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目的了解某社区体检人群代谢综合征(metabolic syndrome,MS)的患病率及其影响因素,为本地区MS的综合防治提供科学依据。方法采用整群抽样的方法,以某社区参加健康体检的18岁及以上成人作为研究对象进行问卷调查、体格检查和实验室检查,采用非条件Logistic回归分析MS的相关影响因素。结果收集信息完整的研究对象610名,其中男性334人(54.8%),女性276人(45.2%)。有82人被检出患有MS,患病率为13.4%,男女患病率分别为15.6%(52/334)和10.9%(30/276),差异无统计学意义(X~2=2.868,P=0.090)。年龄大、文化程度低、具有高血压或糖尿病家族史、疏于锻炼或盐摄入过多的研究对象MS患病率均高于对照组。MS患者的体质指数(body mass index,BMI)、腰围等体检及实验室检测指标均高于对照组(均有P<0.05),而高密度脂蛋白胆固醇(high density lipoprotein cholesterol HDL-C)则低于对照组。多因素分析结果显示年龄增大、具有糖尿病家族史、BMI高、高腰围、高血压、高甘油三酯和低HDL-C是MS的危险因素。结论社区体检人群具有相当比例的个体患有MS,应针对相关危险因素及早采取综合防治措施。
Objective To understand the prevalence and influencing factors of metabolic syndrome (MS) in a community health checkup population and provide a scientific basis for the comprehensive prevention and treatment of MS in this area. Methods A cluster sampling method, in order to participate in a community of healthy 18-year-old and older adults for the study questionnaire, physical examination and laboratory tests, analysis of related factors of MS using Logistic regression. Results A total of 610 informative subjects were collected, including 334 males (54.8%) and 276 females (45.2%). 82 were detected with MS, the prevalence was 13.4%, and the prevalence rates were 15.6% (52/334) and 10.9% (30/276) for men and women, respectively, with no significant difference (X 2 = 2.868 , P = 0.090). The prevalence of MS was higher in older subjects, lower in education, with family history of hypertension or diabetes, neglecting exercise or excessive intake of salt. MS patients BMI (body mass index, BMI), waist circumference, physical examination and laboratory indices were higher (both P <0.05), high density lipoprotein cholesterol (high density lipoprotein cholesterol HDL-C) is Lower than the control group. Multivariate analysis showed that age, family history of diabetes, high BMI, high waist circumference, high blood pressure, high triglycerides, and low HDL-C were risk factors for MS. Conclusion There is a considerable proportion of individuals with MS in the community health check-up population. Comprehensive prevention and control measures should be taken in response to the relevant risk factors.