段丹,杨大刚,李俊良,刘影,刘海,田继贵,王惠群
DUAN Dan,YANG Dagang,LI Junliang,LIU Ying,LIU Hai,TIAN Jigui,WANG Huiqun

• 1:贵州医科大学营养与食品卫生学教研室
• 2:贵州医科大学附院临床营养科

摘要(Abstract)：

目的:了解贵阳市成年体检人群代谢综合征(MS)的检出率及其分布特征。方法:抽取参加正常体检的人群共计13 444例资料为研究对象,其中男性7 230名,女性6 214名;收集年龄、性别、体重、身高、空腹血糖(FPG)、体质指数(BMI)、收缩压(SBP)、舒张压(DBP)、高密度脂蛋白胆固醇(HDL-C)、血甘油三酯(TG)等数据,比较MS、MS单项及MS多项在各年龄段、男女性体检人群中的检出率;以年龄、性别、BMI为自变量,MS为因变量,对MS相关因素进行Logistic回归分析。结果:MS检出率为15.2%,超重和(或)肥胖检出率为35.4%,高血压检出率为27.3%,血脂紊乱检出率为44.5%,高血糖检出率为12.1%;且男性各项指标异常检出率均高于女性(P<0.05);1项及以上MS组分异常的检出率为64.5%,TG的平均水平从30~岁年龄段开始即高于诊断标准(≥1.7 mmol/L);Logistics回归分析结果显示,年龄(OR=2.231,P<0.05)、性别(OR=0.564,P<0.05)及BMI(OR=1.438,P<0.05)是MS的危险因素。结论:体检人群中MS组分异常的检出率高,年龄、性别、BMI是MS发生的危险因素。
Objective: To investigate the relevance ratio and distribution of metabolic syndrome( MS) among adult physical examination population in Guiyang. Methods: A total of 13 444 adults were enrolled in this study who participated in the health examination,including 7 230 males and 6 214 females. Data of gender,age,weight,height,FPG,BMI,SBP,DBP,HDL-C,and TG were collected. Detection rates of MS,MS single or multiple projects in different age group and male or female group were compared. Taking age,gender,BMI as independent variables,MS as the dependent variable,the risk factors of MS were analyzed with Logistic regression analysis. Results: The detection rate of MS,overweight( obesity),hypertension,dyslipidemia,hyperglycemia,were 15. 2%,35. 4%,27. 3%,44. 5%,12. 1%,respectively,and the rates were higher in male than thoes of female( P <0. 05). The detection rate of at least one MS component disorder was 64. 5%. The average level of TG was higher than the diagnostic criteria from the age of 30 ~ years old( ≥1. 7mmol/L). Logistic regression analysis results showed that age( OR = 2. 231,P < 0. 05),gender( OR = 0. 564,P < 0. 05)and BMI( OR = 1. 438,P < 0. 05) were the risk factors for MS. Conclusion: The detection rate of MS component disorder in the physical examination population is high. Age,gender and BMI are risk factors for MS occurrence.

关键词(KeyWords)： 代谢综合征;流行现状;检出率;危险因素
metabolic syndrome;prevalence;detection rate;risk factors

Abstract:

Keywords:

基金项目(Foundation): 贵州省科学技术基金资助项目[黔科合J字(2012)2043号]

作者(Author): 段丹,杨大刚,李俊良,刘影,刘海,田继贵,王惠群
DUAN Dan,YANG Dagang,LI Junliang,LIU Ying,LIU Hai,TIAN Jigui,WANG Huiqun

DOI: 10.19367/j.cnki.1000-2707.2017.04.016

参考文献(References)：

• [1]李加平,喻巧云.高尿酸血症与代谢综合征的相关性研究[J].国际检验医学杂志,2011(12):1322-1325.
• [2]Amihesei IC,Chelaru L.Metabolic syndrome a widespread threatening condition;risk factors,diagnostic criteria,therapeutic options,prevention and controversies:an overview[J].Rev Med Chir Soc Med Nat Iasi,2014(4):896-900.
• [3]Xi B,He D,Hu Y,et al.Prevalence of metabolic syndrome and its influencing factors among the Chinese adults:the China Health and Nutrition Survey in 2009[J].Preventive Medicine,2013(6):867-871.
• [4]中华医学会糖尿病学分会代谢综合征研究协作组.中华医学会糖尿病学分会关于代谢综合征的建议[J].中华糖尿病杂志,2004(3):156-161.
• [5]Montazerifar F,Bolouri A,Mahmoudi Mozaffar M,et al.The Prevalence of Metabolic Syndrome in Coronary Artery Disease Patients[J].Cardiol Res,2016(6):202-208.
• [6]Eckel RH,Grundy SM,Zimmet PZ.The metabolic syndrome(Review)[J].Lancet,2005(11):1415-1428.
• [7]杨中荣,查君,王滨燕,等.安庆农村社区高血压人群中甘油三酯与体质指数相关性分析[J].中华疾病控制杂志,2010(6):548-551.
• [8]Poirier P,Desprès JP.Exercise in weight management of obesity[J].Cardiol Clin,2001(3):459-470.
• [9]李坚,徐淑仪,何建明.827例健康体检者代谢综合征患病情况分析及预防[J].中华护理教育,2012(4):172-174.
• [10]Sharma S,Aggarwal N,Joshi B,et al.Prevalence of metabolic syndrome in pre-and post-menopausal women:A prospective study from apex institute of North India[J].J Midlife Health,2016(4):169-174.
• [11]郭金芸,姚慧娟,姚叶萍,等.广东省增城市职业人群代谢综合征患病情况及影响因素分析[J].中国健康教育,2013(9):798-800.
• [12]Wang X,Yang F,Bots M,et al.Prevalence of the metabolic syndrome among employees in northeast China[J].Chin Med J(Engl),2015(15):1989-1993.
• [13]石晓东,魏琪,何淑梅.中国东北地区成人非传染性慢性疾病的流行病学调查及影响因素分析[J].吉林大学学报(医学版),2011(2):379-384.

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