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目的了解东阳市居民代谢综合征患病状况,为制订代谢综合征以及相关慢性病预防控制策略提供依据。方法采用现况研究的方法,以东阳市东岘社区和湖溪镇20~75岁常住居民为研究对象进行问卷调查、体格检查和实验室检测。结果本次调查居民代谢综合征患病率为15.11%,其中男性13.58%,女性15.87%,男女患病率比较差异有统计学意义(P<0.05)。城区居民患病率17.03%高于乡镇居民的13.11%(P<0.01)。高TG血症、低HDL-C血症、中心性肥胖、高血压和高血糖患病率分别为35.19%、4.53%、32.44%、42.63%和16.69%。代谢综合征、高TG血症、中心性肥胖、高血压和高血糖患病率均随着年龄增长呈上升趋势(P<0.01)。结论应加强中老年居民代谢综合征早期干预和健康教育,改善生活方式。
Objective To understand the prevalence of metabolic syndrome in residents of Dongyang City and provide evidence for the development of metabolic syndrome and the related prevention and control strategies for chronic diseases. Methods Based on the current research methods, questionnaires, physical examination and laboratory tests were carried out in Dongxian community and permanent residents aged 20-75 in Huxi Town, Dongyang City. Results The prevalence of metabolic syndrome among residents in this survey was 15.11%, of whom 13.58% were male and 15.87% were female. The prevalence of metabolic syndrome was statistically significant (P <0.05). The prevalence of urban residents was 17.03% higher than that of rural residents (13.11%) (P <0.01). The prevalence of hypercholesteremia, hypo HDL-C, central obesity, hypertension and hyperglycemia were 35.19%, 4.53%, 32.44%, 42.63% and 16.69%, respectively. The prevalence of metabolic syndrome, hypercholesteremia, central obesity, hypertension and hyperglycemia increased with age (P <0.01). Conclusion Early interventions and health education on metabolic syndrome should be strengthened in middle-aged and elderly residents to improve their lifestyle.