中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2015年
5期
411-415
,共5页
刘淼%何耀%吴蕾%王建华%杨姗姗%王义艳%张迪%曾静
劉淼%何耀%吳蕾%王建華%楊姍姍%王義豔%張迪%曾靜
류묘%하요%오뢰%왕건화%양산산%왕의염%장적%증정
代谢综合征%慢性肾脏病%横断面调查%性别差异
代謝綜閤徵%慢性腎髒病%橫斷麵調查%性彆差異
대사종합정%만성신장병%횡단면조사%성별차이
Metabolic syndrome%Chronic kidney disease%Cross-sectional study%Sex specific difference
目的 探讨社区老年人群MS与慢性肾脏病(CKD)的关系及其性别差异.方法 2009年9月至2010年6月采用两阶段整群随机抽样,对北京市万寿路地区≥60岁老年人群进行横断面调查.MS诊断采用2009年国际统一标准定义;CKD诊断采用2012年国际肾脏病组织的标准定义.结果 共纳入2 102名(其中男性848名,女性1 254名)社区老年人,年龄60 ~ 95(67.9±5.8)岁.MS患病率为59.1%,CKD患病率为12.6%.随着MS组分数目的增加,CKD的患病率从2.9%增加至18.3%(趋势x2检验P<0.001).肾功能下降(2.0%增至8.6%)和白蛋白尿(1.9%增至12.1%)同样呈现增加的趋势(趋势x2检验P<0.001).多因素分析结果显示,社区老年人群MS患者患肾功能下降、白蛋白尿、CKD风险是非MS患者的2.13(95%CI:1.39 ~ 2.26)倍、1.99(95%CI:1.41~2.82)倍和2.03(95%CI:1.52 ~ 2.71)倍.且随着MS组分数目的增加,患病风险逐渐增加.不同性别比较,女性人群中MS对肾功能下降(OR:3.30vs.1.27)、CKD(OR:2.19vs.1.89)患病的影响高于男性,而对白蛋白尿的影响低于男性(OR:1.22vs.2.13).结论 北京城区的社区老年人群MS与CKD患病风险相关,且性别对于老年人群MS与CKD的关系有差异.
目的 探討社區老年人群MS與慢性腎髒病(CKD)的關繫及其性彆差異.方法 2009年9月至2010年6月採用兩階段整群隨機抽樣,對北京市萬壽路地區≥60歲老年人群進行橫斷麵調查.MS診斷採用2009年國際統一標準定義;CKD診斷採用2012年國際腎髒病組織的標準定義.結果 共納入2 102名(其中男性848名,女性1 254名)社區老年人,年齡60 ~ 95(67.9±5.8)歲.MS患病率為59.1%,CKD患病率為12.6%.隨著MS組分數目的增加,CKD的患病率從2.9%增加至18.3%(趨勢x2檢驗P<0.001).腎功能下降(2.0%增至8.6%)和白蛋白尿(1.9%增至12.1%)同樣呈現增加的趨勢(趨勢x2檢驗P<0.001).多因素分析結果顯示,社區老年人群MS患者患腎功能下降、白蛋白尿、CKD風險是非MS患者的2.13(95%CI:1.39 ~ 2.26)倍、1.99(95%CI:1.41~2.82)倍和2.03(95%CI:1.52 ~ 2.71)倍.且隨著MS組分數目的增加,患病風險逐漸增加.不同性彆比較,女性人群中MS對腎功能下降(OR:3.30vs.1.27)、CKD(OR:2.19vs.1.89)患病的影響高于男性,而對白蛋白尿的影響低于男性(OR:1.22vs.2.13).結論 北京城區的社區老年人群MS與CKD患病風險相關,且性彆對于老年人群MS與CKD的關繫有差異.
목적 탐토사구노년인군MS여만성신장병(CKD)적관계급기성별차이.방법 2009년9월지2010년6월채용량계단정군수궤추양,대북경시만수로지구≥60세노년인군진행횡단면조사.MS진단채용2009년국제통일표준정의;CKD진단채용2012년국제신장병조직적표준정의.결과 공납입2 102명(기중남성848명,녀성1 254명)사구노년인,년령60 ~ 95(67.9±5.8)세.MS환병솔위59.1%,CKD환병솔위12.6%.수착MS조분수목적증가,CKD적환병솔종2.9%증가지18.3%(추세x2검험P<0.001).신공능하강(2.0%증지8.6%)화백단백뇨(1.9%증지12.1%)동양정현증가적추세(추세x2검험P<0.001).다인소분석결과현시,사구노년인군MS환자환신공능하강、백단백뇨、CKD풍험시비MS환자적2.13(95%CI:1.39 ~ 2.26)배、1.99(95%CI:1.41~2.82)배화2.03(95%CI:1.52 ~ 2.71)배.차수착MS조분수목적증가,환병풍험축점증가.불동성별비교,녀성인군중MS대신공능하강(OR:3.30vs.1.27)、CKD(OR:2.19vs.1.89)환병적영향고우남성,이대백단백뇨적영향저우남성(OR:1.22vs.2.13).결론 북경성구적사구노년인군MS여CKD환병풍험상관,차성별대우노년인군MS여CKD적관계유차이.
Objective To evaluate the association between metabolic syndrome (MS) and chronic kidney disease (CKD) and its sex specific difference among community elder population in China.Methods A population-based cross-sectional study was conducted among the old people aged ≥60 years and selected through a two stage cluster random sampling in a community in Beijing from September 2009 to Jun 2010.The standard international case definitions of MS (2009) and CKD (2012) were used.Results Atotal of 2 102 old people aged 60-95 years,including 848 males and 1 254 females,were surveyed.The prevalence of MS and CKD were 59.1% and 12.6% respectively.The prevalence of CKD increased from 2.9% to 18.3% with the increase of the forms of MS.Multivariate logistic regression analysis showed the ORs of MS for decreased renal function,albuminuria and CKD were 2.13 (95%CI:1.39-2.26),1.99 (95%CI:1.41-2.82) and 2.03 (95%CI:1.52-2.71) respectively,and the risk of CKD increased with the forms of MS.The impact of MS on decreased renal function was stronger in females (OR:2.19 vs.1.89),but the impact of MS on albuminuria was stronger in males (OR:1.22 vs.2.13).Conclusion There was a strong and sex specific association between MS and CKD among the community elder population in Beijing.