中华检验医学杂志
中華檢驗醫學雜誌
중화검험의학잡지
CHINESE JOURNAL OF LABORATORY MEDICINE
2008年
6期
666-671
,共6页
代谢综合征%高脂血症%高血糖症%高血压%患病率
代謝綜閤徵%高脂血癥%高血糖癥%高血壓%患病率
대사종합정%고지혈증%고혈당증%고혈압%환병솔
Metabolic syndrome%Hypedipidemia%Hyperstycemia%Hypertension:Prevalence
目的 调查北京市职业人群血脂异常、高血糖、高血压及代谢综合征(MS)的患病率及其特点,同时了解各种血脂异常的患病率在20年前后的变化.方法 调查对象为16 344名在北京大学第一医院进行体检的职业人员,对其进行问卷调查,测量身高、体重和血压,并采集空腹静脉血检测血糖、血脂.采用中华医学会糖尿病学分会(CDS)诊断标准确定MS患者.结果 调查人群中血脂紊乱的患病率为36.9%(6 034例),符合高血糖诊断标准的共有948例,患病率为5.8%,高血压的患病率为17.1%(2 801例),超重(肥胖)(OB/OW)共检出5 252例,总患病率达32.1%.采用CDS诊断标准,MS的患病率为12.2%(2 004例),男性的患病率高于女性(14.2%比10.0%),在不同性别组MS患病率均随年龄的增长而上升.调查人群中MS的4个组分中至少有1项阳性的比例高达65.5%(10 709例).各年龄段高TG血症、高胆固醇(TC)血症和低高密度脂蛋白胆固醇(HDL-C)血症的患病率均明显高于1984-1986年的报道.结论 北京市职业人群中MS的患病率较高,高脂血症的患病率也较20年前明显升高,因此,在人们生活水平提高的同时,应加强膳食平衡的营养教育,使居民的饮食更加合理.
目的 調查北京市職業人群血脂異常、高血糖、高血壓及代謝綜閤徵(MS)的患病率及其特點,同時瞭解各種血脂異常的患病率在20年前後的變化.方法 調查對象為16 344名在北京大學第一醫院進行體檢的職業人員,對其進行問捲調查,測量身高、體重和血壓,併採集空腹靜脈血檢測血糖、血脂.採用中華醫學會糖尿病學分會(CDS)診斷標準確定MS患者.結果 調查人群中血脂紊亂的患病率為36.9%(6 034例),符閤高血糖診斷標準的共有948例,患病率為5.8%,高血壓的患病率為17.1%(2 801例),超重(肥胖)(OB/OW)共檢齣5 252例,總患病率達32.1%.採用CDS診斷標準,MS的患病率為12.2%(2 004例),男性的患病率高于女性(14.2%比10.0%),在不同性彆組MS患病率均隨年齡的增長而上升.調查人群中MS的4箇組分中至少有1項暘性的比例高達65.5%(10 709例).各年齡段高TG血癥、高膽固醇(TC)血癥和低高密度脂蛋白膽固醇(HDL-C)血癥的患病率均明顯高于1984-1986年的報道.結論 北京市職業人群中MS的患病率較高,高脂血癥的患病率也較20年前明顯升高,因此,在人們生活水平提高的同時,應加彊膳食平衡的營養教育,使居民的飲食更加閤理.
목적 조사북경시직업인군혈지이상、고혈당、고혈압급대사종합정(MS)적환병솔급기특점,동시료해각충혈지이상적환병솔재20년전후적변화.방법 조사대상위16 344명재북경대학제일의원진행체검적직업인원,대기진행문권조사,측량신고、체중화혈압,병채집공복정맥혈검측혈당、혈지.채용중화의학회당뇨병학분회(CDS)진단표준학정MS환자.결과 조사인군중혈지문란적환병솔위36.9%(6 034례),부합고혈당진단표준적공유948례,환병솔위5.8%,고혈압적환병솔위17.1%(2 801례),초중(비반)(OB/OW)공검출5 252례,총환병솔체32.1%.채용CDS진단표준,MS적환병솔위12.2%(2 004례),남성적환병솔고우녀성(14.2%비10.0%),재불동성별조MS환병솔균수년령적증장이상승.조사인군중MS적4개조분중지소유1항양성적비례고체65.5%(10 709례).각년령단고TG혈증、고담고순(TC)혈증화저고밀도지단백담고순(HDL-C)혈증적환병솔균명현고우1984-1986년적보도.결론 북경시직업인군중MS적환병솔교고,고지혈증적환병솔야교20년전명현승고,인차,재인문생활수평제고적동시,응가강선식평형적영양교육,사거민적음식경가합리.
Objective To investigate the prevalence of dyslipidemia,hyperglycemia,hypertension and metabolic syndrome(MS)and compare the prevalence rate of dysilipidemia obtained in this study with the previous study during 1984--1986.Methods A total of 16 344 adults in Beijing who attended for the medical examinations were recruited in the study.Subjects were asked to complete questionnaires regarding personal health,lifestyle and family health history.The physical examination emphasized measurement of height,weight and blood pressure.Blood samples were collected after an overnight fast and subjected to serum glucose,TC,HDL-C,LDL-C and TG measurements.MS was diagnosed according to Diabetes Society of Chinese Medical Association(CDS)criteria.Results Dyslipidemia occurred in 36.9%(6 034)of subjects.948 hyperglycaemia cases were found.The prevalence rate of high blood glucose was 5.8%. Hypertension occurred in 17.1% of subjects.Obesity/Overweight occurred in 5 252 subjects with the prevalence rate of 32.1%.On the basis of the diagnostic criteria for MS in China.MS occurred in 12.2% of subjects(14.2% for males and 10.0% for females).In both genders,the rate increased along with the increment of age.65.5% participants had at least one of the metabolic disorders.The prevalence of hypercholesterolemia,hypertriglyceridemia,and abnormally low HDL-C were higher than previous analysis during 1984-1986 in all age groups.Conclusions The prevalence of MS in this large occupational population in Beijing was quite high. The prevalence of hypeflipemia had increased considerably over the past 20 years.Balanced nutrition and reasonable consumption should be undertaken to modify these situations.
