摘要
目的了解广东省15岁以上人群代谢综合症(MS)患病水平及流行特征。方法利用广东省2002年居民营养与健康状况调查资料,按照多阶段分层整群随机方法抽样调查13市县15岁以上人群,测量其身高、体重、腰围、血压并抽血检测血糖和血脂成分,根据国际糖尿病联盟2005年代谢综合症的定义,用描述性流行病学方法进行分析。结果共分析5 133名广东省15岁以上人群(男性2 414人,女性2 719人),MS患病人数371例,粗患病率7.23%,标化患病率5.67%,城市人群标化患病率为7.91%,高于农村的3.85%(P<0.01);女性标化患病率为7.00%,高于男性的4.40%(P<0.01);MS患病率随年龄增加而增高(P<0.01),45岁前,男女患病风险差异无统计学意义,45岁后,女性患病风险激增,是男性的2.64倍(OR=2.64);不同文化程度、收入、职业和婚姻状况人群MS患病水平的差异亦有统计学意义。各代谢异常组分标化患病率从高至低依次是低高密度脂蛋白(34.40%)、高血压(21.79%)、腹型肥胖(13.45%)、高胆固醇(10.33%)、高血糖(5.53%)。MS的各种临床症状组合以腹型肥胖+高血压+血脂异常的组合最常见,占49.3%。结论广东省15岁以上居民代谢综合征总体患病水平低于全国平均流行水平,但45岁以上城市人群是高风险人群,其患病水平较高,需及早开展综合干预,降低心脑血管疾病发病和死亡风险。
Objective To describe the epidemiologic characteristics of metabolic syndrome （MS） in Guangdong Province for population above 15 years old. Methods Data were derived from the Guangdong provincial nutrition and health survey in 2002. By using a multiple stratified cluster sampling, individuals aged above 15 years were surveyed with waist circumference （WC）, fasting glucose （FPG）, blood lipids, body mass index, blood pressure （BP）. MS was defined according to IDF 2005, Results Of 5 133 valid subjects （2 414 males and 2 719 females） , there ware 371 MS cases. The crude prevalence rate and age - adjusted prevalence rate were 7.23% and 5.67%, respectively. People from urban （7. 91% ） had a higher age -adjusted prevalence rate than that from the rural （3.85%）. The prevalence of MS increased with age. There was no significant difference in MS prevalence between men and women before 45 years old, but the risk of MS prevalence in women was 2. 64 times higher than that in men after 45 years old. The prevalence varied by education, income, occupation and marital status. The rankings of abnormal metabolic components with age -adjusted standardized prevalence rates were low HDL_C （34. 40% ）, high HP （21.79%）, central obesity （ 13.45% ）, high TG （ 10. 33% ） and hyperglycemia （ 5.53% ） in turn. Central obesity, high HP with high TG or low HDL_C was the most common combination. Conclusion The prevalence rate of MS in Guangdong was lower than the average level in China, but urban population above 45 years old were at high risk of being MS. Intervention measures should be taken to prevent MS from developing into cardiovascular diseases or diabetes.
出处
《华南预防医学》
2009年第5期17-21,共5页
South China Journal of Preventive Medicine
