摘要
目的评价、分析国际糖尿病联盟(IDF)和我国糖尿病学分会代谢综合征(MS)诊断标准的一致性。方法对心血管内科门诊和体检科年龄≥40岁的中老年人进行问卷调查,无糖尿病者行口服75 g 葡萄糖耐量试验(OGTT),共1130例资料进行分析,按两个标准分别计算 MS 患病率。结果 1)两种 MS 诊断标准具有较好的符合率(72.4%),将中国标准中的空腹血糖(FPG)调整至≥5.6 mmol/L 后,两者符合率增加(78.3%)。2)体质量指数(BMI)≥25 kg/m^2与男性腰围≥90 cm(女性腰围≥80 cm)时符合率较好,女性符合率高达91.0%。3)IDF 与中国标准诊断 MS 者心肌梗死和(或)脑卒中患病率及尿微量白蛋白的患病率相似,均显著高于无 MS 者的患病率[IDF标准[心肌梗死和(或)脑卒中患病率:20.3%比无 MS:14.5%,P<0.01;尿微量白蛋白患病率:7.9%比无 MS:3.4%,P<0.01];中国标准[心肌梗死和(或)脑卒中患病率:21.3%比无 MS:15.1%,P<0.01;尿微量白蛋白患病率:8.5%比无 MS:4.2%,P<0.01]。结论我国建议 MS 诊断标准与 IDF 标准的一致性较好,两个标准都可用于中国人群。
Objective To evaluate and compare the accordance between the diagnostic criteria of metabolic syndrome （MS ） by International Diabetes Federation （IDF） and that by Chinese Medical Association（CMA） Diabetes Branch. Methods A total of 1130 outpatients（≥ 40 years old） from the department of cardiology and health examination were included in the study. An questionnaire survey, physical examination, laboratory tests was conducted among all the people, and oral glucose tolerance test was carried out in people without DM. Results 1 ） The agreement rate of these two MS diagnostic criteria was 72.4 %. If the criterion for fasting blood glucose in the China criteria was adjusted to 5.6 mmol/L, the agreement was increased to 78.3%. 2） BMI≥25 kg/m^2 had better accordance with waist circumference ≥90 cm for men and ≥80 cm for women, and the rate was high up to 91.0% in women. 3） The morbidity of myocardial infarction （MI） and/or cerebral stroke and the incidence rate of microalbuminurea in MS group were significantly higher than that in non-MS group by both the IDF criterion and the China criterion[IDF（MI and/or cerebral stroke：20. 3% vs non-MS： 14.5%, P〈0.01; microalbuminurea： 7.9% vs non- MS：3. 4%, P〈0. 01） ; China（MI and/or cerebral stroke：21.3% vs non-MS： 15, 1%, P〈0.01 ; microalbuminurea： 8, 5 % vs non-MS： 4.2%, P〈0. 01）]. Conclusion The MS diagnostic criteria of IDF and that of CMA Diabetes Branch are in good accordance, and both of them can be used in diagnose MS in Chinese people.
出处
《中华高血压杂志》
CAS
CSCD
北大核心
2008年第8期745-748,共4页
Chinese Journal of Hypertension
关键词
代谢综合征
肥胖
糖尿病
Metabolic syndrome
Obesity
Diabetes mellitus
