CAJ | 학술논문

目的：：了解广州市海珠区社区居民代谢综合征( MS)及相关危险因素。方法：采用统一调查表格，采取整群、分层、随机抽样等相结合的方法，在两个社区分别抽取35岁以上的2003人作为研究对象，测定身高、体重、腰围、臀围、心率等，检测血常规、甘油三酯、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、空腹血糖、尿酸、超敏反应蛋白等指标。计算CDS、IDF标准、ATPⅢ标准的MS粗患病率和标化率，MS组分的患病率，分析MS的危险因素。结果：(1) CDS标准、IDF标准、ATPⅢ标准的MS粗患病率分别为15.8％、28.5％、30.3％，标化率分别为11.2％、22.2％、23.7％；MS 标化率随年龄的增加而增高( P<0.05)；女性MS标化率显著高于男性(P<0.05)。(2)MS组分的患病率：中心性肥胖、超重或肥胖、糖尿病、空腹血糖调节受损、高血压、高甘油三酯血症及低HDL￣C血症的标化率为37.5％、27.7％、6.8％、6.0％、26.1％、36.6％及10.5％。(3)中心性肥胖、年龄、尿酸、总胆固醇、高血压家族史、白细胞增高是MS的危险因素( P<0.05)。结论：广州海珠区社区居民MS患病率较高，需加强其相关疾病的干预，以预防MS的发生和进展。
목적：：료해엄주시해주구사구거민대사종합정( MS)급상관위험인소。방법：채용통일조사표격，채취정군、분층、수궤추양등상결합적방법，재량개사구분별추취35세이상적2003인작위연구대상，측정신고、체중、요위、둔위、심솔등，검측혈상규、감유삼지、총담고순、고밀도지단백담고순、저밀도지단백담고순、공복혈당、뇨산、초민반응단백등지표。계산CDS、IDF표준、ATPⅢ표준적MS조환병솔화표화솔，MS조분적환병솔，분석MS적위험인소。결과：(1) CDS표준、IDF표준、ATPⅢ표준적MS조환병솔분별위15.8％、28.5％、30.3％，표화솔분별위11.2％、22.2％、23.7％；MS 표화솔수년령적증가이증고( P<0.05)；녀성MS표화솔현저고우남성(P<0.05)。(2)MS조분적환병솔：중심성비반、초중혹비반、당뇨병、공복혈당조절수손、고혈압、고감유삼지혈증급저HDL￣C혈증적표화솔위37.5％、27.7％、6.8％、6.0％、26.1％、36.6％급10.5％。(3)중심성비반、년령、뇨산、총담고순、고혈압가족사、백세포증고시MS적위험인소( P<0.05)。결론：엄주해주구사구거민MS환병솔교고，수가강기상관질병적간예，이예방MS적발생화진전。
Objective:To investigate the metabolic syndrome ( MS ) and its risk factors in residents of Haizhu district, Guangzhou city. Methods:Using the unified questionnaire with the combined cluster￣stratified￣random sampling method in 2003 subjects aged over 35 years old, who were selected in two communities respectively. The height, body mass, waistline, hipline, heart rate of all the subjects were measured. And the indicators of blood routine examination, triglyceride ( TG ) , total cholesterol ( TC ) , high density lipoprotein￣cholesterol ( HDL￣C ) , low density lipoprotein￣cholesterol ( LDL￣C ) , fasting blood￣glucose ( FBG ) , uric acid ( UA ) and hypersensitive￣reactive protein were determined. The MS general prevalence and standardized prevalence based on the standards of Chinese Diabetes Society( CDS) , International Diabetes Federation( IDF) . National Cholesterol Education Prongram￣Adult Treatment Panel III ( ATP III) and the prevalence of MS group were calculated. And the risk factors of MS were analyzed.Results:(1) The MS general prevalences based on the standards of CDS, IDF and ATP III were 15. 8%, 28. 5% and 30. 3% respectively, and the standardized prevalence were 11.2%, 22. 2% and 23. 7% respectiely. The prevalence of MS were increased with age ( P<0. 05). And females had significantly higher standardized prevalence than males (P<0.05). (2) The prevalence of MS group: central obesity, over￣weight or obesity, diabetes, impaired fasting glucose regulation, hypertension, high TG blood and low HDL￣C blood were 37. 5%, 27. 7%, 6. 8%, 6. 0%, 26. 1%, 36. 6% and 10. 5% respectively. ( 3) Central obesity, age, UA, TC, history of hypertension and increase of leukocyte were risk factors of MS ( P<0.05) . Conclusion: The prevalence of MS in residents of Haizhu district, Guangzhou is high, which needs relevant interventions to prevent the occurrence and development of MS.