摘要
[目的]了解青岛市中老年人代谢综合征(MS)患病情况及其危险因素,为制订防治对策提供科学依据。[方法]利用2009～2010年青岛市糖尿病预防项目办公室在青岛市进行的大规模人群流行病学调查资料,分析城乡35岁以上人群代谢综合征及其各组分的分布特点,并采用非条件Logistic回归分析其影响因素。[结果]调查5 002人,MS患病率为26.97%,标化率为25.31%。其中,高血压患病率为44.62%,高血糖患病率为44.86%,超重或肥胖罹患率为47.36%,血脂紊乱罹患率为28.73%。MS患病率,男性为25.37%,女性为28.00%(P<0.05);35～44岁为15.94%,45～54岁为24.50%,55～64岁为33.72%,65～74岁为40.19%(P<0.01);城区居民为32.35%,农村居民为24.91%(P<0.01)。非条件Logistic回归分析结果,痛风家族史、糖尿病家族史、年龄、不合理饮食、最高体重时年龄为影响罹患MS的因素,OR值分别为1.468、2.469、1.277、1.201、1.042。[结论]青岛市中老年人MS患病率较高,且与多种因素有关。
[Objective]To investigate the epidemiological feature and influence factors of metabolic syndrome（MS） in middle-aged and elderly people in Qingdao, so as to provide basis for its control and prevention. [Methods]The research objects,aged 35-74,were selected through a large-scale epidemiological survey carried out by Qingdao diabetes prevention programs. Distribution characteristics of MS and components were analyzed and non-conditional logistic regression analysis was used to analyze the influence factors of MS. [Results]The morbidity rate of MS in 5 002 objects was 26.97~ （aged- standardized morbidity rate was 25.31%）. The respective morbidity rate of hypertension/ hyperglycemia/overweight or obese/dyslipidemia was 44. 62%/44.86%/47.36%/28.73%. T：he index in men was 25.37% compared with 28.00% in women （P^0.01）. And the index in urban residents was 32.35 % compared with 24.91 ~ in rural residents （P~ 0.01 ）. Non-conditional logistic regression analysis showed that gout farnily history（ OR ： 1. 468）, diabetes family history（ OR ： 2. 469） ,age（ OR ：1. 277） ,unreasonable diet（ OR ：1. 201） ,the age of highest weight（ OR ： 1. 042） were influence fac- tors of MS in middle-aged and elderly people. [Conclusion]The prevalence of MS among middle-aged and elderly people is high and related with many factors in Qingdao city.
出处
《预防医学论坛》
2013年第1期9-11,共3页
Preventive Medicine Tribune
基金
世界糖尿病基金资助项目
"青岛市糖尿病预防项目"(WDF07-308)
关键词
代谢综合征
患病率
影响因素
Metabolic Syndrome
Prevalence
Influence factors
