| 社区体检人群代谢综合征患病情况及相关影响因素的调查分析 |
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| 引用本文： | 孙焕珍, 金来润, 左翔, 袁慧, 丁蕾, 石玮. 社区体检人群代谢综合征患病情况及相关影响因素的调查分析[J]. 中华疾病控制杂志, 2017, 21(5): 465-468. doi: 10.16462/j.cnki.zhjbkz.2017.05.009 |
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| 作者姓名： | 孙焕珍 金来润 左翔 袁慧 丁蕾 石玮 |
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| 作者单位： | 皖南医学院公共卫生学院预防医学教研室, 安徽 芜湖 241002 |
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| 基金项目： | 安徽省大学生创新创业训练项目 |
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| 摘 要： | 目的 了解某社区体检人群代谢综合征（metabolic syndrome，MS）的患病率及其影响因素，为本地区MS的综合防治提供科学依据。方法 采用整群抽样的方法，以某社区参加健康体检的18岁及以上成人作为研究对象进行问卷调查、体格检查和实验室检查，采用非条件Logistic回归分析MS的相关影响因素。结果 收集信息完整的研究对象610名，其中男性334人（54.8%），女性276人（45.2%）。有82人被检出患有MS，患病率为13.4%，男女患病率分别为15.6%（52/334）和10.9%（30/276），差异无统计学意义（χ2=2.868，P=0.090）。年龄大、文化程度低、具有高血压或糖尿病家族史、疏于锻炼或盐摄入过多的研究对象MS患病率均高于对照组。MS患者的体质指数（body mass index，BMI）、腰围等体检及实验室检测指标均高于对照组（均有P<0.05），而高密度脂蛋白胆固醇（high density lipoprotein cholesterol HDL-C）则低于对照组。多因素分析结果显示年龄增大、具有糖尿病家族史、BMI高、高腰围、高血压、高甘油三酯和低HDL-C是MS的危险因素。结论 社区体检人群具有相当比例的个体患有MS，应针对相关危险因素及早采取综合防治措施。
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| 关 键 词： | 代谢综合征 患病率 流行病学方法 |
| 收稿时间： | 2016-12-28 |
| 修稿时间： | 2017-02-06 |
Study on the prevalence of metabolic syndrome and its influencing factors in a community medical check-up crowd |
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| SUN Huan-zhen, JIN Lai-run, ZUO Xiang, YUAN Hui, DING Lei, SHI Wei. Study on the prevalence of metabolic syndrome and its influencing factors in a community medical check-up crowd[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2017, 21(5): 465-468. doi: 10.16462/j.cnki.zhjbkz.2017.05.009 |
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| Authors: | SUN Huan-zhen JIN Lai-run ZUO Xiang YUAN Hui DING Lei SHI Wei |
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| Affiliation: | Department of Preventive Medicine, School of Public Health, Wannan Medical College, Wuhu 241002, China |
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| Abstract: | Objective To understand the prevalence of metabolic syndrome (MS) and its influencing factors in a community medical check-up crowd for providing scientific basis for MS prevention and control.Methods Residents aged 18 and older who took medical check-up in a conmunity were selected by cluster sampling.Data on MS and its influencing factors were obtained by questionnaires,physical examination and laboratory tests.Non-conditional Logistic regression model was used to analyze the influencing factors of MS.Results A total of 610 participants were eligible for the study,including 334 males (54.8％) and 276 females (45.2％).The crude prevalence of MS was 13.4％ (82/610) and there was no significant difference between male (15.6％) and female (10.9％) (x2 =2.868,P =0.090).The prevalence of MS participants with older age,lower education level,family history of hypertension or diabetes,less exercise or excessive salt intake was significantly higher than control group.The measurements of physical examination and laboratory tests such as body mass index (BMI),waist circumstance (WC),etc.in MS patients were higher than control group (all P ＜0.05),while high density lipoprotein cholesterol (HDL-C) level was lower than control group.Multivariate analysis showed that older age,family history of diabetes,higher BMI,longer WC,hypertension,higher triglyceride and lower HDL-C were risk factors for MS.Conclusions Given the large proportion of MS in comnunity aduh residents,targeted prevention and control measures for the risk factors should be taken as early as possible. |
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| Keywords: | Metabolic syndrome Prevalence Epidemiological methods |
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