中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2013年
4期
318-322
,共5页
朱振昕%张成琪%唐芳%宋心红%薛付忠
硃振昕%張成琪%唐芳%宋心紅%薛付忠
주진흔%장성기%당방%송심홍%설부충
生活方式%代谢综合征X%模型,统计学
生活方式%代謝綜閤徵X%模型,統計學
생활방식%대사종합정X%모형,통계학
Life style%Metabolic syndrome X%Model,statistical
目的 探讨生活方式与代谢综合征(MS)组成成分的关系.方法 基于山东省某医院健康查体中心平台系统建立的2005-2010年纵向监测健康体检队列,研究对象为济南市城镇职工,共纳入13 225名,调查内容包括一般人口学资料、疾病史、生活方式、BMI、血压、FBG、血脂等.比较MS患者与非MS人群一般人口学资料、生活方式的差异；通过探索性因子分析方法提取潜变量,确定研究变量的结构模式,进而依据此结构模式构建偏最小二乘(partial least squares,PLS)路径模型.结果 研究对象的年龄为(46.62±12.16)岁,MS患病率为22.43％ (2967/13 225),其中,男性为26.49％ (2535/9570),女性为11.82％ (432/3655),男女MS患病率差异有统计学意义(x2=327.08,P＜0.01).MS患者与非MS人群饮食习惯差异有统计学意义(x2=166.31,P＜0.01),MS患者中素食、荤素搭配、荤食的比例分别为23.39％(694/2967)、42.50％(1261/2967)、34.11％(1012/2967),在非MS人群中分别为30.80％ (3159/10 258)、46.37％ (4757/10 258)、22.83％ (2342/10 258)；两者饮酒状况差异有统计学意义(x2=374.22,P＜0.01),MS患者中不饮或已戒、偶饮、常饮的比例分别为27.37％(812/2967)、24.71％(733/2967)、47.93％(1422/2967),非MS人群分别为39.60％ (4062/10258)、31.36％ (3217/10258)、29.04％ (2979/10258)；两者吸烟状况差异有统计学意义(x2=115.86,P＜0.01),MS患者中不吸或已戒、偶吸、常吸的比例分别为59.72％(1772/2967)、6.24％(185/2967)、34.04％(1010/2967),在非MS人群中分别为70.03％(7184/10 258)、5.35％ (549/10 258)、24.61％ (2525/10 258).生活方式及MS相关组分各自受一个潜变量影响,调整年龄、性别后,生活方式潜自变量对MS潜因变量路径系数为0.22(=6.46,P＜0.01).模型各项信度和效度指标:生活方式潜变量:平均方差提取率为0.53、合成信度为0.77、克隆巴赫系数为0.57；MS潜变量:平均方差提取率为0.45、合成信度为0.76、克隆巴赫系数为0.59.结论 不良生活方式与MS密切相关,荤食、过量饮酒、吸烟是其发生的危险因素.
目的 探討生活方式與代謝綜閤徵(MS)組成成分的關繫.方法 基于山東省某醫院健康查體中心平檯繫統建立的2005-2010年縱嚮鑑測健康體檢隊列,研究對象為濟南市城鎮職工,共納入13 225名,調查內容包括一般人口學資料、疾病史、生活方式、BMI、血壓、FBG、血脂等.比較MS患者與非MS人群一般人口學資料、生活方式的差異；通過探索性因子分析方法提取潛變量,確定研究變量的結構模式,進而依據此結構模式構建偏最小二乘(partial least squares,PLS)路徑模型.結果 研究對象的年齡為(46.62±12.16)歲,MS患病率為22.43％ (2967/13 225),其中,男性為26.49％ (2535/9570),女性為11.82％ (432/3655),男女MS患病率差異有統計學意義(x2=327.08,P＜0.01).MS患者與非MS人群飲食習慣差異有統計學意義(x2=166.31,P＜0.01),MS患者中素食、葷素搭配、葷食的比例分彆為23.39％(694/2967)、42.50％(1261/2967)、34.11％(1012/2967),在非MS人群中分彆為30.80％ (3159/10 258)、46.37％ (4757/10 258)、22.83％ (2342/10 258)；兩者飲酒狀況差異有統計學意義(x2=374.22,P＜0.01),MS患者中不飲或已戒、偶飲、常飲的比例分彆為27.37％(812/2967)、24.71％(733/2967)、47.93％(1422/2967),非MS人群分彆為39.60％ (4062/10258)、31.36％ (3217/10258)、29.04％ (2979/10258)；兩者吸煙狀況差異有統計學意義(x2=115.86,P＜0.01),MS患者中不吸或已戒、偶吸、常吸的比例分彆為59.72％(1772/2967)、6.24％(185/2967)、34.04％(1010/2967),在非MS人群中分彆為70.03％(7184/10 258)、5.35％ (549/10 258)、24.61％ (2525/10 258).生活方式及MS相關組分各自受一箇潛變量影響,調整年齡、性彆後,生活方式潛自變量對MS潛因變量路徑繫數為0.22(=6.46,P＜0.01).模型各項信度和效度指標:生活方式潛變量:平均方差提取率為0.53、閤成信度為0.77、剋隆巴赫繫數為0.57；MS潛變量:平均方差提取率為0.45、閤成信度為0.76、剋隆巴赫繫數為0.59.結論 不良生活方式與MS密切相關,葷食、過量飲酒、吸煙是其髮生的危險因素.
