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. 2017 Jul 17;7:5518. doi: 10.1038/s41598-017-05791-2

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© The Author(s) 2017

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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Association between hepatitis B virus (HBV) infection and MetS in rural areas located in Southwest China. (a) Association between HBsAg positive and MetS. HbsAg positive decreased the risk of MetS (OR = 0.60, 95% CI: 0.46–0.77), elevated GLU (OR = 0.69, 95% CI: 0.54–0.89) and elevated TG (OR = 0.59, 95% CI: 0.45–0.77). (b) Association between HBV DNA titers and MetS. Lower HBV DNA titers decreased the risk of MetS (OR = 0.67, 95% CI: 0.50–0.92), but did not decrease its constituents; higher HBV DNA titers decreased the risk of MetS (OR = 0.49, 95% CI: 0.33–0.74) and its three constituents. All the results were analyzed after adjustment for age, sex, abnormal liver function, Aflatoxin B1 exposure, MC-LR exposure, alcohol drinking, cigarette smoking, labor strength, education level, family income, and fat, salt, vegetable and fruit consumption.