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目的了解无锡市社区人群代谢综合征(MS)的患病水平及影响MS患病的相关因素与后果。方法采用整群抽样方法调查无锡市社区20岁以上人群10833人,按照国际糖尿病联盟(IDF)标准分析MS及其各组分代谢紊乱的患病情况和代谢综合征人群的空腹血糖受损及糖尿病患病率;logistic多因素分析MS患病危险因素以及MS人群发生空腹血糖受损和糖尿病的危险因素。结果无锡市社区人群MS标化患病率为18.8%。随年龄的增加MS患病率逐步增高,女性MS标化患病率高于男性。无论男性还是女性,中心性肥胖伴高血压、高血脂是MS患者的主要代谢紊乱表现。MS人群中空腹血糖受损的患病率为6.01%,糖尿病患病率为21.14%。logistic多因素分析结果显示,女性、年龄大、高血压家族史、饮食偏咸和常吃烟熏食物是MS患病的危险因素,糖尿病家族史是MS患者发生空腹血糖受损和糖尿病的危险因素,文化程度高是保护因素。结论无锡市社区人群中MS患者代谢紊乱状态以中心性肥胖伴高血压、高血脂为特点,MS人群中发生空腹血糖受损及糖尿病者高于一般人群,年龄大以及伴有糖尿病家族史的代谢综合征患者更易发生空腹血糖受损和糖尿病。
Objective To understand the prevalence of metabolic syndrome (MS) and the related factors and consequences of MS in Wuxi community. Methods A total of 10,833 people over the age of 20 in Wuxi community were surveyed by cluster sampling method. According to the International Diabetes Federation (IDF) standard, the prevalence of metabolic disorders in MS and its components and the impaired fasting glucose and diabetes mellitus Prevalence; logistic multivariate analysis of MS risk factors and MS population impaired fasting glucose and diabetes risk factors. Results The prevalence of MS standardization in Wuxi community was 18.8%. With the increase of age, the prevalence of MS gradually increased, and the prevalence of MS in women was higher than that of men. Both men and women, central obesity with hypertension, hyperlipidemia is the main manifestation of MS metabolic disorders. The prevalence of impaired fasting glucose in MS population was 6.01% and the prevalence of diabetes was 21.14%. Logistic multivariate analysis showed that women, older age, family history of hypertension, partial salty diet and eating smoked foods were risk factors for MS. Family history of diabetes was a risk factor for impaired fasting glucose and diabetes in MS patients , A high degree of education is a protective factor. Conclusion MS patients with metabolic disorder in community-based population in Wuxi are characterized by central obesity with hypertension and hyperlipidemia. Fasting plasma glucose and diabetes are more common in the MS population than in the general population, older and with a family history of diabetes mellitus Syndrome patients are more prone to impaired fasting glucose and diabetes.