摘要
目的调查黑龙江省哈尔滨市城乡35岁以上人群代谢综合征（MS）的流行病学现况及特点，并分析其相关因素。方法采用多级分层整群抽样的流行病学调查方法进行问卷调查，有效调查人数为5984人（男2663人，女3321人），测量身高、体重、腰围和血压，测定空腹血糖、甘油三酯及高密度脂蛋白胆固醇等生化指标。采用2005年国际糖尿病联盟（IDF）的MS诊断标准，分析患病率，并对其危险因素做多因素logistic回归分析。结果哈尔滨市城乡35岁以上人群MS的患病率为24．60％（男22．49％，女26．29％），标化患病率为23．31％（男22．12％，女25．19％），女性高于男性。城市MS患病率显著高于农村（26．70％对20．05％，P〈0．05）。女性MS患病率随年龄增加而升高。MS中以高体重指数、高血糖和高甘油三酯患病率较高。性别、年龄、就业情况、饮酒史、高血压家族史、文化程度和吸烟均为MS的危险因素。结论哈尔滨市城乡35岁以上人群MS患病率高达24．60％，已成为影响城乡居民健康的重大公共卫生问题，应加强防治工作力度。
Objective assess epidemiological characteristics of metabolic syndrome （ MS ） and its attributing factors in a resident sample aged over 35 living in both rural and urban areas of Harbin in Heilongjiang province. Methods A cross-over sectional and cluster sampling was carried out in 5 984 residents aged over 35 years living in the rural and urban areas of Harbin. Height, body mass, waist circumference, blood pressure, fasting blood glucose,triglyceride, and high density lipoprotein cholesterol were determined. In this survey, the prevalence of MS and its attributing factors were analyzed by logistic regression model according to the diagnostic criteria of international diabetes federation in 2005. Results The prevalence of MS in this sample was 24. 60% （ male 22.49% ,female 26.29% ）, and the standardized prevalence rate was 23.31% （ male 22.12% , female 25.19% ）. Compared to female population, male participants showed a much lower prevalence; and compared to urban area population,rural participants showed a much lower prevalence（26.70% vs 20.05% ,P〈0.05 ）. The prevalence of MS rose progressively with age in females. The individuals with MS presented increased body mass index, hyperglycemia, and hypertriglyceridemia. Gender, age, employment, education, smoking or drinking habit, and family history of hypertension were identified as major risk factors of MS. Conclusion The prevalence of MS in a sample of residents aged over 35 in Harbin was 24.60%. It becomes an public health problem requiring urgent attention for prevention and treatment.
出处
《中华内分泌代谢杂志》
CAS
CSCD
北大核心
2010年第1期32-36,共5页
Chinese Journal of Endocrinology and Metabolism
关键词
代谢综合征
患病率
流行病学
相关因素
Metabolic syndrome
Prevalence
Epidemiology
Correlation factors
