中国北方城市健康体检汉族人群代谢综合征新危险因素分析

目的探讨新的心血管危险因素非酒精性脂肪肝病（non-alcoholic fatty liver disease NAFLD）和血管性勃起功能障碍（Erectile dysfunction,ED）与代谢综合征（MS）组分的关系。方法从2008—2009年北方城市健康体检人群中随机整群抽样18096例进行调查和血清学检查。采用SPSS13.0统计软件分析探讨新的心血管危险因素NAFLD和ED与MS各主要组分之间的关系。结果本次调查资料完整者共18096例,年龄18～76岁,平均（46.8±10.1）岁。男,10096例,占55.79%,;女,8000例,占44.21%。MS知晓率为8.33%;成年健康体检者MS的患病率为21.18%;MS最常见的组分依次是高尿酸血症、肥胖、高血压和血脂异常。MS及其各组分体质指数（BMI）和腰臀比（WHR）比较,BMI和WHR最高的组分是超重或肥胖、血管性ED、糖尿病前期和高血压;MS伴发NAFLD3721例,患病率为19.67%;以MS伴发NAFLD为因变量,Logistic回归分析结果：年龄、吸烟史、饮酒史等13个变量,差异均有统计学意义（P〈0.01）。年龄、吸烟史、饮酒史、DM家族史、BMI、腰围及ALT升高为疾病的危险因素,体育锻炼和职业性体力劳动为其保护因素。血管性ED106例,患病率为1.04%;以MS伴发ED为因变量,Logis-tic回归分析结果：年龄、文化程度、体育锻炼等8个变量,差异均有统计学意义（P〈0.01）。年龄、DM家族史、BMI和腰围为疾病的危险因素,文化程度、体育锻炼和职业性体力劳动为其保护因素。结论MS新的心血管危险因素包括NAFLD和ED,它们均与MS各组分间关系密切,可能成为MS的组分;对新的心血管危险因素的控制,为心脑血管疾病的预防提供了新途径。

Analysis of New Risk Factors of Metabolic Syndrome in Han Population Receiving Physical Examination in Chinese Northern Cities

Objective To study the relationship of new cardiovascular risk factors of non-alcoholic fatty liver disease (NAFLD) and vascular erectile dysfunction (ED) to metabolic syndrome (MS) component.Methods An investigation was conducted by stratified cluster sampling to perform serological examination in 18096 healthy subjects receiving physical examinations in northern cities from 2008 to 2009.SPSS13.0 was used to analyze the relationship of NAFLD,ED to the main components of MS.Results A total of 18,096 subject...