CAJ | 학술논문

目的了解苏州市70岁以上老年居民代谢综合征(MS)现状与特点.方法抽样调查苏州市20个社区70岁以上常住老年居民2552名,内容涉及人口特征、经济收入、生活习惯、慢性病及医疗状况,检测身高、体重、腰围、血压、FRG、Flns、TG、HDL-C等.使用国际糖尿病联盟加MS工作定义诊断代谢综合征.计算MS及各组分的患病率,并分析MS患病的影响因素.结果 MS总患病率为21.8%,男女患病率分别为11.8%、29.2%;向心性肥胖、高IG、低HDL-C、血糖升高、血压升高的患病率分别为48.7%,18.5%,5.6%,28.7%,67.4%;有一项以上代谢异常的比例男女分别高达78.2%、90.1%;随年龄增长,女性MS患病率呈下降趋势;MS患病的影响因素有年龄、性别、BMI、胰岛素抵抗、高血压与糖尿病家族史、体育锻炼和经济收入.结论苏州市老年居民MS患病率较高,尤以低龄老年女性为主.
목적 료해소주시70세이상노년거민대사종합정(MS)현상여특점.방법 추양조사소주시20개사구70세이상상주노년거민2552명,내용섭급인구특정、경제수입、생활습관、만성병급의료상황,검측신고、체중、요위、혈압、FRG、Flns、TG、HDL-C등.사용국제당뇨병련맹가MS공작정의진단대사종합정.계산MS급각조분적환병솔,병분석MS환병적영향인소.결과 MS총환병솔위21.8%,남녀환병솔분별위11.8%、29.2%;향심성비반、고IG、저HDL-C、혈당승고、혈압승고적환병솔분별위48.7%,18.5%,5.6%,28.7%,67.4%;유일항이상대사이상적비례남녀분별고체78.2%、90.1%;수년령증장,녀성MS환병솔정하강추세;MS환병적영향인소유년령、성별、BMI、이도소저항、고혈압여당뇨병가족사、체육단련화경제수입.결론 소주시노년거민MS환병솔교고,우이저령노년녀성위주.
Objective To investigate the prevalence of the metabolic syndrome (MS) of the elderly residents aged 70 years and over in Suzhou. Methods We analyzed data on 2552 residents aged 70 years or older from a cross section health survey of Suzhou. Anthropometry data, economic situation, life habits, history of chronic diseases and medical state were collected. Weight, height, blood pressure were measured. The fasting serum levels of glucose, insulin, HDL-C and TG were detected. MS was defined by IDF-2005. Results The prevalence of MS was 21.8%, with 11.8% in male and 29.2% in female. The prevalences of obesity, high TG，low HDL-C，high blood sugar and hypertension were 48.7%, 18.5%, 5.6%, 28.7%, 67.4% respectively. 78.2% male and 90.1% female had one or more components of MS. The female prevalence of MS was decreased along with ageing. The major risk factors for MS were age, sex, BMI, HOMA-IR, family histories of hypertension and diabetes, physical exercise, and economic income. Conclusion The prevalence of MS is high in Suzhou elderly residents, especially in aged female.