实用心脑肺血管病杂志
實用心腦肺血管病雜誌
실용심뇌폐혈관병잡지
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
2015年
10期
54-57
,共4页
汪丽%王庆祝%秦贵军%赵艳艳%张颖辉%马晓君%马笑堃%任高飞
汪麗%王慶祝%秦貴軍%趙豔豔%張穎輝%馬曉君%馬笑堃%任高飛
왕려%왕경축%진귀군%조염염%장영휘%마효군%마소곤%임고비
代谢疾病%中年人%老年人%问卷调查%横断面研究
代謝疾病%中年人%老年人%問捲調查%橫斷麵研究
대사질병%중년인%노년인%문권조사%횡단면연구
Metabolic diseases%Middle aged%Aged%Questionnaires%Cross - sectional studies
目的:调查郑州市40岁以上社区居民代谢综合征(MS)患病现况。方法采用整群分层随机抽样法,于2011年7月在郑州市4个社区中抽取40岁以上社区居民9268例为调查对象。采用自行设计的调查问卷采集被调查者相关信息,包括性别、年龄、腰围、体质指数(BMI)、血压〔收缩压(SBP)、舒张压(DBP)〕、血糖〔空腹血糖(FPG)、糖负荷后2 h 血糖(2 h PG)〕、血脂〔三酰甘油(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL - C)、高密度脂蛋白胆固醇(HDL - C)〕及糖化血红蛋白(HbA1c ),依据国际多学会联合声明(JIS)诊断标准诊断 MS,分析郑州市40岁以上社区居民 MS 组分异常检出情况。结果共发放问卷9268份,回收有效问卷8237份,有效率为88.9%。根据 JIS 诊断标准,8237例社区居民中5125例诊断为 MS,MS 患病率为62.2%。不同 LDL - C 水平社区居民 MS 患病率比较,差异无统计学意义(P ﹥0.05);不同性别、年龄、腰围、BMI、血压、血糖及 TG、TC、HDL - C、HbA1c水平社区居民 MS 患病率比较,差异有统计学意义(P ﹤0.05)。男性 MS 患病率为57.8%(2104/3639),低于女性的65.7%(3021/4598)(P ﹤0.05);40~49岁男性 MS 患病率高于女性(P ﹤0.05);50~59岁、60~69岁、70~79岁女性 MS 患病率均高于男性( P ﹤0.05);≥80岁男性与女性 MS 患病率比较,差异无统计学意义( P ﹥0.05)。8237例社区居民中检出超重3540例(43.0%),肥胖2219例(26.9%),中心性肥胖5506例(66.8%),高 SBP 2184例(26.5%),高 DBP 1085例(13.2%),高 FPG 2450例(29.7%),高2 h PG 3840例(46.7%),高水平 TG 3053例(37.1%),高水平 TC 1510例(18.3%),高水平 LDL - C 1067例(12.9%),低水平 HDL - C 4280例(52.0%)。不同性别社区居民肥胖及高水平 TG、高2 h FPG 检出率比较,差异无统计学意义(P ﹥0.05);不同性别社区居民超重、中心性肥胖、高 SBP、高 DBP、高 FPG、高水平 TC、高水平 LDL - C、低水平 HDL - C 检出率比较,差异有统计学意义(P ﹤0.05)。结论郑州市40岁以上社区居民 MS 患病率较高,MS 组分异常主要以中心性肥胖、高餐后血糖、低水平 HDL - C 为主,且不同性别、年龄段社区居民具有不同的代谢紊乱特点,需进行针对性干预。
目的:調查鄭州市40歲以上社區居民代謝綜閤徵(MS)患病現況。方法採用整群分層隨機抽樣法,于2011年7月在鄭州市4箇社區中抽取40歲以上社區居民9268例為調查對象。採用自行設計的調查問捲採集被調查者相關信息,包括性彆、年齡、腰圍、體質指數(BMI)、血壓〔收縮壓(SBP)、舒張壓(DBP)〕、血糖〔空腹血糖(FPG)、糖負荷後2 h 血糖(2 h PG)〕、血脂〔三酰甘油(TG)、總膽固醇(TC)、低密度脂蛋白膽固醇(LDL - C)、高密度脂蛋白膽固醇(HDL - C)〕及糖化血紅蛋白(HbA1c ),依據國際多學會聯閤聲明(JIS)診斷標準診斷 MS,分析鄭州市40歲以上社區居民 MS 組分異常檢齣情況。結果共髮放問捲9268份,迴收有效問捲8237份,有效率為88.9%。根據 JIS 診斷標準,8237例社區居民中5125例診斷為 MS,MS 患病率為62.2%。不同 LDL - C 水平社區居民 MS 患病率比較,差異無統計學意義(P ﹥0.05);不同性彆、年齡、腰圍、BMI、血壓、血糖及 TG、TC、HDL - C、HbA1c水平社區居民 MS 患病率比較,差異有統計學意義(P ﹤0.05)。男性 MS 患病率為57.8%(2104/3639),低于女性的65.7%(3021/4598)(P ﹤0.05);40~49歲男性 MS 患病率高于女性(P ﹤0.05);50~59歲、60~69歲、70~79歲女性 MS 患病率均高于男性( P ﹤0.05);≥80歲男性與女性 MS 患病率比較,差異無統計學意義( P ﹥0.05)。