教师人群代谢综合征的患病率与相关危险因素的分析

目的教师人群代谢综合征（metabolic syndrome MS）的患病率和相关危险因素的流行病学特征。方法采用《2007中国成人血脂异常防治指南》推荐的代谢综合征诊断标准，对各不同年龄组的5211例（男2247例，女2964例，年龄22-91岁）绵竹市教师人群进行体检调查分析。结果绵竹市教师人群代谢综合征的总体患病率为13.1%。其中：青年组2.1%，中年组15.3%、老年组24.8%。各危险因素中腹型肥胖36.0%、糖代谢异常22.1%、血脂异常25.9%、高血压22.0%。Logistic回归分析证实，腹型肥胖、糖代谢异常、血脂异常、高血压是代谢综合征的危险因素。结论四川省绵竹市教师人群代谢综合征的患病率与全国大中城市相当。腹型肥胖、糖代谢异常、血脂异常、高血压是代谢综合征的重要危险因素。

A survey of metabolic syndrome and its related risk factors among teachers in Sichuan Mianzhu

Objective To explore the epidemiological characteristics of metabolic syndrome and its related risk factors among teachers in Sichuan MianZhu. Methods A survey of metabolic syndrome and its related risk factors was conducted among 5211 teachers （including 2247 males and 2964 females, aged22-91 years） while physical examination was undergoing in our Hospital from July to December 2007. The diagnostic criterias commended by the chinese guideline about prevention and cure of dyslipidemia in adults 2007 were used for the identification of MS. The risk factors of metabolic syndrome were analyzed with multiple logistic regression. Results The prevalence of metabolic syndrome was 13. 1%, young age-group was 2. 1%, middle age-group was 15. 3%,older age-group was 24.8%. 36.0% with obesity, 22.1% with abnormal glycometabolism, 25.9 %with dyslipidemia, 22. 0% with hypertension. Multiple logistic regression analysis showed that the risk factors of metabolic syndrome were obesity, abnormal glycometabolism, dyslipidemia and hypertension. Conclusion 1.The prevalence of metabolic syndrome in teachers in Sichuan MianZhu was equivalent to that in big and middle sized city. 2. Obesity, abnormal glycometabolism, dyslipidemia and hypertension were the main risk factors of metabolic syndrome.