摘要
目的比较国际糖尿病联盟(IDF,2005)、美国国家胆固醇教育计划(NCEP)成人治疗组第三次报告(ATPⅢ,2005年修订)和中华医学会糖尿病学分会(CDS,2004)3种代谢综合征(MS)诊断标准在内蒙古通辽市农牧区蒙古族居民中应用的异同。方法2003年6月～2004年8月,对≥20岁的蒙古族居民进行心血管病危险因素的基线调查,对具有MS组分测量值的居民2536人,分别应用IDF,ATPⅢ和CDS等3种标准进行代谢综合征调查,比较MS患病率及诊断的一致性。结果IDF,ATPⅢ和CDS诊断出的MS年龄标化患病率分别为17.1%,22.9%和8.1%。IDF与ATPⅢ,IDF与CDS和ATPⅢ与CDS同时诊断分别为MS或非MS者93.5%,85.0%和81.6%。在≥3种危险因素聚集的人群中,应用ATPⅢ,IDF和CDS标准的检出率分别为100%,76.1%和33.5%。结论3种诊断标准中,ATPⅢ诊断MS的患病率最高,IDF标准次之。IDF与ATPⅢ标准诊断的一致性很好,CDS与IDF或ATPⅢ一致性中等。IDF和ATPⅢ标准对中国蒙古族男性腰围的取值可能偏高。
Objective To explore the status of metabolic syndrome（MS） in Mongolian people of agricultural and pastoral areas in Tongliao city of Inner Mongolia with different diagnostic criteria proposed by the IDF in 2005, ATPⅢ in 2005 and CDS in 2004. Methods A survey on cardiovascular risk factors was conducted in August 2003 - August 2004. A total of 2 536 Mongolian people aged 20 or elder completed the biochemical examination. MS prevalence was calculated according to three definitions. The results of MS components distribution and risk factor aggregation were analyzed and prevalences derived from the three deftnitions were compared. Results The age - adjusted prevalence of MS in Mongolian people was 17.1% for IDF criterion, 22.9 % for ATPⅢ criterion and 8.1% for CDS criterion, respectively. The agreement in the diagnosis of MS using IDF and ATPⅢ, IDF and CDS, ATP Ⅲ and CDS was 93.5 %, 85.0 % and 81.6 %, respectively. Among the subjects who had three or more MS components, there were 100% subjects detected by ATPⅢ criteria, 76.1% by IDF criteria and 33.5 % by CDS criteria respectively. Conclusion This investigation shows very high agreement in the diagnosis of MS using IDF and ATP Ⅲ, and moderate agreement when using CDS and other two criteria in Mongolian people. The cutoff value of waist circumference（WC） in IDF and ATPⅢ seems high for Chinese men.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2008年第12期1432-1435,共4页
Chinese Journal of Public Health
基金
国家自然科学基金(30360094)
关键词
代谢综合征
患病率
蒙古族居民
metabolic syndrome
prevalence
Mongolian resident