8237例社區居民中檢齣超重3540例(43.0%),肥胖2219例(26.9%),中心性肥胖5506例(66.8%),高 SBP 2184例(26.5%),高 DBP 1085例(13.2%),高 FPG 2450例(29.7%),高2 h PG 3840例(46.7%),高水平 TG 3053例(37.1%),高水平 TC 1510例(18.3%),高水平 LDL - C 1067例(12.9%),低水平 HDL - C 4280例(52.0%)。不同性彆社區居民肥胖及高水平 TG、高2 h FPG 檢齣率比較,差異無統計學意義(P ﹥0.05);不同性彆社區居民超重、中心性肥胖、高 SBP、高 DBP、高 FPG、高水平 TC、高水平 LDL - C、低水平 HDL - C 檢齣率比較,差異有統計學意義(P ﹤0.05)。結論鄭州市40歲以上社區居民 MS 患病率較高,MS 組分異常主要以中心性肥胖、高餐後血糖、低水平 HDL - C 為主,且不同性彆、年齡段社區居民具有不同的代謝紊亂特點,需進行針對性榦預。
목적:조사정주시40세이상사구거민대사종합정(MS)환병현황。방법채용정군분층수궤추양법,우2011년7월재정주시4개사구중추취40세이상사구거민9268례위조사대상。채용자행설계적조사문권채집피조사자상관신식,포괄성별、년령、요위、체질지수(BMI)、혈압〔수축압(SBP)、서장압(DBP)〕、혈당〔공복혈당(FPG)、당부하후2 h 혈당(2 h PG)〕、혈지〔삼선감유(TG)、총담고순(TC)、저밀도지단백담고순(LDL - C)、고밀도지단백담고순(HDL - C)〕급당화혈홍단백(HbA1c ),의거국제다학회연합성명(JIS)진단표준진단 MS,분석정주시40세이상사구거민 MS 조분이상검출정황。결과공발방문권9268빈,회수유효문권8237빈,유효솔위88.9%。근거 JIS 진단표준,8237례사구거민중5125례진단위 MS,MS 환병솔위62.2%。불동 LDL - C 수평사구거민 MS 환병솔비교,차이무통계학의의(P ﹥0.05);불동성별、년령、요위、BMI、혈압、혈당급 TG、TC、HDL - C、HbA1c수평사구거민 MS 환병솔비교,차이유통계학의의(P ﹤0.05)。남성 MS 환병솔위57.8%(2104/3639),저우녀성적65.7%(3021/4598)(P ﹤0.05);40~49세남성 MS 환병솔고우녀성(P ﹤0.05);50~59세、60~69세、70~79세녀성 MS 환병솔균고우남성( P ﹤0.05);≥80세남성여녀성 MS 환병솔비교,차이무통계학의의( P ﹥0.05)。8237례사구거민중검출초중3540례(43.0%),비반2219례(26.9%),중심성비반5506례(66.8%),고 SBP 2184례(26.5%),고 DBP 1085례(13.2%),고 FPG 2450례(29.7%),고2 h PG 3840례(46.7%),고수평 TG 3053례(37.1%),고수평 TC 1510례(18.3%),고수평 LDL - C 1067례(12.9%),저수평 HDL - C 4280례(52.0%)。불동성별사구거민비반급고수평 TG、고2 h FPG 검출솔비교,차이무통계학의의(P ﹥0.05);불동성별사구거민초중、중심성비반、고 SBP、고 DBP、고 FPG、고수평 TC、고수평 LDL - C、저수평 HDL - C 검출솔비교,차이유통계학의의(P ﹤0.05)。결론정주시40세이상사구거민 MS 환병솔교고,MS 조분이상주요이중심성비반、고찬후혈당、저수평 HDL - C 위주,차불동성별、년령단사구거민구유불동적대사문란특점,수진행침대성간예。
Objective To investigate the prevalence of metabolic syndrome(MS) in community residents over 40 years old in Zhengzhou. Methods Stratified random cluster sampling method was used to selected 9 268 community residents over 40 years old in Zhengzhou in July 2011,self - made questionnaire was used to collect relevant information,including gender,age,waist circumference,BMI,SBP,DBP,FPG,2 h PG,TG,TC,LDL - C,HDL - C,HbA1c ,JIS was used to diagnose MS,and incidence of MS components disorders was analyzed. Results A total of 9 268 questionnaires were given out,and 8 237 questionnaires were retrieved,the effective rate was 88. 9%. The morbidity of MS was 62. 2% (5 125 / 8 237)in community residents over 40 years old in Zhengzhou. No statistically significant differences of morbidity of MS was found in community residents with different LDL - C levels(P ﹥ 0. 