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目的调查甘肃省甘南藏族人群代谢综合征(MS)的流行病学特征及相关组分的特点,了解MS分布情况,为健康教育路径选择提供依据。方法采用多级整群随机抽样方法,对甘南藏族人群进行代谢综合征横断面调查,计算患病率,检测分析MS相关组分。结果 MS总患病率26.9%,男性(33.6%)高于女性(20.8%),差异有统计学意义(c2=28.770,P<0.05);39岁以下组、40岁~组、50岁~组以及60岁以上组患病率分别为9.9%、22.5%、27.1%和41.6%,且随着年龄增长呈现递增趋势(c2=83.220,P<0.001),分年龄组男性患病率均高于女性,但在60岁以上组男女差异无统计学意义(c2=3.234,P>0.05);MS患者相关组分中高血压的患病率为75.2%,超重/肥胖患病率为53.1%,TG偏高患病率为93.0%,血糖升高患病率为26.4%,各组分的患病率中均为HDL-C偏低的患病率最低,且男女患病率差异无统计学意义(P>0.05)。结论甘南藏族人群MS患病率高于我国MS平均患病率水平,提示MS已成为影响甘南藏族群众生命健康的重大公共卫生问题;超重/肥胖以及TG偏高伴随高血压已成为甘南藏族代谢综合征患病的基本特征。
Objective To investigate the epidemiological characteristics of metabolic syndrome (MS) and the characteristics of related components in Gannan Tibetan population in Gansu Province and to understand the distribution of MS, so as to provide the basis for the choice of health education pathways. Methods A multistage cluster random sampling method was used to investigate the metabolic syndrome in Gannan Tibetan people. The prevalence of MS was calculated and the related components of MS were detected. Results The overall prevalence rate of MS was 26.9% in men and 33.6% in men (20.8%), the difference was statistically significant (c2 = 28.770, P <0.05) The prevalence rates in male and female patients over 60 years old were 9.9%, 22.5%, 27.1% and 41.6%, respectively. The prevalence of male patients in each age group was higher than that of the other groups (c2 = 83.220, P <0.001) There was no significant difference between men and women in the age group of 60 years (c2 = 3.234, P> 0.05). The prevalence of hypertension was 75.2% and the prevalence of overweight / obesity was 53.1% The prevalence of high TG was 93.0%, and the prevalence of hyperglycemia was 26.4%. The prevalence of HDL-C in each component was the lowest, and there was no significant difference between male and female Significance (P> 0.05). Conclusion The prevalence of MS in Gannan Tibetan population is higher than the average prevalence rate of MS in China, suggesting that MS has become a major public health problem affecting the lives and health of Tibetan people in Gannan. Overweight / obesity and high TG are associated with metabolic syndrome The basic characteristics of illness.