新疆地区≥35岁人群代谢综合征患病率情况调查

目的 了解新疆地区≥ 35岁人群代谢综合征（metabolic syndrome，MS）的患病情况和相关危险因素。方法 采用多阶段分层随机抽样的方法，于2015年在新疆地区对3644名35岁及以上常住居民进行调查，包括问卷调查、体格测量和实验室指标的检测。采用美国胆固醇教育计划成人治疗方案第三次报告（NCEP-ATP Ⅲ）诊断亚裔人群修订的版本作为MS的诊断标准，并通过2010年的人口学情况对其进行标化，采用非条件Logistic回归分析其影响因素。结果 调查对象的MS患病率为26.40%（标化率为25.46%）。其中男性的患病率为24.66%（标化率为24.49%），女性为28.00%（标化率为26.18%）。在患有MS人群中，同时有中心性肥胖、血压异常和血脂异常三因素者占34.95%。维吾尔族的患病率最高，为41.18%。相对于无高血压家族史者，有高血压家族史人群患MS的风险更高（OR（95%CI）:1.230（1.037~1.459），P=0.017）。结论 新疆成年人MS患病率较高，高血压家族史是MS的危险因素。

The current status of metabolic syndrome among adults aged 35 years and above in Xinjiang

Objective To understand the prevalence and influential factors of metabolic syndrome in Xinjiang adults aged 35 years and above.Methods Using a multistage stratified random sampling method,investigations including questionnaire,physical examination and blood test,was conducted among inhabitants aged 35 years and above in Xinjiang on 2015.MS was diagnosed according to the US National Cholesterol Education Program Adult Treatment Panel Ⅲ (NCEP ATP Ⅲ) criteria with modification for Asian population.Prevalence of MS was standardized by 2010 general population and non-conditional logistic regression analysis was followed to analyze the risk factor.Results The prevalence of MS was 26.40％ (aged-standardized prevalence 25.46％),24.66％ (age-adjusted prevalence 24.49％) for males,and 28.00％ (age-adjusted prevalence 26.18％) for females.Among participants with MS,34.95％ were with central obesity,high blood pressure and dyslipidemia.The prevalence of MS was highest in the Uygur (41.18％).People who have family history of hypertension had higher risk of MS than their counterpart (OR (95％ CI):1.230 (1.037-1.459),P =0.017).Conclusion The prevalence of MS was higher in Xinjiang adults,family history of hypertension was one of the risk factors of MS.