北京城乡老年人群代谢综合征的现况调查

目的了解北京城乡老年人群代谢综合症(metabolic syndrome)的现况及特点。方法抽样调查北京地区60岁及以上老年人群2201人,内容涉及人口特征、经济、慢性病及医疗状况:检测身高、体重、血压、空腹血糖、血甘油三酯、高密度脂蛋白胆固醇及总胆固醇等生化指标。代谢综合症使用中华医学会糖尿病分会(CDA)诊断建议标准。结果北京地区老年人代谢综合症的标化患病率为22.2%,而肥胖、高血糖、高血压、高甘油三酯和低高密度胆固醇脂蛋白胆固醇的标化患病率分别为36.3%,23.9%,65.3%,32.8%和3.7%;随着增龄,代谢综合症患病率逐渐降低;城区(27.0%)高于农村(14.5%);女性(27.4%)高于男性(14.6%);非文盲组(22.9%)高于文盲组(18.2%),二者比较差异有统计学意义(均为 P<0.01)。结论北京地区老年人群代谢综合症患病率较高,尤以低龄老年人群为主。

Survey on metabolic syndrome in the elderly in Beijing of China

Objective To investigate the prevalence of the metabolic syndrome(MS) among the dwellers in Beijing, China. Methods We analyzed data on 2201 residents aged 60 years or older from the cross section health survey of Beijing, China. The basal information, economic situation, history of chronic disease and medicine information were included in investigation. Weight, height, blood pressure were measured. The fasting blood sugar, HDL-C, TG, TC were measured, too. The diagnostic criteria of MS were defined by China Diabetes Association. Results The age standardized prevalence of MS was 22.2% in the elderly in Beijing, China. The age standardized prevalence of obesity, high blood sugar, hypertension, high blood TG and low HDLC-were 36.3%, 23.9%, 65.3%, 32.8% and 3.7% respectively. The prevalences of these diseases were decreased with aging. There were significant differences between urban and suburb, female and male, literate and non-literate in prevalence of MS by Chi square test. Conclusions The metabolic syndrome is a highly prevalent disease in aged population in Beijing, especially for the younger aged person.