摘要
目的 研究老年人代谢综合征及其不同组合成份的临床特征。方法 对上海市华阳社区≥６０岁常住中国人９１５例的代谢综合征的基线调查资料进行分析。结果１．３２．８％患一种代谢异常（高血糖或高血压，或血脂紊乱）；３６．２％患两种代谢异常（高血糖＋高血压，高血糖＋血脂紊乱，高血压＋血脂紊乱）；２０．９％患代谢综合征（高血糖＋高血压＋血脂紊乱）。２．两种代谢紊乱人群体重指数、腰臀比、收缩压、空腹胰岛素、甘油三酯已显著增加，代谢综合征人群更明显。３．腰围、收缩压、胰岛素抵抗指数（ＨＯＭＡ－ＩＲ）、甘油三酯分别是代谢综合征的独立影响因素。结论 老年人代谢综合征的特点是腹型肥胖、胰岛素抵抗、高收缩压及高甘油三酯，此种聚集特征在两种代谢紊乱人群中已出现。因此，具有两种以上代谢异常的人群应首先列为心脑血管疾病重点防治对象。
Objective To study the features of metabolic syndrome(MS) in elderly people. Methods The baseline data of epidemiologic study on 915 elderly with metabolic syndrome in Huayang Community of Shanghai were assessed, including body fat simple anthropometric index, blood pressure, plasma glucose and lipid - profile. Results 1. 32. 8 %subjects had single metabolic abnormality (hyperglycemia, hypertension, or dyslipidemia ); 36. 2% subjects had two components of metabolic syndrome (hroerglycemia + hypertension, hyperglycemia + dyslipidemia, or hypertension + dyslipidemia); 20 .9% subjects had metabolic syndrome (hyperglycemia + hypertension + dyslipidemia). 2. Body mass index (BMI)、waist/hip ratio (WHR)、 systolic pressure (SP)、fasting insulin (FIN)、triglycermia(TG)were increased significantly in the people with two component of metabolic syndrome, and these were more evident in subjects with metabolic syndrome. 3. Waist circumfernce (W) 、SP、insulin resistance index (HOMA - IR) and TG were respectively independent risk factors of metabolic syndrome. Conclusions The characteristics of Metabolic Syndrome in elderlys are central obesity, insulin resistance, high SP and high TG. This kind of characteristics is already evident in people with two components of metabolic syndrome. So this group of subjects as well as subjects with MS are the objects of prevention for cardio - cerebral vascular diseases.
出处
《老年医学与保健》
CAS
2000年第4期177-180,共4页
Geriatrics & Health Care
基金
上海市"医学领先专业重点学科"基金(编号993024)
上海市长宁区卫生局初级卫生特色项目基金(编号97-Ⅰ-002)资助
