CAJ | 학술논문

目的了解上海市浦东新区居民代谢综合征(MS)的患病率及其分布特征。方法 2008年4月至7月期间，采用多阶段随机抽样方法，从上海市浦东新区抽取20～80岁的社区居民5 584人，进行横断面调查，根据美国国家胆固醇教育计划成人治疗组修正第3次报告( NCEP-ATPⅢ)、国际糖尿病联盟(IDF)、中华医学会糖尿病学分会(CDS)诊断标准计算MS各组分患病率，并比较3种标准应用的差异。结果根据CDS的MS诊断标准，上海市浦东新区成年居民MS患病粗率为18.2％，世界人口标化率为13.1％（男性19.1％，标化后15.6％；女性17.4％,标化后13.2％）；根据NCEP-ATPⅢ的MS修订标准MS患病粗率为31.8％，世界人口标化率为24.4％(男性28.4％，标化后22.7％；女性35.1％，标化后25.0％)；根据IDF的MS诊断标准MS患病粗率为21.7％，世界人口标化率为17.0％（男性15.9％,标化后13.8％；女性26.7％，标化后19.2％）。无论何种诊断标准，MS的患病率均随年龄增加而升高；且男性年龄别患病率在低年龄时高于女性，随年龄增长逐渐低于女性。按特定标准，MS患病率分别在地区、文化程度、婚姻状况、吸烟、工作强度和休闲体力活动方面存在差异。结论浦东新区成人中有相当比例个体患有MS，并存在年轻化趋势，提示MS已成为影响居民生命和健康的重大公共卫生问题，亟需制定MS为先导的社区综合防治的卫生策略。
목적 료해상해시포동신구거민대사종합정(MS)적환병솔급기분포특정。방법 2008년4월지7월기간，채용다계단수궤추양방법，종상해시포동신구추취20～80세적사구거민5 584인，진행횡단면조사，근거미국국가담고순교육계화성인치료조수정제3차보고( NCEP-ATPⅢ)、국제당뇨병련맹(IDF)、중화의학회당뇨병학분회(CDS)진단표준계산MS각조분환병솔，병비교3충표준응용적차이。결과 근거CDS적MS진단표준，상해시포동신구성년거민MS환병조솔위18.2％，세계인구표화솔위13.1％（남성19.1％，표화후15.6％；녀성17.4％,표화후13.2％）；근거NCEP-ATPⅢ적MS수정표준MS환병조솔위31.8％，세계인구표화솔위24.4％(남성28.4％，표화후22.7％；녀성35.1％，표화후25.0％)；근거IDF적MS진단표준MS환병조솔위21.7％，세계인구표화솔위17.0％（남성15.9％,표화후13.8％；녀성26.7％，표화후19.2％）。무론하충진단표준，MS적환병솔균수년령증가이승고；차남성년령별환병솔재저년령시고우녀성，수년령증장축점저우녀성。안특정표준，MS환병솔분별재지구、문화정도、혼인상황、흡연、공작강도화휴한체력활동방면존재차이。결론포동신구성인중유상당비례개체환유MS，병존재년경화추세，제시MS이성위영향거민생명화건강적중대공공위생문제，극수제정MS위선도적사구종합방치적위생책략。
Objective To investigate the prevalence and risk factors of metabolic syndrome (MS) in residents in Pudong New District of Shanghai. Methods A total of 5 584 residents aged 20-80 years were randomly selected from Pudong New District of Shanghai through multistage sampling and interviewed from April to July of 2008. Metabolic syndrome was defined according to three diagnostic criteria for MS, issued by the modified National Cholesterol Education Program Adult Treatment Panel Ⅲ criteria ( NCEP-ATP Ⅲ ), International Diabetes Federation (IDF), and Chinese Diabetes Society (CDS). Results The crude prevalences of MS in the adult population in Pudong New District were 18.2％ and 13.1％ standardized ( male 19. 1％, female 17.4％, the age-standardized 15.6％ and 13.2％ ) with CDS criterion, 31.8％ and 24.4％ standardized ( male 28.4％ ,female 35.1％ ,the agestandardized 22. 7％ and 25.0％ ) with NCEP-ATP Ⅲ criterion, and 21.7％ and 17.0％ standardized ( male 15.9％ ,female 26.7％, the age-standardized 13.8％ and 19.2％ ) with IDF criterion. The age-specific prevalence of MS increased according to three diagnostic criteria, and the age-adjusted prevalence was higher in males than females in junior age groups and higher in females than males in senior ones. Significant differences were present among region, education, marriage status, smoking, work intensity, recreation, and physical activity according to some diagnostic criteria. Conclusions Substantial proportions of adults in Pudong New District of Shanghai suffer from metabolic syndrome, and there exists a tendency for young people involved. MS has become a noteworthy public health problem. It suggests that community-integrated control strategy of MS should be made a priority.