13.9)30 600 (18.7)27 795 (15.0)<0.001
Comorbidities, %
 Hypertension270 312 (7.3)121 727 (3.9)56 186 (23.5)21 571 (13.2)70 828 (38.3)<0.001
 Diabetes mellitus71 288 (1.9)22 618 (0.7)14 309 (6.0)5176 (3.2)29 185 (15.8)<0.001
 Dyslipidaemia289 321 (7.8)165 651 (5.3)48 369 (20.2)21 525 (13.2)53 776 (29.1)<0.001
 Chronic kidney disease58 841 (1.6)48 026 (1.6)4270 (1.8)2765 (1.7)3780 (2.0)<0.001
Vital signs
 Systolic BP, mmHg117.9 ± 13.2115.8 ± 12.1130.1 ± 11.7123.5 ± 12.2132.5 ± 13.3<0.001
 Diastolic BP, mmHg74.1 ± 9.472.7 ± 8.781.7 ± 9.178.0 ± 9.083.9 ± 10.2<0.001
Laboratory parameters
 Fasting glucose91.4 ± 16.089.3 ± 11.6102.0 ± 21.294.6 ± 19.8110.0 ± 36.7<0.001
 Total cholesterol187.3 ± 33.7184.1 ± 32.0204.0 ± 37.0199.6 ± 35.3208.1 ± 38.5<0.001
 HDL-c56.9 ± 18.158.8 ± 17.846.6 ± 15.949.9 ± 16.844.5 ± 14.8<0.001
 LDL-c107.0 ± 31.3105.2 ± 29.8115.4 ± 36.6118.0 ± 33.6116.5 ± 38.9<0.001
 Triglycerides95 (64–148)85 (60–124)195 (158–259)138 (103–201)221 (168–300)<0.001
 eGFR98.7 ± 52.899.1 ± 52.796.5 ± 54.696.7 ± 53.795.8 ± 51.0<0.001
Number of metabolic components at the First National Health Screening Examination (E1)
 01 718 045 (46.6)1 684 592 (54.3)33 453 (14.0)<0.001
 11 076 909 (29.2)992 977 (32.0)83 932 (35.0)
 2545 083 (14.8)422 928 (13.6)122 155 (51.0)
 3247 011 (6.7)133 585 (81.6)113 426 (61.3)
 485 688 (2.3)27 462 (16.8)58 226 (31.5)
 516 051 (0.4)2628 (1.6)13 423 (7.3)
Number of metabolic components at the Second National Health Screening Examination (E2)
 01 646 645 (44.6)1 627 584 (52.5)19 061 (11.7)<0.001
 11 038 229 (28.2)984 905 (31.8)53 324 (32.6)
 2579 298 (15.7)488 008 (15.7)91 290 (55.8)
 3288 738 (7.8)186 321 (77.8)102 417 (55.3)
 4111 702 (3.0)47 526 (19.8)64 176 (34.7)
 524 175 (0.7)5693 (2.4)18 482 (10.0)
TotalChanges in MetSP
(N = 3 688 787)FreeDevelopedRecoveredPersistent
(N = 3 100 497)(N = 239 540)(N = 163 675)(N = 185 075)
Clinical parameters
 Age, years32.1 ± 4.331.8 ± 4.333.3 ± 3.933.7 ± 3.834.2 ± 3.6<0.001
 Age subgroups, %<0.001
  <30 years1 096 809 (29.7)1 008 840 (32.5)42 770 (17.9)24 373 (14.9)20 826 (11.2)
  ≥30 years2 591 978 (70.3)2 091 657 (67.5)196 770 (82.1)139 302 (85.1)164 249 (88.8)
 Sex, %<0.001
  Male2 317 539 (62.8)1 793 699 (57.9)211 372 (88.2)143 440 (87.6)169 028 (91.3)
  Female1 371 248 (37.2)1 306 798 (42.1)28 168 (11.8)20 235 (12.4)16 047 (8.7)
 BMI, kg/m223.3 ± 3.722.5 ± 3.127.0 ± 3.426.2 ± 3.429.0 ± 3.7<0.001
 WC, cm78.5 ± 10.276.3 ± 9.089.3 ± 8.386.1 ± 8.393.6 ± 8.5<0.001
 Obesity, %899 114 (29.2)583 387 (20.4)134 450 (73.0)83 568 (63.1)97 709 (88.3)<0.001
 Income, lowest 25%, %377 536 (10.2)327 303 (10.6)20 798 (8.7)14 522 (8.9)14 913 (8.1)<0.001
 Smoking, %<0.001
