CAJ | 학술논문

目的:了解广东省江门市五邑地区中老年人代谢综合征(metabolic syndrome,MS)的患病率及人群分布特征.方法:采用多阶段整群随机抽样方法,共抽取五邑地区鹤山县、台山县、开平县、恩平县4个县16个社区1745个45岁及以上常住居民为调查对象,经问卷调查、体格检查和实验室检测后诊断患者病情,并分析其相关疾病流行病学特征. 结果:五邑地区中老年人MS患病率为18.77%. 男性单纯高血压、高血糖、高血脂症及低HDL-C血症患病率均明显大于女性,差异均有统计学意义(χ2=35.110、13.143、26.370、13.948,P<0.05).Logistic回归分析结果显示年龄、性别、文化程度、月收入、疾病史及高脂饮食可能是导致中老年人MS患病的独立危险因素. 结论:五邑地区中老年人MS的患病率较高,男性明显大于女性,因此MS相关疾病更应受到重视,加强对中老年人高血压、高血糖、高血脂及肥胖的防治,对MS疾病控制具有重要意义.
목적:료해광동성강문시오읍지구중노년인대사종합정(metabolic syndrome,MS)적환병솔급인군분포특정.방법:채용다계단정군수궤추양방법,공추취오읍지구학산현、태산현、개평현、은평현4개현16개사구1745개45세급이상상주거민위조사대상,경문권조사、체격검사화실험실검측후진단환자병정,병분석기상관질병류행병학특정. 결과:오읍지구중노년인MS환병솔위18.77%. 남성단순고혈압、고혈당、고혈지증급저HDL-C혈증환병솔균명현대우녀성,차이균유통계학의의(χ2=35.110、13.143、26.370、13.948,P<0.05).Logistic회귀분석결과현시년령、성별、문화정도、월수입、질병사급고지음식가능시도치중노년인MS환병적독립위험인소. 결론:오읍지구중노년인MS적환병솔교고,남성명현대우녀성,인차MS상관질병경응수도중시,가강대중노년인고혈압、고혈당、고혈지급비반적방치,대MS질병공제구유중요의의.
To investigate the prevalence rate and population distribution of metabolic syndrome (MS) in elderly in Wuyi region of Jiangmen city, Guangdong province. Methods: Using multi-stage cluster random sampling method, 1745 permanent residents aged 45 and above were selected from 16 communities of 4 counties of Heshan , Taishan , Kaiping, and Enping in Wuyi area to fill out a questionnaire, to undergo physical exam and laboratory tests for MS diagnosis of the 1745 questionnaires, 1657 cases(94.96%) met the requirements. Results: The prevalence of MS was 18.77% in elderly in Wuyi region. The prevalence of hypertension (χ2 =35.110, P ＜ 0.05）, hyperglycemia （χ2 ＝ 13.143, P ＜ 0.05）, hyperlipidemia （χ2 ＝ 26.370, P ＜ 0.05）, and low HDLC hyperlipidemia （χ2 ＝ 13.948, P ＜ 0.05） in men were significantly higher than that in female. Logistic regression analysis showed that age, gender, educational level, income, disease history, and high-fat diet were independent risk factors leading to MS in the elderly. Conclusion： The prevalence of the elderly MS in Wuyi region is high, and the MS-related diseases should receive much attention. It is important to prevent and control hypertension, hyperglycemia, hyperlipidemia, and obesity in elderly in order to dearease the incidence of MS.