CAJ | 학술논문

目的探讨男性刑警代谢综合征(MS)的危险因素,为制定刑警职业人群代谢综合征的预防与控制策略提供科学依据.方法以某市刑警2010年体检资料为基础,根据2004年中华医学会糖尿病分会制定的MS工作定义(CDS标准),随机抽取新确诊的439名MS患者为病例组;采用1:2配比病例-对照方法,随机选取2007至2010年体检均正常的878名健康刑警为对照组.用面对面询问调查获得调查对象个人基本情况、相关病史、家族史以及生活习惯等,体检获取身高、体重、腰围、血压值,实验室检测获得血糖、血脂值.相关资料应用条件性logistic回归模型分析.结果共调查1317例,单因素条件性logistic回归分析发现婚姻状况、打鼾、吸烟等13个因素与MS发病有关.多因素条件性logistic回归结果,病前应激事件(0R=1.989,95％CI:1.467～2.696)、打鼾(OR=1.672,95％CI:1.218～2.294)、甜味(0R=0.562,95％CI:0.412～0.766)、肉类及制品(OR=1.494,95％ CI:1.065 ～2.094)、晚饭后静坐超过3 h(OR=1.399,95％CI:1.023～1.915).结论 MS已成为影响刑警健康的重要的公共卫生问题,因刑警工作性质而产生的一系列不良行为和生活方式、心理因素是刑警人群患MS的重要危险因素,应采取有针对性的预防控制措施,降低其MS的发生.
목적 탐토남성형경대사종합정(MS)적위험인소,위제정형경직업인군대사종합정적예방여공제책략제공과학의거.방법 이모시형경2010년체검자료위기출,근거2004년중화의학회당뇨병분회제정적MS공작정의(CDS표준),수궤추취신학진적439명MS환자위병례조;채용1:2배비병례-대조방법,수궤선취2007지2010년체검균정상적878명건강형경위대조조.용면대면순문조사획득조사대상개인기본정황、상관병사、가족사이급생활습관등,체검획취신고、체중、요위、혈압치,실험실검측획득혈당、혈지치.상관자료응용조건성logistic회귀모형분석.결과 공조사1317례,단인소조건성logistic회귀분석발현혼인상황、타한、흡연등13개인소여MS발병유관.다인소조건성logistic회귀결과,병전응격사건(0R=1.989,95％CI:1.467～2.696)、타한(OR=1.672,95％CI:1.218～2.294)、첨미(0R=0.562,95％CI:0.412～0.766)、육류급제품(OR=1.494,95％ CI:1.065 ～2.094)、만반후정좌초과3 h(OR=1.399,95％CI:1.023～1.915).결론 MS이성위영향형경건강적중요적공공위생문제,인형경공작성질이산생적일계렬불량행위화생활방식、심리인소시형경인군환MS적중요위험인소,응채취유침대성적예방공제조시,강저기MS적발생.
Objective To explore the risk factors and their differences of metabolic syndrome (MS) on male criminal police,thereby provide the scientific basis to make prevention and control strategies about the metabolic syndrome for the criminal police career.Methods Based on physical examination data of criminal police in 2010,439 patients with MS (CDS) were randomly selected as cases.And as the 1:2 matched nested case-control study,878 health controls were employed,which were matched with on the basis of sex and age (±1 year).An face-to-face epidemiological investigations on the past exposure status of several possible risk factors was conducted,such as the family history of hypertension and other social economic status,as well as body height and weight,waist circumference,blood pressure,serum lipid and plasma sugar.and the data were analyzed with logistic regression.Results 1317 cases were surveyed,through single factor logistic regression analysis found that 12 factors are related to exposure.Multivariate logistic regression analysis suggested that six factors,such as stress events (OR=1.989,95％CI:1.467～2.696),snoring (OR=1.672,95％CI:1.218～2.294),sweets (OR=0.562,95％CI:0.412～0.766),meat and products (0R=1.494,95％CI:1.065～2.094),siting after dinner for more than 3 h (OR=1.399,95％CI:1.023～1.915).Conclusions MS has become a important public health problems among criminal police.For their professional special,a series of bad habits,unhealthy life style and psychological problems became important risk factors of MS on criminal police.Targeted prevention and control measures should be taken to reduce the incidence of MS.