  Non1 995 439 (54.1)1 809 506 (58.3)78 797 (32.9)54 961 (33.6)52 175 (28.2)
  Ex453 902 (12.3)355 419 (11.5)39 763 (16.6)27 439 (16.7)31 281 (16.9)
  Current1 239 446 (33.6)935 572 (30.2)120 980 (50.5)81 275 (49.7)101 619 (54.9)
 Alcohol consumption, %<0.001
  Non1 305 432 (35.4)1 150 781 (37.1)62 653 (26.2)45 032 (27.5)46 966 (25.4)
  Mild-to-moderate2 076 939 (56.3)1 728 585 (55.8)142 298 (59.4)97 316 (59.5)108 740 (58.7)
  Heavy306 416 (8.3)221 131 (7.1)34 589 (14.4)21 327 (13.0)29 369 (15.9)
 Regular exercise, %547 720 (14.9)456 058 (14.7)33 267 (13.9)30 600 (18.7)27 795 (15.0)<0.001
Comorbidities, %
 Hypertension270 312 (7.3)121 727 (3.9)56 186 (23.5)21 571 (13.2)70 828 (38.3)<0.001
 Diabetes mellitus71 288 (1.9)22 618 (0.7)14 309 (6.0)5176 (3.2)29 185 (15.8)<0.001
 Dyslipidaemia289 321 (7.8)165 651 (5.3)48 369 (20.2)21 525 (13.2)53 776 (29.1)<0.001
 Chronic kidney disease58 841 (1.6)48 026 (1.6)4270 (1.8)2765 (1.7)3780 (2.0)<0.001
Vital signs
 Systolic BP, mmHg117.9 ± 13.2115.8 ± 12.1130.1 ± 11.7123.5 ± 12.2132.5 ± 13.3<0.001
 Diastolic BP, mmHg74.1 ± 9.472.7 ± 8.781.7 ± 9.178.0 ± 9.083.9 ± 10.2<0.001
Laboratory parameters
 Fasting glucose91.4 ± 16.089.3 ± 11.6102.0 ± 21.294.6 ± 19.8110.0 ± 36.7<0.001
 Total cholesterol187.3 ± 33.7184.1 ± 32.0204.0 ± 37.0199.6 ± 35.3208.1 ± 38.5<0.001
 HDL-c56.9 ± 18.158.8 ± 17.846.6 ± 15.949.9 ± 16.844.5 ± 14.8<0.001
 LDL-c107.0 ± 31.3105.2 ± 29.8115.4 ± 36.6118.0 ± 33.6116.5 ± 38.9<0.001
 Triglycerides95 (64–148)85 (60–124)195 (158–259)138 (103–201)221 (168–300)<0.001
 eGFR98.7 ± 52.899.1 ± 52.796.5 ± 54.696.7 ± 53.795.8 ± 51.0<0.001
Number of metabolic components at the First National Health Screening Examination (E1)
 01 718 045 (46.6)1 684 592 (54.3)33 453 (14.0)<0.001
 11 076 909 (29.2)992 977 (32.0)83 932 (35.0)
 2545 083 (14.8)422 928 (13.6)122 155 (51.0)
 3247 011 (6.7)133 585 (81.6)113 426 (61.3)
 485 688 (2.3)27 462 (16.8)58 226 (31.5)
 516 051 (0.4)2628 (1.6)13 423 (7.3)
Number of metabolic components at the Second National Health Screening Examination (E2)
 01 646 645 (44.6)1 627 584 (52.5)19 061 (11.7)<0.001
 11 038 229 (28.2)984 905 (31.8)53 324 (32.6)
 2579 298 (15.7)488 008 (15.7)91 290 (55.8)
 3288 738 (7.8)186 321 (77.8)102 417 (55.3)
 4111 702 (3.0)47 526 (19.8)64 176 (34.7)
 524 175 (0.7)5693 (2.4)18 482 (10.0)

Values are mean ± standard deviation, median (inter-quartile ranges), or n (%). Measurement units of laboratory findings are mg/dL and mL/min/1.73 m2 (for eGFR).

BMI, body mass index; BP, blood pressure; eGFR, estimated glomerular filtration rate; HDL-c, HDL cholesterol; LDL-c, lowLDL cholesterol; MetS, metabolic syndrome; N, numbers; WC, waist circumference.

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