05);while there were statistically significant differences of morbidity of MS was found in community residents with different gender,age,waist circumference,BMI,blood pressure,blood sugar and TG,TC,LDL - C,HDL - C,HbA1c levels( P ﹤ 0. 05). The morbidity of MS was 57. 8% (2 104 / 3 639) in male community residents,was statistically significantly lower than that of female community residents of 65. 7% (3 021 / 4 598)(P﹤ 0. 05);thereinto,the morbidity of MS in male community residents aged 40 to 49 years old was statistically significantly higher than that in same age - group female community residents(P ﹤ 0. 05);the morbidity of MS in female community residents aged 50 to 59 years old,60 to 69 years old,70 to 79 years old was statistically significantly higher than that in same age - group male community residents(P ﹤ 0. 05),respectively;no statistically significant differences of morbidity of MS was found in male and female community residents aged equal or over 80 years old( P ﹥ 0. 05). The detection rate of overweight was 43. 0%(3 540 / 8 237),of obesity was 26. 9% (2 219 / 8 237),of central obesity was 66. 8% (5 506 / 8 237),of elevated SBP was 26. 5% (2 184 / 8 237),of elevated DBP was 13. 2% (1 085 / 8 237),of elevated FPG was 29. 7% (2 450 / 8 237),of elevated 2 h PG was 46. 7% (3 840 / 8 237),of elevated TG was 37. 1% (3 053 / 8 237),of elevated TC was 18. 3% (1 510 /8 237),of elevated LDL - C was 12. 9% (1 067 / 8 237),of decreased HDL - C was 52. 0% (4 280 / 8 237). No statistically significant differences of detection rate of obesity,elevated TG or elevated 2 h PG was found in community residents with different gender(P ﹥ 0. 05 );while there were statistically significant differences of detection rate of overweight,central obesity, elevated SBP,elevated DBP,elevated FPG,elevated TC,elevated LDL - C or decreased HDL - C in community residents with different gender(P ﹤ 0. 05). Conclusion The morbidity of MS is relatively high in community residents over 40 years old in Zhengzhou,central obesity,elevated 2 h PG and decreased HDL - C are main MS components disorders,and community residents with different gender and age have different characteristics of metabolic disorders, which should be intervened individually.