中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2014年
3期
322-325
,共4页
李慧英%李俊娟%邢爱君%林黎明%魏晓明%吴寿岭
李慧英%李俊娟%邢愛君%林黎明%魏曉明%吳壽嶺
리혜영%리준연%형애군%림려명%위효명%오수령
代谢综合征%糖尿病%患病率
代謝綜閤徵%糖尿病%患病率
대사종합정%당뇨병%환병솔
Metabolic syndrome%Diabetes%Prevalence
目的 调查糖尿病人群的MS患病率.方法 以2006年7月至2007年10月参加体检的开滦集团职工中的9275例糖尿病人群(FPG≥7.0 mmol/L或＜7.0 mmol/L及已确诊为糖尿病或正在使用降糖治疗)为研究对象.采用中国高血压防治指南2010修订版中定义的MS诊断标准,按照年龄、性别分层,分析该人群中MS的患病情况,用多因素logistic回归分析MS的影响因素.结果 9 275例糖尿病人群中6 105例患有MS,患病率为65.8％,其中女性为70.0％,男性为64.9％.青年、中年、老年组MS患病率59.7％、66.0％、68.8％.各年龄组男性患病率分别为61.4％、64.9％、67.0％,女性患病率分别为50.3％、70.7％、78.8％,不同年龄组患病率差异有统计学意义(P＜0.05).青年组MS患病人群中,女性以WC异常率最高,为100.0％,男性以血脂异常率最高,为86.3％.在中老年MS患病人群中,无论男性、女性均以血压异常率最高,达96.0％.多因素logistic回归分析结果显示,青年组人群中,吸烟增加MS发生风险(OR=1.89,95％ CI:1.09～3.28),中老年人群中,男性发生MS的风险较低(OR=0.77,95％CI:0.67 ～ 0.89; OR=0.48,95％CI:0.35 ～ 0.66).结论 糖尿病人群中女性MS患病率高于男性；MS的患病率随年龄增长呈升高趋势；吸烟可能增加MS患病风险.
目的 調查糖尿病人群的MS患病率.方法 以2006年7月至2007年10月參加體檢的開灤集糰職工中的9275例糖尿病人群(FPG≥7.0 mmol/L或＜7.0 mmol/L及已確診為糖尿病或正在使用降糖治療)為研究對象.採用中國高血壓防治指南2010脩訂版中定義的MS診斷標準,按照年齡、性彆分層,分析該人群中MS的患病情況,用多因素logistic迴歸分析MS的影響因素.結果 9 275例糖尿病人群中6 105例患有MS,患病率為65.8％,其中女性為70.0％,男性為64.9％.青年、中年、老年組MS患病率59.7％、66.0％、68.8％.各年齡組男性患病率分彆為61.4％、64.9％、67.0％,女性患病率分彆為50.3％、70.7％、78.8％,不同年齡組患病率差異有統計學意義(P＜0.05).青年組MS患病人群中,女性以WC異常率最高,為100.0％,男性以血脂異常率最高,為86.3％.在中老年MS患病人群中,無論男性、女性均以血壓異常率最高,達96.0％.多因素logistic迴歸分析結果顯示,青年組人群中,吸煙增加MS髮生風險(OR=1.89,95％ CI:1.09～3.28),中老年人群中,男性髮生MS的風險較低(OR=0.77,95％CI:0.67 ～ 0.89; OR=0.48,95％CI:0.35 ～ 0.66).結論 糖尿病人群中女性MS患病率高于男性；MS的患病率隨年齡增長呈升高趨勢；吸煙可能增加MS患病風險.
목적 조사당뇨병인군적MS환병솔.방법 이2006년7월지2007년10월삼가체검적개란집단직공중적9275례당뇨병인군(FPG≥7.0 mmol/L혹＜7.0 mmol/L급이학진위당뇨병혹정재사용강당치료)위연구대상.채용중국고혈압방치지남2010수정판중정의적MS진단표준,안조년령、성별분층,분석해인군중MS적환병정황,용다인소logistic회귀분석MS적영향인소.결과 9 275례당뇨병인군중6 105례환유MS,환병솔위65.8％,기중녀성위70.0％,남성위64.9％.청년、중년、노년조MS환병솔59.7％、66.0％、68.8％.각년령조남성환병솔분별위61.4％、64.9％、67.0％,녀성환병솔분별위50.3％、70.7％、78.8％,불동년령조환병솔차이유통계학의의(P＜0.05).청년조MS환병인군중,녀성이WC이상솔최고,위100.0％,남성이혈지이상솔최고,위86.3％.재중노년MS환병인군중,무론남성、녀성균이혈압이상솔최고,체96.0％.다인소logistic회귀분석결과현시,청년조인군중,흡연증가MS발생풍험(OR=1.89,95％ CI:1.09～3.28),중노년인군중,남성발생MS적풍험교저(OR=0.77,95％CI:0.67 ～ 0.89; OR=0.48,95％CI:0.35 ～ 0.66).결론 당뇨병인군중녀성MS환병솔고우남성；MS적환병솔수년령증장정승고추세；흡연가능증가MS환병풍험.
Objective To observe the prevalence of metabolic syndrome(MS) among people with diabetes.Methods 9 275 diabetic patients (FPG was ≥7.0 mmol/L or FPG＜7.0 mmol/L but diagnosed as diabetes or having history of diabetes,or were under hypoglycemic agents treatment) of 101 510 employees of Kailuan group who took physical check-up between 2006 and 2007,were recruited to take part in this study.Using the latest defined diagnostic criteria on MS from the 2010 hypertension guidelines,prevalence of MS among the population was analyzed,according to age and gender.Multiple logistic regression analysis was used to test the relevant factors of MS.Results There were 6 105 cases with MS among the population with the prevalence as 65.8％ (female:70.0％,male:64.9％).Stratified by age and gender,the prevalence rates of MS among young-age group,middle-age group and elderly group were 59.7％,66.0％ and 68.8％,respectively.The prevalence in males among the three groups was 61.4％,64.9％ and 67.0％,respectively.The prevalence rates in females among the three groups were 50.3％,70.7％ and 78.8％,respectively Stratified by age and gender,the prevalence of waist abnormal in female was the highest (100.0％) in the youth group that with MS.However,the prevalence of dyslipidemia appeared the highest (86.3％) in males.In the elderly group with MS,the prevalence of abnormal blood pressure was the highest in both males and females,up to 96.0％.Results from multi-factor logistic regression analysis showed that cigarette smoking would increase the risk of developing MS in the youth group (OR=1.89,95％CI:1.09-3.28) and the risk of developing MS of man was lower than women in the middle-aged group (OR=0.77,95％ CI:0.67-0.89; OR=0.48,95％ CI:0.35-0.66).Conclusion In the diabetic population,MS prevalence in female appeared to be higher than in males.The prevalence of MS tended to increase with age.Cigarette smoking could increase the risk of MS in the youth group.
