CAJ | 학술논문

目的了解我国经济发达地区广东省和江苏省成年居民代谢综合征(MS)的患病率和危险因素.方法分析2007-2008年全国糖尿病和代谢性疾病研究中广东省和江苏省的数据(6614例)；分别计算在中华医学会糖尿病学分会(CDS)标准、美国国家胆固醇教育计划成人治疗方案第三次报告(ATPⅢ)标准、国际糖尿病联盟(IDF)标准和国际多学会联合声明(JIS)标准下MS的年龄、性别标化患病率；以logistic回归模型分析MS的危险因素.结果 MS的标化患病率分别为17.88％(CDS标准)、28.50％(ATPⅢ标准)、21.99％(IDF标准)和31.50％(JIS标准).ATPⅢ和IDF标准下女性MS患病率高于男性(分别为30.63％比26.45％,P＜ 0.01;26.04％比17.91％,P＜0.01),而CDS标准下男性患病率高于女性(19.87％比15.94％,P＜ 0.01)；城乡间差异未达到统计学意义(17.63％比18.14％).ATPⅢ标准和JIS标准的一致性最好(κ=0.95,P＜ 0.01). MS的危险因素包括男性、年龄较大、文化程度低、高血压家族史、肥胖家族史、饮酒和不控制饮食.结论我国经济发达地区(广东、江苏)成年居民MS患病率高,且不同诊断标准下存在较大差异；亟需采取有效措施控制其危险因素.
목적 료해아국경제발체지구광동성화강소성성년거민대사종합정(MS)적환병솔화위험인소.방법 분석2007-2008년전국당뇨병화대사성질병연구중광동성화강소성적수거(6614례)；분별계산재중화의학회당뇨병학분회(CDS)표준、미국국가담고순교육계화성인치료방안제삼차보고(ATPⅢ)표준、국제당뇨병련맹(IDF)표준화국제다학회연합성명(JIS)표준하MS적년령、성별표화환병솔；이logistic회귀모형분석MS적위험인소.결과 MS적표화환병솔분별위17.88％(CDS표준)、28.50％(ATPⅢ표준)、21.99％(IDF표준)화31.50％(JIS표준).ATPⅢ화IDF표준하녀성MS환병솔고우남성(분별위30.63％비26.45％,P＜ 0.01;26.04％비17.91％,P＜0.01),이CDS표준하남성환병솔고우녀성(19.87％비15.94％,P＜ 0.01)；성향간차이미체도통계학의의(17.63％비18.14％).ATPⅢ표준화JIS표준적일치성최호(κ=0.95,P＜ 0.01). MS적위험인소포괄남성、년령교대、문화정도저、고혈압가족사、비반가족사、음주화불공제음식.결론 아국경제발체지구(엄동、강소)성년거민MS환병솔고,차불동진단표준하존재교대차이；극수채취유효조시공제기위험인소.
Objective To determine the current prevalence and risk factors of metabolic syndrome (MS) among adult residents in Chinese developed areas.Methods The clinical data of 6614 adult residents,including 4051 women,from Guangdong and Jiangsu provinces from China Diabetes and Metabolic Disorders Study (2007-2008) were analyzed.Age and sex standardized prevalences of MS were calculated according to the criteria of Chinese Diabetes Society (CDS),US National Cholesterol Education Program Adult Treatment Panel Ⅲ (ATP Ⅲ),International Diabetes Federation (IDF) and Joint Interim Statement (JIS),respectively.Logistic regression analysis was performed to identify the risk factors of MS.Results Age and sex standardized prevalences of MS were 17.88％ (CDS),28.50％ (ATP Ⅲ),21.99％ (IDF) and 31.50％ (JIS),respectively.The prevalences of residents with at least one metabolic abnormality were 67.86％ (CDS) 79.56％ (ATP Ⅲ),79.62％ (IDF) and 80.74％ (JIS),respectively.MS was more common in female than in male by the ATPⅢ and IDF criterion (ATPⅢ:30.63％ vs 26.45％,P ＜0.01 ; IDF:26.04％ vs 17.91％,P ＜ 0.01),while the prevalence was higher in male by CDS criteria (15.94％ vs 19.87％,P ＜0.01).There was no significant difference in the MS prevalence between the rural and the urban residents.Kappa test showed ATP Ⅲ and JIS criteria were most homogenous (κ =0.95,P ＜ 0.01).The risk factors for MS by the logistic regression model were male,older age,lower degree of education,family history of hypertension and obesity,drinker as well as uncontrolled diet.Conclusion The prevalence of MS is high in the adult residents of Chinese developed areas (Guangdong and Jiangsu provinces),whatever diagnostic criterion was used.Effective measures should be taken to control the modifiable MS risk factors.