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目的调查北京部分社区老年男性干部人群代谢综合征(MS)患病率。方法于2003年9月和2004年5月在136个驻京部队干休所社区随机抽取1 736人进行横断面调查,以中国糖尿病协会的建议为诊断标准,对老年男性干部人群的MS患病率进行了分析。结果北京部分社区老年男性干部人群的MS患病率为30.7%,肥胖为39.6%、高血压为62.0%、高血糖为56.4%、高甘油三酯血症为37.1%。老年组和高龄老年组MS和高血压的患病率相似,高龄老年组的肥胖和高甘油三酯血症患病率显著低于老年组,而高血糖患病率则明显高于老年组,MS危险率也显著高于老年组。MS、糖代谢异常和高血压随年龄逐步增加,而高甘油三酯血症和肥胖的患病率则逐步下降。结论北京部分社区老年男性干部人群具有较高的MS患病率,MS和各组分的患病率在不同的年龄段有所不同。进一步的流行病学调查和对人群进行干预的研究十分必要。
Objective To investigate the prevalence of metabolic syndrome (MS) in elderly male cadres in some communities in Beijing. Methods A total of 1 736 people were randomly selected from 136 community-based dry-rest communities in Beijing to conduct cross-sectional surveys in September 2003 and May 2004. Based on the recommendations of the Chinese Diabetes Association, the prevalence of MS in elderly male cadres Rate was analyzed. Results The prevalence of MS was 30.7% in older male cadres in some communities in Beijing. The prevalence of obesity was 39.6%, hypertension was 62.0%, hyperglycemia was 56.4% and hypertriglyceridemia was 37.1%. The prevalence of MS and hypertension in the elderly group was similar to that in the elderly group. The prevalence of obesity and hypertriglyceridaemia in the elderly group was significantly lower than that in the elderly group, while the prevalence of hyperglycemia was significantly higher than that in the elderly group. MS risk was also significantly higher than the elderly group. MS, abnormal glucose metabolism and hypertension gradually increase with age, while the prevalence of hypertriglyceridemia and obesity is gradually decreased. Conclusion The elderly male cadres in some communities in Beijing have a higher prevalence of MS, and the prevalence of MS and each component is different at different age groups. Further epidemiological investigations and population intervention studies are necessary.