安徽医学
安徽醫學
안휘의학
Anhui Medical Journal
2015年
10期
1266-1268,1269
,共4页
孙名香%闫成锐%余本富%王道年%王佑民%宁光
孫名香%閆成銳%餘本富%王道年%王祐民%寧光
손명향%염성예%여본부%왕도년%왕우민%저광
代谢综合征%中老年人群%患病率
代謝綜閤徵%中老年人群%患病率
대사종합정%중노년인군%환병솔
Metabolic syndrome%Mid-aged population%Prevalence
目的:了解合肥市某社区中老年人群代谢综合征(MS)的患病情况与流行特征。方法采用整群随机抽样的方法,对合肥市某社区内2860位40岁及以上常住居民进行问卷调查、体格检查和实验室检查。按照国际糖尿病联盟诊断标准(IDF)对 MS进行诊断。结果调查对象共调查2860人,男性1093人(38.22%),女性1767人(61.78%),平均年龄(56.38±10.8)岁, MS患病率为34.55%,标化患病率为33.73%,女性(39.7%)明显高于男性(26.2%),不同年龄段、不同文化程度、不同婚姻状况、不同居住情况调查对象间 MS患病率不同。MS各组分患病率在25.8%~56.4%,在中心性肥胖的基础上,合并两项指标异常的有499人(17.4%),合并3项指标异常的有369人(12.9%),五项全部异常的有120人(4.2%),MS异常指标组合中以中心性肥胖合并低高密度脂蛋白(HDL)和血压异常的患病率最高(18.7%),除了合并三酰甘油和血糖异常的患病率男女间差异无统计学意义外,其他5个组合的患病率女性均高于男性,差异有统计学意义(P <0.05)。结论该社区40岁及以上居民 MS患病率较高,女性较男性患病率高,合并二项及以上代谢异常的比例较高。
目的:瞭解閤肥市某社區中老年人群代謝綜閤徵(MS)的患病情況與流行特徵。方法採用整群隨機抽樣的方法,對閤肥市某社區內2860位40歲及以上常住居民進行問捲調查、體格檢查和實驗室檢查。按照國際糖尿病聯盟診斷標準(IDF)對 MS進行診斷。結果調查對象共調查2860人,男性1093人(38.22%),女性1767人(61.78%),平均年齡(56.38±10.8)歲, MS患病率為34.55%,標化患病率為33.73%,女性(39.7%)明顯高于男性(26.2%),不同年齡段、不同文化程度、不同婚姻狀況、不同居住情況調查對象間 MS患病率不同。MS各組分患病率在25.8%~56.4%,在中心性肥胖的基礎上,閤併兩項指標異常的有499人(17.4%),閤併3項指標異常的有369人(12.9%),五項全部異常的有120人(4.2%),MS異常指標組閤中以中心性肥胖閤併低高密度脂蛋白(HDL)和血壓異常的患病率最高(18.7%),除瞭閤併三酰甘油和血糖異常的患病率男女間差異無統計學意義外,其他5箇組閤的患病率女性均高于男性,差異有統計學意義(P <0.05)。結論該社區40歲及以上居民 MS患病率較高,女性較男性患病率高,閤併二項及以上代謝異常的比例較高。
목적:료해합비시모사구중노년인군대사종합정(MS)적환병정황여류행특정。방법채용정군수궤추양적방법,대합비시모사구내2860위40세급이상상주거민진행문권조사、체격검사화실험실검사。안조국제당뇨병련맹진단표준(IDF)대 MS진행진단。결과조사대상공조사2860인,남성1093인(38.22%),녀성1767인(61.78%),평균년령(56.38±10.8)세, MS환병솔위34.55%,표화환병솔위33.73%,녀성(39.7%)명현고우남성(26.2%),불동년령단、불동문화정도、불동혼인상황、불동거주정황조사대상간 MS환병솔불동。MS각조분환병솔재25.8%~56.4%,재중심성비반적기출상,합병량항지표이상적유499인(17.4%),합병3항지표이상적유369인(12.9%),오항전부이상적유120인(4.2%),MS이상지표조합중이중심성비반합병저고밀도지단백(HDL)화혈압이상적환병솔최고(18.7%),제료합병삼선감유화혈당이상적환병솔남녀간차이무통계학의의외,기타5개조합적환병솔녀성균고우남성,차이유통계학의의(P <0.05)。결론해사구40세급이상거민 MS환병솔교고,녀성교남성환병솔고,합병이항급이상대사이상적비례교고。
Objective To understand the prevalence and epidemiologic characteristics of metabolic syndrome (MS)among mid -aged residents in Hefei city. Methods The stratified cluster random sampling was used to select 2860 residents aged > 40 years. They were given questionnaire survey,physician check-up and laboratory test. The MS was diagnosed according to the diagnostic criteria of International Diabetes Federation (IDF). Results A total of 2860 residents were interviewed with questionnaire,including 1093 men(38. 22%)and 1767 women(61. 78%). The average age was 56. 38 ± 10. 8,the MS prevalence was 34. 55% and the standardized prevalence of MS was 33. 73%,and the prevalence of female(39. 7%)was significantly higher than that of male(26. 2%). The MS prevalence changed among different ages,different education degree,different marital status and different living conditions. The prevalence of MS components was 25. 8% ~ 56. 4% . On the basis of central obesity,499(17. 4%),369(12. 9%)and 120(4. 2%)people were found abnormal with two, three and four components respectively. The combination of central obesity and low high density lipoprotein cholesterol with hypertension ac-counted for 18. 7% . The prevalence of combination of central obesity and high TG and high glucose in female was higher than that in male ex-cept other combinations. Conclusion The MS prevalence is high in Hefei,especially in women residents. A large proportion of the people have two or more kinds of metabolic abnormality.