목적 탐토생활방식여대사종합정(MS)조성성분적관계.방법 기우산동성모의원건강사체중심평태계통건립적2005-2010년종향감측건강체검대렬,연구대상위제남시성진직공,공납입13 225명,조사내용포괄일반인구학자료、질병사、생활방식、BMI、혈압、FBG、혈지등.비교MS환자여비MS인군일반인구학자료、생활방식적차이；통과탐색성인자분석방법제취잠변량,학정연구변량적결구모식,진이의거차결구모식구건편최소이승(partial least squares,PLS)로경모형.결과 연구대상적년령위(46.62±12.16)세,MS환병솔위22.43％ (2967/13 225),기중,남성위26.49％ (2535/9570),녀성위11.82％ (432/3655),남녀MS환병솔차이유통계학의의(x2=327.08,P＜0.01).MS환자여비MS인군음식습관차이유통계학의의(x2=166.31,P＜0.01),MS환자중소식、훈소탑배、훈식적비례분별위23.39％(694/2967)、42.50％(1261/2967)、34.11％(1012/2967),재비MS인군중분별위30.80％ (3159/10 258)、46.37％ (4757/10 258)、22.83％ (2342/10 258)；량자음주상황차이유통계학의의(x2=374.22,P＜0.01),MS환자중불음혹이계、우음、상음적비례분별위27.37％(812/2967)、24.71％(733/2967)、47.93％(1422/2967),비MS인군분별위39.60％ (4062/10258)、31.36％ (3217/10258)、29.04％ (2979/10258)；량자흡연상황차이유통계학의의(x2=115.86,P＜0.01),MS환자중불흡혹이계、우흡、상흡적비례분별위59.72％(1772/2967)、6.24％(185/2967)、34.04％(1010/2967),재비MS인군중분별위70.03％(7184/10 258)、5.35％ (549/10 258)、24.61％ (2525/10 258).생활방식급MS상관조분각자수일개잠변량영향,조정년령、성별후,생활방식잠자변량대MS잠인변량로경계수위0.22(=6.46,P＜0.01).모형각항신도화효도지표:생활방식잠변량:평균방차제취솔위0.53、합성신도위0.77、극륭파혁계수위0.57；MS잠변량:평균방차제취솔위0.45、합성신도위0.76、극륭파혁계수위0.59.결론 불량생활방식여MS밀절상관,훈식、과량음주、흡연시기발생적위험인소.
Objective To evaluate the relationship between lifestyle habits and the components of metabolic syndrome (MS).Methods Based on the routine health check-up system in a certain Center for Health Management of Shandong Province,a longitudinal surveillance health check-up cohort from 2005 to 2010 was set up.There were 13 225 urban workers in Jinan included in the analysis.The content of the survey included demographic information,medical history,lifestyle habits,body mass index (BMI) and the level of blood pressure,fasting blood-glucose,and blood lipid,etc.The distribution of BMI,blood pressure,fasting blood-glucose,blood lipid and lifestyle habits between MS patients and non-MS population was compared,latent variables were extracted by exploratory factor analysis to determine the structure model,and then a partial least squares path model was constructed between lifestyle habits and the components of MS.Results Participants'age was(46.62 ±12.16) years old.The overall prevalence of the MS was 22.43％ (2967/13 225),26.49％ (2535/9570) in males and 11.82％ (432/3655) in females.The prevalence of the MS was statistically different between males and females (x2 =327.08,P ＜ 0.01).Between MS patients and non-MS population,the difference of dietary habits was statistically significant (x2 =166.31,P ＜ 0.01) in MS patients,the rate of vegetarian,mixed and animal food was 23.39％ (694/2967),42.50％ (1261/2967) and 34.11％(1012/2967) respectively,while in non-MS population was 30.80％ (3159/10 258),46.37％ (4757/10 258),22.83％ (2342/10 258) respectively.Their alcohol consumption has statistical difference (x2 =374.22,P ＜ 0.01) in MS patients,the rate of never or past,occasional and regular drinking was 27.37％ (812/2967),24.71％ (733/2967),47.93 ％ (1422/2967) respectively,and in non-MS population was 39.60％(4062/10 258),31.36％ (3217/10 258),29.04％ (2979/10 258) respectively.The difference of their smoking status was statistically significant (x2 =115.86,P ＜0.01) in MS patients,the rate of never or past,occasional and regular smoking was 59.72％ (1772/2967),6.24％ (185/2967),34.04％ (1010/2967)respectively,while in non-MS population was 70.03％ (7184/10 258),5.35％ (549/10 258),24.61％ (2525/10 258) respectively.Both lifestyle habits and the components of MS were attributable to only one latent variable.After adjustment for age and gender,the path coefficient between the latent component of lifestyle habits and the latent component of MS was 0.22 with statistical significance (t =6.46,P ＜ 0.01) through bootstrap test.Reliability and validity of the model:the lifestyle latent variable:average variance extracted was 0.53,conposite reliability was 0.77 and Cronbach's a was 0.57.The MS latent variable:average variance extracted was 0.45,composite reliability was 0.76 and Cronbach's a was 0.59.Conclusion Unhealthy lifestyle habits are closely related to MS.Meat diet,excessive drinking and smoking are risk factors for MS.
