医学与社会
醫學與社會
의학여사회
MEDICINE AND SOCIETY
2015年
6期
18-20,21
,共4页
代谢综合征%老年人
代謝綜閤徵%老年人
대사종합정%노년인
Metabolic Syndrome%The Elderly
目的：：调查上海市某社区65岁以上人群代谢综合征的患病情况及危险因素。方法：4228例总体组用于患病率调查；对1217例随访人群进行前瞻性分析探讨危险因素。结果：MS患病率为30.13%,峰值年龄为75-79岁；双组分阳性进展MS风险为5.462,其中高血糖合并高血压阳性RR值为7.150(95%CI 3.216-15.893),肥胖合并血脂紊乱组合RR值为7.252(95%CI 3.092-17.009)；进展为MS人群血尿酸值前后对比增长且有显著性差异(P<0.01)。结论：MS患病率和进展率较高,年龄峰值延后；高血糖合并高血压阳性和肥胖合并血脂紊乱人群是重点干预人群；血尿酸值是MS重要危险因素。
目的：：調查上海市某社區65歲以上人群代謝綜閤徵的患病情況及危險因素。方法：4228例總體組用于患病率調查；對1217例隨訪人群進行前瞻性分析探討危險因素。結果：MS患病率為30.13%,峰值年齡為75-79歲；雙組分暘性進展MS風險為5.462,其中高血糖閤併高血壓暘性RR值為7.150(95%CI 3.216-15.893),肥胖閤併血脂紊亂組閤RR值為7.252(95%CI 3.092-17.009)；進展為MS人群血尿痠值前後對比增長且有顯著性差異(P<0.01)。結論：MS患病率和進展率較高,年齡峰值延後；高血糖閤併高血壓暘性和肥胖閤併血脂紊亂人群是重點榦預人群；血尿痠值是MS重要危險因素。
목적：：조사상해시모사구65세이상인군대사종합정적환병정황급위험인소。방법：4228례총체조용우환병솔조사；대1217례수방인군진행전첨성분석탐토위험인소。결과：MS환병솔위30.13%,봉치년령위75-79세；쌍조분양성진전MS풍험위5.462,기중고혈당합병고혈압양성RR치위7.150(95%CI 3.216-15.893),비반합병혈지문란조합RR치위7.252(95%CI 3.092-17.009)；진전위MS인군혈뇨산치전후대비증장차유현저성차이(P<0.01)。결론：MS환병솔화진전솔교고,년령봉치연후；고혈당합병고혈압양성화비반합병혈지문란인군시중점간예인군；혈뇨산치시MS중요위험인소。
Objective:To investigate the prevalence and risk factors of metabolic syndrome( MS) in population over 65 years old. Methods:4228 cases were for investigating the prevalence rate;1217 cases were followed up for a prospective analysis of risk factors. Results:The preva-lence of MS was 30. 13%, and the peak age was 75-79;two-component progress of MS risk was 5. 462(95%CI 5. 128-5. 604), and RR value of hyperglycemia combined with hypertension and obesity combined with dyslipidemia were 7. 150(95%CI 3. 216-15. 893)and 7. 252(95%CI 3. 092-17. 009);the progress was UA comparison had significant difference (P<0. 01) in population with MS. Conclusion: The prevalence and progress rate of MS were high, and the peak age delayed;the population of hyperglycemia combined with hypertension and obesity combined with dyslipidemia were the key intervention groups;UA was an important risk factor for MS.
