摘要
目的调查男性工人酒精使用与代谢综合征(MetS)的相关性。方法采用横断面的研究方式,2016年1—12月随机调查河北省石家庄市藁城区在职男性工人1267名。采用2016年中国成人血脂异常防治指南指定的MetS诊断标准将其分为MetS组和非MetS组,调查一般人口学特征、酒精使用情况,评估体重、身高、腰围、血压、血脂和空腹血糖结果。结果男性工人的MetS患病率为14.13%(179例),MetS组的年龄高于非MetS组[(39.74±10.73)岁比(35.44±9.93)岁,t=-5.03,P<0.01],两组的婚姻状态(χ^(2)=9.05,P=0.01)和现居住地(χ^(2)=8.12,P<0.01)比较,差异有统计学意义;两组的文化程度(Z=3.60,P=0.06)、工业结构(χ^(2)=1.38,P=0.24)、吸烟史(χ^(2)=0.48,P=0.79)比较,差异均无统计学意义;MetS组的饮酒时间[(17.62±9.72)年比(13.59±8.96)年,t=-4.82]、饮酒频率[4.00(4.00,12.00)次/月比4.00(1.00,4.00)次/月,Z=11.06]和饮酒量[5.40(2.00,9.00)标准杯/d比4.00(2.00,6.00)标准杯/d,Z=4.05]均高于非MetS组,两组的饮酒种类(χ^(2)=14.21)和酒精使用分类(χ^(2)=22.60)比较,差异均有统计学意义(P<0.01);两组过量饮酒的比例(χ^(2)=3.68,P=0.06)、酒精使用障碍的家族史(χ^(2)=0.57,P=0.45)比较,差异无统计学意义。多因素Logistic回归分析结果显示,年龄(OR=1.03,P<0.01)和酒依赖(OR=2.36,P=0.01)与MetS存在正相关。结论男性工人年龄、酒依赖是发生MetS的危险因素。
Objective To investigate the correlation between alcohol use and metabolic syndrome(Met S)in male workers.Methods By a cross-sectional research method,from January to December 2016,a random survey of 1267 male workers in Gaocheng District,Shijiazhuang City,Hebei Province was conducted.According to the Met S diagnostic criteria specified in the 2016 Chinese Adult Dyslipidemia Prevention and Control Guidelines,subjects were divided into the Met S group and the non-Met S group.The general demographic characteristics,alcohol use were collected.The body mass,height,waist,blood pressure,blood lipids and fasting plasma glucose were assessed and recorded.Results The prevalence of Met S among male workers was 14.13%(179 cases).The age of the Met S group was significantly higher than that of the non-Met S group[(39.74±10.73)vs(35.44±9.93),t=-5.03,P<0.01].The differences of marital status(χ^(2)=9.05,P=0.01)and current residence(χ^(2)=8.12,P<0.01)were statistically significant between two groups.There were no significant difference on education level(Z=3.60,P=0.06),industrial structure(χ^(2)=1.38,P=0.24)and smoking history(χ^(2)=0.48,P=0.79)between two groups.The drinking time[(17.62±9.72)years vs(13.59±8.96)years,t=-4.82],frequency[4.00(4.00,12.00)times/month vs 4.00(1.00,4.00)times/month,Z=11.06]and alcohol consumption[5.40(2.00,9.00)standard cup/day vs 4.00(2.00,6.00)standard cup/day,Z=4.05]of the Met S group were higher than those of the non-Met S group.The types of alcohol(χ^(2)=14.21)and alcohol use classification(χ^(2)=22.60)were statistically significant between two groups(P<0.01).There were no statistically significant differences in proportion of excessive drinking(χ^(2)=3.68,P=0.06)and family history of alcohol use disorders(χ^(2)=0.57,P=0.45)between two groups.The results of multivariate Logistic regression analysis showed that age(OR=1.03,P<0.01)and alcohol dependence(OR=2.36,P=0.01)were positively correlated with Met S.Conclusions Age and alcohol dependence are risk factors for metabolic syndrome in male workers.
作者
王岚
王冉
周子璇
于鲁璐
卢文婷
宋美
高媛媛
赵晓川
王学义
Wang Lan;Wang Ran;Zhou Zixuan;Yu Lulu;Lu Wenting;Song Mei;Gao Yuanyuan;Zhao Xiaochuan;Wang Xueyi(The Mental Health Center,the First Hospital of Hebei Medical University,Hebei Clinical Medical Research Center for Mental and Psychological Diseases and Institute of Mental Health,Hebei Technical Innovation Center for Mental Health Assessment and Intervention,Hebei Brain Ageing and Cognitive Neuroscience Laboratory,Hebei Key Laboratory of Brain Science and Psychiatric-Psychologic Disease,Shijiazhuang 050031,China)
出处
《神经疾病与精神卫生》
2022年第2期77-82,共6页
Journal of Neuroscience and Mental Health
基金
国家自然科学基金(81271489)
河北省自然科学基金(H2015206392)
河北省财政厅引进国外智力项目(YZ201801)
河北省医学科研指导项目(20190439)。
