摘要
目的探索老年人群代谢综合征(MS)3种诊断标准的一致性。方法以台州市洪家街道老年人社区健康体检资料为基础,统计MS患病率;分析CDS、IDF和ATPⅢ诊断标准MS患病率的一致性。结果 1 120名老年人平均年龄(68.36±6.85)岁,男女比0.91:1。根据CDS、IDF和ATPⅢ诊断标准,MS患病率分别为19.29%、29.02%和17.41%。根据IDF诊断标准,高甘油三酯血症、高血压和高血糖检出率分别为31.96%、58.57%和76.34%,男女MS患病率分别为16.45%和40.51%;根据ATPⅢ标准,高甘油三酯血症、高血压和高血糖检出率分别为31.96%、58.57%和56.16%,男女MS患病率分别为11.78%和22.56%。IDF与ATPⅢ诊断标准的MS患病率一致率为78.75%,Kappa值为0.4.15(P<0.01),两者中度一致。结论洪家街道老年人MS发病率较高。3种诊断标准侧重点各有不同,IDF和ATPⅢ标准更适合洪家街道老年居民。
Objective TO analyze the prevalence of metabolic syndrome （MS） in aged residents, and to compare three diagnostic criteria. Methods A total of 1120 aged residents （male： female=0.91 ： 1, average age： 68.36± 6.85） receiving health check-up in Hongjia community Health Service Center were enrolled. The prevalence rates of MS based on diagnostic criteria CDS, IDF and ATP Ⅲ were analyzed and compared. Results The overall prevalence rates of MS were 19.29%, 29.02% and 17.41% based on CDS, IDF and ATP Ill diagnostic criteria, respectively. According to IDF diagnostic criterion the proportion of hypertriglyceridemia, hypertension, and hyperglycemia was 31.96%, 58.57% and 76.34%, respectively, and the prevalence rates of MS for female and male were 40.51% and 16.45%, respectively. According to ATP Ⅲ diagnostic criterion, the proportion of hypertriglyceridemia, hypertension, and hyperglycemia was 31.96%, 58.57% and 56.16%, respectively, and the prevalence rates of MS for female and male were 11.78% and 22.56%, respectively. The concordance rate was 78.75% for IDF and ATP Ill criteria in diagnosis of MS, and Kappa value was 0.415 （P〈0.01）, indicating the consistency level of two criteria was moderate. Conclusion The prevalence rate of metabolic syndrome in elderly residents of Hongjia community is high. Among 3 diagnostic criteria, the consistency between IDF and ATP is moderate, and both can be used for diagnosis of MS.
出处
《浙江医学》
CAS
2016年第8期565-567,共3页
Zhejiang Medical Journal
基金
台州市椒江区科学技术项目(142056)
关键词
老年人
代谢综合征
流行病学
患病率
诊断标准
Theaged
Metabolic syndrome
Epidemiology
Prevalence rate
Diagnostic criteria
