企业职工代谢综合征患病率及相关亚型分布调查

目的：了解杭州市企业职工代谢综合征（MS）患病状况及代谢综合征相关亚型分布。方法采用社区健康干预（CIH）项目基线调查方法，依据国际糖尿病联盟（IDF）标准，对杭州市2009-2010年3个城区的12家企业单位2066名在职职工进行自填式问卷调查及相关指标检测。结果杭州市企业职工MS患病率为10.72％，标化率为13.48％；随着年龄的增高，腰围（WC）、血压（BP）、空腹血糖（FPG）、甘油三酯（TG）、高密度脂蛋白（HDL-C）等5项组份及MS患病率均呈逐步增高（P＜0.05），男性BP、FPG、TG、HDL-C等4项组份患病率均高于女性（P＜0.05），低学历企业职工BP、FPG两项指标高于高学历人群（P＜0.05）；各亚型MS中，TG＋HDL-C、BP＋HDL-C、BP＋TG＋HDL-C、BP＋FPG＋TG＋HDL-C均高于10.00％。结论杭州市企业职工MS患病率较高，男性及高年龄组人群具有较高的患病风险；TG＋HDL-C可能为杭州市企业职工MS的主要组份。

An Investigation on Prevalence of Metabolic Syndrome and Its Distribution of Related Subtypes in Hangzhou Enterprise Workers

Objective To understand the epidemic status of metabolic syndrome among Hangzhou enterprise workers and to describe the distribution of metabolic -related subtypes.Methods 2 066 employees were recruited from 1 2 enterprises and institutions in three districts of Hangzhou city.A standardized self-administered questionnaire was conducted and metabolic-related anthropometric measurements were taken.Metabolic syndrome was defined according to the International Diabetes Federation （IDF）（2005 standards）.Results Prevalence of metabolic syndrome in Hangzhou enterprise workers was 1 0.72%,the standardized rate was 1 3.48%;levels of waist circumference,blood pressure,blood FPGcose, triglycerides,high-density lipoprotein and prevalence of metabolic syndrome of high age group were significantly higher than the low age group（P＆lt;0.05 ）.Levels of blood pressure,blood FPGcose,triglycerides,high-density lipoprotein of males were significantly higher than females （P ＆lt;0.05 ）.Levels of blood FPGcose of low -educated group were significantly higher than that in high-educated group （P＆lt;0.05 ）,while triglycerides level was lower than high-educated group （P＆lt;0.05 ）.In subtypes of metabolic syndrome,the prevalence of TG plus HDL,BP plus HDL,BP TG plus HDL and BP FPG TG plus HDL were higher than 1 0.00%.Conclusion Prevalence of metabolic syndrome in Hangzhou enterprise workers is high;male and older-group has a higher risk;TG plus HDL may be the main metabolic syndrome subtype.