中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2009年
6期
509-511
,共3页
徐浣白%张晓梅%潘明麟%黄詠齐%石建华%时照明%陈凤玲%周占伟%孙卫华%张士荣%陈建文
徐浣白%張曉梅%潘明麟%黃詠齊%石建華%時照明%陳鳳玲%週佔偉%孫衛華%張士榮%陳建文
서완백%장효매%반명린%황영제%석건화%시조명%진봉령%주점위%손위화%장사영%진건문
代谢综合征X%横断面研究
代謝綜閤徵X%橫斷麵研究
대사종합정X%횡단면연구
Metabolic syndrome X%Cross-sectional studies
目的 对蚌埠市社区居民代谢综合征(MS)及相关疾病患病率进行调查、统计和分析.方法 采用3级分组整群随机抽样方法 对25～74岁人群进行MS(采用2004年中华医学会糖尿病学分会提出的中国人群标准)及相关疾病指标的检测和统计,被调查3246例(男1459例、女1787例). 结果 (1)MS患病率为20.5%,标化率为16.0%,在全国处于较高水平,男、女性患病率分别为22.9%、18.6%,差异无统计学意义,男、女性患病高峰均在老年前期;(2)除超重/肥胖、MS,其他代谢性疾病男、女性的患病率均随年龄增加而上升(P<0.01);60岁以上老年人群的各疾病患病率均为青年人群的1倍以上,其中MS的患病率在男性增加至2.8倍、女性为2.7倍,而2型糖尿病的患病率增加最高,男性为7.9倍、女性为12.8倍;(3)多项代谢疾病簇集率较高,无任何一项异常者仅占33.8%. 结论 蚌埠市具有较高的MS及相关代谢疾病患病率,应及早开展社区综合防治,尤其应加强对老年前期以及60岁以上老年人群常见代谢病的健康教育.
目的 對蚌埠市社區居民代謝綜閤徵(MS)及相關疾病患病率進行調查、統計和分析.方法 採用3級分組整群隨機抽樣方法 對25～74歲人群進行MS(採用2004年中華醫學會糖尿病學分會提齣的中國人群標準)及相關疾病指標的檢測和統計,被調查3246例(男1459例、女1787例). 結果 (1)MS患病率為20.5%,標化率為16.0%,在全國處于較高水平,男、女性患病率分彆為22.9%、18.6%,差異無統計學意義,男、女性患病高峰均在老年前期;(2)除超重/肥胖、MS,其他代謝性疾病男、女性的患病率均隨年齡增加而上升(P<0.01);60歲以上老年人群的各疾病患病率均為青年人群的1倍以上,其中MS的患病率在男性增加至2.8倍、女性為2.7倍,而2型糖尿病的患病率增加最高,男性為7.9倍、女性為12.8倍;(3)多項代謝疾病簇集率較高,無任何一項異常者僅佔33.8%. 結論 蚌埠市具有較高的MS及相關代謝疾病患病率,應及早開展社區綜閤防治,尤其應加彊對老年前期以及60歲以上老年人群常見代謝病的健康教育.
목적 대방부시사구거민대사종합정(MS)급상관질병환병솔진행조사、통계화분석.방법 채용3급분조정군수궤추양방법 대25～74세인군진행MS(채용2004년중화의학회당뇨병학분회제출적중국인군표준)급상관질병지표적검측화통계,피조사3246례(남1459례、녀1787례). 결과 (1)MS환병솔위20.5%,표화솔위16.0%,재전국처우교고수평,남、녀성환병솔분별위22.9%、18.6%,차이무통계학의의,남、녀성환병고봉균재노년전기;(2)제초중/비반、MS,기타대사성질병남、녀성적환병솔균수년령증가이상승(P<0.01);60세이상노년인군적각질병환병솔균위청년인군적1배이상,기중MS적환병솔재남성증가지2.8배、녀성위2.7배,이2형당뇨병적환병솔증가최고,남성위7.9배、녀성위12.8배;(3)다항대사질병족집솔교고,무임하일항이상자부점33.8%. 결론 방부시구유교고적MS급상관대사질병환병솔,응급조개전사구종합방치,우기응가강대노년전기이급60세이상노년인군상견대사병적건강교육.
Objective To investigate the prevalence rate of metabolic syndrome (MS) and its related diseases in Bengbu community residents. Methods 3246 residents aged from 25 to 74 years were chosen through cluster random sampling method, including 1459 males and 1787 females. MS and its related diseases were examined. Results (1) The prevalence rate and standardized rate of MS was 20. 5% and 16.0%, respectively, which reached higher level all over China. The prevalence rate of male and female was 22. 9% and 18. 6%, respectively. The highest prevalence rate occurred in presenium patients. (2)The prevalences of various metabolic diseases were increased with aging except for overweigh/obesity and MS (P<0.01). The prevalence of various metabolic diseases was 1 times higher in elderly patients than that in young patients, and the prevalence rate of MS in male and female increased to 2.8 times and 2.7 times, respectively. The prevalence rate of type 2 diabetes mellitus increased biggest, male to 7.9 times and female to 12.8 times compared with the original level. (3) The multiple components clustering rate of MS was high, only 33.8% of individuals had no metabolic disorder. Conclusions The prevalence rates of MS and its related diseases are high in Bengbu community residents. It is necessary to take comprehensive measures to prevent and control MS in community.
