中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
11期
1254-1257
,共4页
老年人%代谢综合征X%流行病学%月坛社区
老年人%代謝綜閤徵X%流行病學%月罈社區
노년인%대사종합정X%류행병학%월단사구
Aged%Metabolic syndrome X%Epidemiology%Yuetan community
目的 调查北京市月坛社区老年人代谢综合征(MS)的流行现况,为开展老年人MS社区防治提供基础资料.方法 采用整群随机抽样的流行病学调查方法进行问卷调查,同时测定调查对象的腰围、血压、血脂、空腹血糖,调查样本量为2 045人,有效调查人数为1 991人.运用2005国际糖尿病联盟(IDF)标准和2007年中国成人血脂异常防治指南在2004年中华糖尿病学会建议标准基础上修订的诊断标准(2007CDS修订标准)对资料进行分析.结果 (1)月坛社区老年人MS的患病率分别为42.94%(2005IDF标准)和24.86%(2007CDS修订标准)(P＜0.0001),两个标准一致性检验的Kappa值为0.51.有86.15%的男性与83.70%的女性至少有1项以上的代谢异常.(2)随着年龄增加,MS患病率不表现增龄趋势(P=0.6384).(3)不同性别者MS患病率间差异无统计学意义(P=0.4261).(4)MS中最多见的表现形式是"中心性肥胖+高血压+高血糖"和"中心性肥胖+高血压+高三酰甘油".结论 月坛社区老年人群具有较高的MS患病率,且多种代谢异常的聚集较为严重,提示了较强的心血管病风险.2005IDF标准的诊断率高于2007CDS修订标准,2005IDF标准对女性腰围≥80 cm的切入标准可能偏低,对女性MS的患病率产生高估,2007CDS修订标准更适合我国人群MS的特点.
目的 調查北京市月罈社區老年人代謝綜閤徵(MS)的流行現況,為開展老年人MS社區防治提供基礎資料.方法 採用整群隨機抽樣的流行病學調查方法進行問捲調查,同時測定調查對象的腰圍、血壓、血脂、空腹血糖,調查樣本量為2 045人,有效調查人數為1 991人.運用2005國際糖尿病聯盟(IDF)標準和2007年中國成人血脂異常防治指南在2004年中華糖尿病學會建議標準基礎上脩訂的診斷標準(2007CDS脩訂標準)對資料進行分析.結果 (1)月罈社區老年人MS的患病率分彆為42.94%(2005IDF標準)和24.86%(2007CDS脩訂標準)(P＜0.0001),兩箇標準一緻性檢驗的Kappa值為0.51.有86.15%的男性與83.70%的女性至少有1項以上的代謝異常.(2)隨著年齡增加,MS患病率不錶現增齡趨勢(P=0.6384).(3)不同性彆者MS患病率間差異無統計學意義(P=0.4261).(4)MS中最多見的錶現形式是"中心性肥胖+高血壓+高血糖"和"中心性肥胖+高血壓+高三酰甘油".結論 月罈社區老年人群具有較高的MS患病率,且多種代謝異常的聚集較為嚴重,提示瞭較彊的心血管病風險.2005IDF標準的診斷率高于2007CDS脩訂標準,2005IDF標準對女性腰圍≥80 cm的切入標準可能偏低,對女性MS的患病率產生高估,2007CDS脩訂標準更適閤我國人群MS的特點.
목적 조사북경시월단사구노년인대사종합정(MS)적류행현황,위개전노년인MS사구방치제공기출자료.방법 채용정군수궤추양적류행병학조사방법진행문권조사,동시측정조사대상적요위、혈압、혈지、공복혈당,조사양본량위2 045인,유효조사인수위1 991인.운용2005국제당뇨병련맹(IDF)표준화2007년중국성인혈지이상방치지남재2004년중화당뇨병학회건의표준기출상수정적진단표준(2007CDS수정표준)대자료진행분석.결과 (1)월단사구노년인MS적환병솔분별위42.94%(2005IDF표준)화24.86%(2007CDS수정표준)(P＜0.0001),량개표준일치성검험적Kappa치위0.51.유86.15%적남성여83.70%적녀성지소유1항이상적대사이상.(2)수착년령증가,MS환병솔불표현증령추세(P=0.6384).(3)불동성별자MS환병솔간차이무통계학의의(P=0.4261).(4)MS중최다견적표현형식시"중심성비반+고혈압+고혈당"화"중심성비반+고혈압+고삼선감유".결론 월단사구노년인군구유교고적MS환병솔,차다충대사이상적취집교위엄중,제시료교강적심혈관병풍험.2005IDF표준적진단솔고우2007CDS수정표준,2005IDF표준대녀성요위≥80 cm적절입표준가능편저,대녀성MS적환병솔산생고고,2007CDS수정표준경괄합아국인군MS적특점.
Objective To investigate the prevalence of elderly metabolic syndrome (MS) in Beijing Yuetan Community to provide basic information for its prevention and treatment.Methods A epidemiological questionnaire survey was conducted by multistage cluster sampling method.The waist circumference,blood pressure,blood lipids,fasting glucose of 2 045 subjects were measured,1 991 of whom offered effective data.2005 IDF Standard and 2007 CDS revised standard were used to analyze the data.Results (1)The prevalence of MS was 42.94% by 2005 IDF standard and 24.86% by 2007 CDS standard (P＜0.0001),Kappa coefficient being 0.51.86.15% males and 83.70% females had at least 1 metabolic abnormality;(2)MS prevalence rate did not increase with age(P=0.6384).(3)No significant difference was noted in MS prevalence between 2 genders (P=0.4261).The most common manifestations of MS were the combination of central obesity,hypertension,high blood glucose or that of central obesity,hypertension,high triglycerides.Conclusion The MS prevalence is high among the elderly population in Yuetan community in Beijing.The aggregation of a variety of metabolic disorders is common,indicating a high risk of cardiovascular diseases.The detection rate by 2005 IDF standard is higher than by 2007 CDS revised standard.According to IDF standard,the cut-standards for women with waist circumference over 80 cm may be low,resulting in the overestimation of MS prevalence among female population.So,2007 CDS revised standard for MS is more suited to the characteristics of Chinese MS population.
