老年人群代谢综合征调查分析

目的：调查老年体检人员代谢综合征（MS）及其相关疾病的患病情况。方法：检测559例体检人员的身高、体重、腰围、血压、心率、体重指数（BMI）、空腹血糖、总胆固醇、甘油三脂、高密度脂蛋白等指标，并对调查结果进行统计分析。结果：老年男性MS发病率为14．15％，60-70岁组的MS发病率为最高，达22．41％；老年女性MS发病率为20．56％，80岁以上的发病率较高，达30．43％。在MS各种组合中，男性和女性均以肥胖＋高血压＋高血脂这种组合比例最大，占40％以上。MS患者伴发脂肪肝、糖尿病、高血压的比例均高于非代谢综合征的患者（P〈0．05，P〈0．01）。脂肪肝（OR=4．287，95％CI：1．737～10．583，P=0．002）、腰围（OR=3．783，95％CI：1．019～14．050，P=0．047），脂肪肝和腰围与MS密切相关。结论；本次调查显示老年人MS发病率有增高趋势，最多见的表现形式为肥胖＋高血压＋高血脂组合，MS合并脂肪肝、糖尿病、高血压的比例亦有增高，脂肪肝和腰围对MS具有显著危险性。

Prevalence of the Metabolic Syndrome in the Elderly Community Population Aged Over 60 Years

Objective:To investigate the proportion of metabolic syndrome in the elderly people.Methods:Height,weight,blood pressure,heart rates,body mass index,plasma glucose,cholesterol,triglyceride,high-density lipoprotein were measured.Results: The prevalence of MS in men was 14.15% with the highest among subjects aged 60~70 years.The prevalence of MS in women was 20.56% with the highest in groups over 80 years.The common manifestation of MS was obesity,hypertension and dyslipidemia.This ratio was over 40%.The proportion of fatty liver,diabetes mellitus and hypertension in MS was higher than other.Excluding the factors of hypertension,dyslipidemia,obesity and DM,fatty liver and waistline were prominence risk factors.Conclusion:The incidence of MS is very high in the elderly community population.The common type of MS is obesity,hypertension,and dyslipidemia.The ratio of fatty liver,diabetes mellitus,hypertension is excessive in MS.