CAJ | 학술논문

目的调查黑龙江省哈尔滨市城乡35岁以上人群代谢综合征(Ms)的流行病学现况及特点,并分析其相关因素.方法采用多级分层整群抽样的流行病学调查方法进行问卷调查,有效调查人数为5 984人(男2 663人,女3 321人),测量身高、体重、腰围和血压,测定空腹血糖、甘油三酯及高密度脂蛋白胆同醇等生化指标.采用2005年国际糖尿病联盟(IDF)的MS诊断标准,分析患病率,并对其危险因素做多因素logistic回归分析.结果哈尔滨市城乡35岁以上人群MS的患病率为24.60%(男22.49%,女26.29%),标化患病率为23.31%(男22.12%,女25.19%),女性高于男性.城市MS患病率显著高于农村(26.70%对20.05%,P<0.05).女性MS患病率随年龄增加而升高.MS中以高体重指数、高血糖和高甘油三酯患病率较高.性别、年龄、就业情况、饮酒史、高血压家族史、文化程度和吸烟均为Ms的危险因素.结论哈尔滨市城乡35岁以上人群Ms患病率高达24.60%,已成为影响城乡居民健康的重大公共卫生问题,应加强防治工作力度.
목적 조사흑룡강성합이빈시성향35세이상인군대사종합정(Ms)적류행병학현황급특점,병분석기상관인소.방법 채용다급분층정군추양적류행병학조사방법진행문권조사,유효조사인수위5 984인(남2 663인,녀3 321인),측량신고、체중、요위화혈압,측정공복혈당、감유삼지급고밀도지단백담동순등생화지표.채용2005년국제당뇨병련맹(IDF)적MS진단표준,분석환병솔,병대기위험인소주다인소logistic회귀분석.결과 합이빈시성향35세이상인군MS적환병솔위24.60%(남22.49%,녀26.29%),표화환병솔위23.31%(남22.12%,녀25.19%),녀성고우남성.성시MS환병솔현저고우농촌(26.70%대20.05%,P<0.05).녀성MS환병솔수년령증가이승고.MS중이고체중지수、고혈당화고감유삼지환병솔교고.성별、년령、취업정황、음주사、고혈압가족사、문화정도화흡연균위Ms적위험인소.결론 합이빈시성향35세이상인군Ms환병솔고체24.60%,이성위영향성향거민건강적중대공공위생문제,응가강방치공작력도.
Objective To assess epidemiological characteristics of metabolic syndrome(MS)and its attributing factors in a resident sample aged over 35 living in both rural and urban areas of Harbin in Heilongjiang province.Methods A cross-over sectional and cluster sampling was carried out in 5 984 residents aged over 35 years living in the rural and urban areas of Harbin.Height,body mass,waist circumference,blood pressure,fasting blood glucose,triglyeeride,and high density lipoprotein cholesterol were determined.In this survey,the prevalence of MS and its attributing factors were analyzed by logistic regression model according to the diagnostic criteria of international diabetes federation in 2005.Results The prevalence of MS in this sample was 24.60%(male 22.49%,female 26.29%),and the standardized prevalence rate was 23.31%(male 22.12%,female 25.19%).Compared to female population,male participants showed a much lower prevalence;and compared to urban area population,rural participants showed a much lower prevalence(26.70% vs 20.05%,P<0.05).The prevalence of MS rose progressively with age in females.The individuals with MS presented increased body mass index,hyperglycemia,and hypertriglyceridemia.Gender,age,employment,education,smoking or drinking habit,and family history of hypertension were identified as maior risk factors of MS.Conclusion The prevalence of MS in a sample of residents aged over 35 in Harbin Was 24.60%.It becomes an public health problem requiring urgent attention for prevention and treatment.