无锡市社区人群代谢综合征现况调查及特点分析

目的了解无锡市社区人群代谢综合征(MS)的患病水平及影响MS患病的相关因素与后果。方法采用整群抽样方法调查无锡市社区20岁以上人群10833人,按照国际糖尿病联盟(IDF)标准分析MS及其各组分代谢紊乱的患病情况和代谢综合征人群的空腹血糖受损及糖尿病患病率;logistic多因素分析MS患病危险因素以及MS人群发生空腹血糖受损和糖尿病的危险因素。结果无锡市社区人群MS标化患病率为18.8%。随年龄的增加MS患病率逐步增高,女性MS标化患病率高于男性。无论男性还是女性,中心性肥胖伴高血压、高血脂是MS患者的主要代谢紊乱表现。MS人群中空腹血糖受损的患病率为6.01%,糖尿病患病率为21.14%。logistic多因素分析结果显示,女性、年龄大、高血压家族史、饮食偏咸和常吃烟熏食物是MS患病的危险因素,糖尿病家族史是MS患者发生空腹血糖受损和糖尿病的危险因素,文化程度高是保护因素。结论无锡市社区人群中MS患者代谢紊乱状态以中心性肥胖伴高血压、高血脂为特点,MS人群中发生空腹血糖受损及糖尿病者高于一般人群,年龄大以及伴有糖尿病家族史的代谢综合征患者更易发生空腹血糖受损和糖尿病。

Prevalence study and clinical characteristics analysis on metabolism syndrome among Wuxi community populations

Objective To investigate prevalence of metabolism syndrome (MS) and risk factors as well as consequences among residents in Wuxi city,China. Methods A cluster sampling method was used to select 10 833 participants from the residents who had lived for more than 20 years in the area.We analyzed MS prevalence,each components of metabolic disorders,and fasting blood glucose damages as well as diabetes prevalence in MS population according to the International Diabetes Federation Criteria.Multivariate logistic r...