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目的了解重庆市社区居民代谢综合征(Metabolic Syndrome,MS)的患病情况及主要危险因素,为MS的防治措施提供依据。方法通过分层整群抽样对9727名15岁～人群进行调查,计算MS患病率和标化患病率,比较不同年龄、性别的MS及各种代谢异常患病率,应用Logistic回归分析进行MS的危险因素分析。结果重庆市社区居民MS患病率为9.44%(标化患病率10.12%),男性8.25%(标化率9.03%),女性为10.50%(标化率10.96%),随着年龄的增长患病率呈增加趋势;血脂紊乱、高血压、超重肥胖、高血糖分别为34.95%,22.34%,19.56%和7.09%。多因素Logistic回归分析结果表明,性别(OR=1.40)、年龄增加(OR=1.64)、吸烟(OR=1.39)、经常参加体育锻炼(OR=0.70)、高血压家族史(OR=2.13)、糖尿病家族史(OR=3.20)是MS独立的危险因素。结论MS已成为重庆市社区居民患病的主要疾病之一,应尽早针对相关危险因素采取预防控制措施。
Objective To understand the prevalence and major risk factors of Metabolic Syndrome (MS) among community residents in Chongqing and provide the basis for the prevention and treatment measures of MS. Methods The stratified cluster sampling was used to investigate 9727 15-year-olds. The prevalence and standardized prevalence of MS were calculated. The prevalence of MS and metabolic abnormalities among different age and sex were compared and analyzed by Logistic regression analysis MS risk factors analysis. Results The prevalence of MS in community residents in Chongqing was 9.44% (standardized rate 10.12%), 8.25% for men (9.03%) and 10.50% for women (standardized rate 10.96%). With the increase of age The prevalence rate showed an increasing trend; dyslipidemia, hypertension, overweight and obesity, hyperglycemia were 34.95%, 22.34%, 19.56% and 7.09% respectively. Multivariate Logistic regression analysis showed that gender (OR = 1.40), age (OR = 1.64), smoking (OR = 1.39), regular physical activity (OR = 0.70), family history of hypertension (OR = Family history of diabetes (OR = 3.20) was an independent risk factor for MS. Conclusion MS has become one of the main diseases of community residents in Chongqing. Prevention and control measures should be taken as soon as possible for the relevant risk factors.