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. 2022 Aug 16;15:2497–2510. doi: 10.2147/DMSO.S362071

Table 6.

Forward and Backward Transitions of MetS States by Different Factors: Multivariate Models [Hazard Ratios (95% CI)]

Variables Forward Transitions Backward Transitions
FMD→SMD MMD→MetS SMD→MetS SMD→FMD SMD→MMD MetS→MMD MetS→SMD
Gender 0.74(0.42,1.32) 0.74(0.53,1.05) 0.75(0.59,0.95)* 1.93(1.03,3.64)* 1.40(1.05,1.86)* 2.35(1.60,3.44)* 1.34(1.04,1.72)*
Age
 55~64 1.22(0.77,1.91) 1.31(0.97,1.76) 1.08(0.88,1.32) 0.64(0.36,1.15) 1.02(0.79,1.32) 0.77(0.55,1.09) 0.93(0.76,1.15)
 ≥65 1.33(0.77,2.28) 1.18(0.81,1.72) 1.23(0.98,1.55) 0.43(0.22,0.86)* 0.92(0.68,1.25) 0.81(0.55,1.19) 0.94(0.74,1.18)
Exercise
 Occasionally 1.24(0.82,1.89) 1.30(0.95,1.76) 1.06(0.86,1.32) 1.39(0.80,2.41) 0.93(0.73,1.18) 0.93(0.65,1.33) 0.88(0.71,1.09)
 Little 1.36(0.74,2.50) 1.60(1.14,2.26)* 1.36(1.10,1.69)* 0.81(0.39,1.6) 0.67(0.50,0.89)* 0.81(0.56,1.16) 0.88(0.71,1.09)
Smoke 1.32(0.81,2.15) 1.66(1.22,2.26)* 1.16(0.93,1.45) 0.56(0.30,1.07) 0.90(0.68,1.18) 0.80(0.53,1.21) 0.97(0.75,1.24)
Drink 1.32(0.87,2.02) 1.10(0.83,1.46) 1.30(1.07,1.57)* 0.75(0.42,1.34) 0.76(0.59,0.98)* 0.70(0.48,1.02) 1.03(0.83,1.28)
Functional loss 1.37(0.91,2.06) 0.95(0.71,1.28) 0.99(0.81,1.20) 1.03(0.60,1.78) 0.95(0.74,1.21) 1.21(0.89,1.66) 0.97(0.80,1.19)
Hyperuricemia 2.01(1.07,3.76)* 1.40(0.84,2.33) 1.08(0.78,1.48) 0.89(0.27,2.90) 0.76(0.45,1.29) 0.71(0.40,1.26) 0.74(0.54,1.03)
BMI level
 Thin 0.53(0.28,1.01) 0.65(0.40,1.08) 0.66(0.41,1.06) 2.44(1.29,4.59)* 1.43(1.01,2.01)* 1.28(0.56,2.95) 1.51(0.88,2.61)
 Overweight/Obesity 1.93(1.06.3.53)* 1.68(1.25,2.25)* 1.68(1.41,2.00)* 0.15(0.06,0.37)* 0.44(0.33,0.58)* 0.36(0.27,0.48)* 0.76(0.63,0.90)*
High LDL-C 0.90(0.59,1.37) 1.19(0.92,1.55) 1.11(0.94,1.32) 0.67(0.39,1.18) 0.97(0.77,1.22) 1.00(0.74,1.35) 0.98(0.82,1.17)
High HbA1c 0.47(0.11,1.95) 1.07(0.54,2.10) 0.97(0.64,1.46) 0.28(0.04,2.08) 0.79(0.45,1.37) 0.54(0.29,1.03) 0.45(0.30,0.67)*

Note: *P < 0.05.

Abbreviations: FMD, free of metabolic disorder; MMD, mild metabolic disorder; SMD, severe metabolic disorder; MetS, metabolic syndrome; BMI, body Mass Index; LDL-C, low density lipoprotein cholesterol; HbA1c, glycated hemoglobin; TC, total cholesterol; CI, confidence interval.