中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2014年
9期
1015-1019
,共5页
代谢综合征%患病率%诊断标准
代謝綜閤徵%患病率%診斷標準
대사종합정%환병솔%진단표준
Metabolic syndrome%Prevalence%Diagnostic criteria
目的 调查甘肃省MS流行情况.方法 采用多级分层整群抽样方法,按照甘肃省东西南北中方位选择陇南、嘉峪关、临夏、庆阳和兰州5个市18～ 96岁健康体检居民共6 609人作为研究对象,采用改良美国国家胆固醇教育计划成人治疗专家组(ATPⅢ)以及中华医学会糖尿病学分会(CDS)两种MS诊断标准进行分析.结果 按照ATPⅢ标准,甘肃省5市居民MS总体患病率为30.43％,标化后患病率为29.05％,男性高于女性(分别为35.25％、23.02％),并随年龄的增长而增加.MS中最多见的组分组合是中心性肥胖+高TG血症+低HDL-C血症.按照CDS标准MS总体患病率为13.42％,标化后患病率为12.65％.在甘肃省居民中应用ATPⅢ标准与CDS标准的一致性不高(Kappa值为0.496).结论 在甘肃省采用ATPⅢ标准可检出更多的MS患者,推荐作为MS诊断标准.MS已成为影响甘肃省居民健康重大公共卫生问题.
目的 調查甘肅省MS流行情況.方法 採用多級分層整群抽樣方法,按照甘肅省東西南北中方位選擇隴南、嘉峪關、臨夏、慶暘和蘭州5箇市18～ 96歲健康體檢居民共6 609人作為研究對象,採用改良美國國傢膽固醇教育計劃成人治療專傢組(ATPⅢ)以及中華醫學會糖尿病學分會(CDS)兩種MS診斷標準進行分析.結果 按照ATPⅢ標準,甘肅省5市居民MS總體患病率為30.43％,標化後患病率為29.05％,男性高于女性(分彆為35.25％、23.02％),併隨年齡的增長而增加.MS中最多見的組分組閤是中心性肥胖+高TG血癥+低HDL-C血癥.按照CDS標準MS總體患病率為13.42％,標化後患病率為12.65％.在甘肅省居民中應用ATPⅢ標準與CDS標準的一緻性不高(Kappa值為0.496).結論 在甘肅省採用ATPⅢ標準可檢齣更多的MS患者,推薦作為MS診斷標準.MS已成為影響甘肅省居民健康重大公共衛生問題.
목적 조사감숙성MS류행정황.방법 채용다급분층정군추양방법,안조감숙성동서남북중방위선택롱남、가욕관、림하、경양화란주5개시18～ 96세건강체검거민공6 609인작위연구대상,채용개량미국국가담고순교육계화성인치료전가조(ATPⅢ)이급중화의학회당뇨병학분회(CDS)량충MS진단표준진행분석.결과 안조ATPⅢ표준,감숙성5시거민MS총체환병솔위30.43％,표화후환병솔위29.05％,남성고우녀성(분별위35.25％、23.02％),병수년령적증장이증가.MS중최다견적조분조합시중심성비반+고TG혈증+저HDL-C혈증.안조CDS표준MS총체환병솔위13.42％,표화후환병솔위12.65％.재감숙성거민중응용ATPⅢ표준여CDS표준적일치성불고(Kappa치위0.496).결론 재감숙성채용ATPⅢ표준가검출경다적MS환자,추천작위MS진단표준.MS이성위영향감숙성거민건강중대공공위생문제.
Objective To understand the prevalence of metabolic syndrome in Gansu.Methods A multistage stratified cluster sampling method was conducted.A total of 6 609 adults (range 18-96 years old) from 5 cities located in different areas of Gansu province were included in the analyses and all of them underwent physical examinations.Metabolic syndrome was diagnosed under the modified 2005 National Cholesterol Education Program Adult Treatment Panel Ⅲ (ATP Ⅲ) guidelines as well as the 2004 Chinese Diabetes Society (CDS) guidelines.Results Using the modified ATP Ⅲ criterion for diagnosis,the unadjusted prevalence rate of metabolic syndrome was 30.43％ (35.25％ in males and 23.02％ in females,respectively) and the age-adjusted prevalence was 29.05％.The prevalence of metabolic syndrome increased with age.Combination of central obesity,high TG hyperlipidemia and low HDL-C hyperlipidemia was most frequently seen.Under the CDS criterion,the unadjusted prevalence of metabolic syndrome was 13.42％,with the age-adjusted prevalence as 12.65％.A low level of agreement between the ATP Ⅲ and CDS was observed (Kappa index=0.496).Conclusion Under the ATP Ⅲ definition,more adults with MS were identified thus could be recommended as the preferred diagnostic criterion.Metabolic syndrome had become a noteworthy public health problem.Prevention programs related to metabolic syndrome should be urgently warranted.
