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目的了解人群代谢综合征(metabolic syndrome,MS)患病状况及与性别、年龄等慢性病危险因素的关系。方法对北京市石景山区居民3 992人进行成人MS患病及危险因素调查,测定血尿酸、血糖、血脂水平,测量身高、体重、腰围,分析MS与慢性病及危险因素之间的关系。用SPSS 17.0软件对数据进行统计学分析。结果 MS各年龄段男性均高于女性,MS随年龄升高而升高。MS与高血压、血脂异常、超重/肥胖、糖尿病及高尿酸血症相关。MS患病率为12.65%,其中男性患病率18.49%,女性患病率9.10%,男性高于女性,差异有统计学意义(χ2=58.14,P<0.01)。MS发生率并与吸烟、饮酒相关。logistic回归分析,男性、血脂异常、高血压、超重/肥胖、糖尿病和高尿酸血症是MS危险因素。结论 MS与血脂异常、高血压、肥胖等慢性病相关,而且与吸烟、饮酒等生活方式有关。改善生活方式和控制体重,降低MS发生,从而控制心脑血管病的风险。
Objective To understand the prevalence of metabolic syndrome (MS) and its relationship with risk factors such as gender, age and other chronic diseases. Methods A total of 3 992 residents in Shijingshan District of Beijing were investigated for the prevalence and risk factors of MS. The levels of serum uric acid, blood glucose and blood lipid were measured. The relationship between MS and chronic diseases and risk factors was analyzed. Data were statistically analyzed using SPSS 17.0 software. Results The MS in all age groups was higher than that in women, and MS increased with age. MS is associated with hypertension, dyslipidemia, overweight / obesity, diabetes and hyperuricemia. The prevalence of MS was 12.65%, of which the prevalence was 18.49% in males and 9.10% in females, which was higher in males than in females (χ2 = 58.14, P <0.01). MS incidence and smoking and drinking related. Logistic regression analysis showed that men, dyslipidemia, hypertension, overweight / obesity, diabetes and hyperuricemia were risk factors for MS. Conclusion MS is associated with chronic diseases such as dyslipidemia, hypertension and obesity, but also with smoking and drinking lifestyle. Improve lifestyle and weight control, reduce the occurrence of MS, and thus control the risk of cardiovascular and cerebrovascular diseases.