中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2012年
3期
248-250
,共3页
高欣%吴晓光%汤哲%高芳堃
高訢%吳曉光%湯哲%高芳堃
고흔%오효광%탕철%고방곤
代谢综合征X%横断面研究%多相筛查
代謝綜閤徵X%橫斷麵研究%多相篩查
대사종합정X%횡단면연구%다상사사
Metabolic syndrome X%Cross-sectional studies%Multiphasic screening
目的 比较3种代谢综合征诊断标准在社区老年人中应用的差异. 方法 采用中华医学会糖尿病分会(CDS)、国际糖尿病联盟(IDF)和经美国心脏协会(AHA)修订的美国国家胆固醇教育计划成人治疗组第三次报告(ATPⅢ*)3种诊断标准,调查社区773例老年人代谢综合征的患病情况,并比较3种标准的诊断符合率. 结果 应用CDS、IDF及ATPHⅢ*诊断标准,老年人代谢综合征患病率分别为32.5％(251/773)、53.4％(413/773)、47.2％(365/773),差异有统计学意义(Q=173.10,P＜0.01),3种诊断标准女性患病率高于男性,分别为34.7％(169/487)与28.7％(82/286),x2=2.99,P＞0.05;57.3％(284/487)与45.1％(129/286),x2=12.64,P＜0.01;53.0％(258/487)与37.4％(107/286),x2=17.52,P＜0.01.IDF与ATPⅢ*诊断标准的诊断符合率为88.6％(Kappa=0.773,P＜0.01),CDS与ATPⅢ*及IDF诊断标准的诊断符合率分别为75.7％和73.7％. 结论 IDF与ATPⅢ*诊断标准的诊断符合率的一致性较高,CDS与IDF及ATPⅢ*诊断标准的诊断符合率的一致性均低于IDF与ATPⅢ*的诊断标准.
目的 比較3種代謝綜閤徵診斷標準在社區老年人中應用的差異. 方法 採用中華醫學會糖尿病分會(CDS)、國際糖尿病聯盟(IDF)和經美國心髒協會(AHA)脩訂的美國國傢膽固醇教育計劃成人治療組第三次報告(ATPⅢ*)3種診斷標準,調查社區773例老年人代謝綜閤徵的患病情況,併比較3種標準的診斷符閤率. 結果 應用CDS、IDF及ATPHⅢ*診斷標準,老年人代謝綜閤徵患病率分彆為32.5％(251/773)、53.4％(413/773)、47.2％(365/773),差異有統計學意義(Q=173.10,P＜0.01),3種診斷標準女性患病率高于男性,分彆為34.7％(169/487)與28.7％(82/286),x2=2.99,P＞0.05;57.3％(284/487)與45.1％(129/286),x2=12.64,P＜0.01;53.0％(258/487)與37.4％(107/286),x2=17.52,P＜0.01.IDF與ATPⅢ*診斷標準的診斷符閤率為88.6％(Kappa=0.773,P＜0.01),CDS與ATPⅢ*及IDF診斷標準的診斷符閤率分彆為75.7％和73.7％. 結論 IDF與ATPⅢ*診斷標準的診斷符閤率的一緻性較高,CDS與IDF及ATPⅢ*診斷標準的診斷符閤率的一緻性均低于IDF與ATPⅢ*的診斷標準.
목적 비교3충대사종합정진단표준재사구노년인중응용적차이. 방법 채용중화의학회당뇨병분회(CDS)、국제당뇨병련맹(IDF)화경미국심장협회(AHA)수정적미국국가담고순교육계화성인치료조제삼차보고(ATPⅢ*)3충진단표준,조사사구773례노년인대사종합정적환병정황,병비교3충표준적진단부합솔. 결과 응용CDS、IDF급ATPHⅢ*진단표준,노년인대사종합정환병솔분별위32.5％(251/773)、53.4％(413/773)、47.2％(365/773),차이유통계학의의(Q=173.10,P＜0.01),3충진단표준녀성환병솔고우남성,분별위34.7％(169/487)여28.7％(82/286),x2=2.99,P＞0.05;57.3％(284/487)여45.1％(129/286),x2=12.64,P＜0.01;53.0％(258/487)여37.4％(107/286),x2=17.52,P＜0.01.IDF여ATPⅢ*진단표준적진단부합솔위88.6％(Kappa=0.773,P＜0.01),CDS여ATPⅢ*급IDF진단표준적진단부합솔분별위75.7％화73.7％. 결론 IDF여ATPⅢ*진단표준적진단부합솔적일치성교고,CDS여IDF급ATPⅢ*진단표준적진단부합솔적일치성균저우IDF여ATPⅢ*적진단표준.
Objective To compare the application of three diagnostic criteria for metabolic syndrome(MS) among the elderly in community. Methods 773 elderly people in the community were diagnosed for MS by the Chinese Medical Association Diabetes Society (CDS),International Diabetes Federation (IDF) and revised National Cholesterol Education Prongram-Adult Treatment Panel(ATP Ⅲ* ) criteria,respectively.The diagnosis accordance rates were compared among the different diagnostic criteria. Results The MS prevalence rates in the elderly were 32.5％ (251/773),53.4％ (413/773) and 47.2％ (365/773) according to CDS,IDF and ATP Ⅲ* criteria,respectively and there were significant difference among the criteria (Q=173.10,P＜0.01 ).The MS prevalence was higher in women than in men especially by IDF [57.3％ (284/487)vs.45.1％ (129/286),x2=12.64,P＜0.01]and ATPⅢ* criteria [53.0％(258/487)vs. 37.4％ (107/286),x2=17.52,P＜0.01].The coincidences in the diagnosis of MS were 88.6％ (Kappa=0.773,P＜0.01)using IDF and ATPⅢ * definitions,75.7％ using CDS and ATPⅢ *,and 73.7％ using CDS and IDF.Conclusions The agreement in the diagnosis of MS using IDF and ATPⅢ* definitions is higher than using CDS and IDF or ATPⅢ * definitions.
