2007年北京市居民糖尿病与代谢综合征患病状况调查

目的 了解2007年北京市居民糖尿病与代谢综合征的患病情况.方法 采用整群随机抽样方法,于2007年9月至11月抽取本市3个地区,分别代表城市、城镇和农村地区进行调查.共有20岁以上常住居民3 484名参与调查.通过询问病史、体格检查、检测空腹血糖、血脂及口服糖耐量试验,并依据1999年WHO糖尿病诊断标准和2005年IDF代谢综合征全球共识定义进行诊断.使用EPI data 3.02软件建立数据库,SPSS 13.0软件进行统计分析.计量资料采用(-x)±s表示,两组间比较采用t检验,多组阳比较采用方差分析,计数资料比较采用卡方检验.结果 北京市居民糖尿病患病率为10.16%(城市10.97%、城镇11.95%、农村6.86%):其中已知糖尿病患病率为5.02%(城市6.14%、城镇6.62%、农村1.71%)(x2=54.06,P＜0.01);新诊断糖尿病患病率为5.14%(城市4.83%、城镇5.33%、农村5.15%)(x2=2.35,P＞0.05);空腹血糖受损患病率为1.35%(城市0.58%、城镇2.26%、农村1.43%)(x2=12.97,P＜0.01);糖耐量异常患病率为9.84%(城市10.52%、城镇9.68%、农村9.27%)(x2=3.99,P＞0.05);代谢综合征患病率为20.39%(城市17.34%、城镇23.30%、农村20.78%)(x2=35.38,P＜0.01).糖尿病患者平均知晓率为49.85%.结论 北京市糖尿病及代谢综合征患病率高,城镇和农村地区患病率呈现加速升高趋势.     

四川省凉山彝族成人代谢综合征患病率调查

目的 分析比较四川省凉山城乡地区彝族人群代谢综合征(MS)的患病率和危险因素.方法 对自然人群采用整群随机抽样的方法,于2007年7月至8月在四川省凉山州西昌市区及两个乡村的20～74岁的彝族居民开展横断面调查.诊断标准用2006年国际糖尿病联盟(IDF)标准.结果 MS总的患病率为27.5%,其中城市高于农村(31.2% vs 10.1%, P<0.01),女性高于男性(18.4% vs 13.7%,P<0.01);多因素logstic回归分析显示城市人口性别、年龄、UA、ALT是MS的独立危险因素.结论 四川凉山彝族MS患病率特点为城市高于农村、女性高于男性,患病率随年龄增加而增加;MS各组分也是城市明显高于农村;年龄、性别、UA、ALT和城乡不同的生活方式是MS的独立危险因素.     

北京地区城乡居民代谢综合征及其组分患病率对比研究

目的 探讨北京地区城乡居民代谢综合征(MS)患病情况及其差异. 方法 采用整群抽样方法于2005-2007在北京地区选取35～70岁城市和农村人群5723例进行横断面调查. 结果 (1)北京地区MS粗患病率为25.0%,年龄标化后,城市人群MS患病率为23.6%,农村为21.0%;(2)腹型肥胖、高血糖、血压异常、高甘油三酯和低高密度脂蛋白胆固醇在城市人群标化患病率分别为29.3%,31.3%,53.3%,32.6% 和12.7%,农村地区分别为37.2%,19.4%,64.1%,27.9%,11.4%; (3)无论城市还是农村,女性人群MS患病率均有随着年龄的增加而增高的趋势(P<0.01);但在男性人群中未见此趋势(P>0.05). 结论 北京地区城乡MS患病率高,城乡之间MS及其组成成分存在差异.     

辽宁省阜新农村地区老年高血压人群代谢综合征的流行病学调查

目的 了解辽宁阜新农村地区≥60岁高血压人群代谢综合征(MS)患病情况及相关因素.方法　采用分层整群抽样对阜新农村≥60岁2 443名常驻(≥5年)老年人进行流行病学调查和实验室检查.按美国国家胆固醇教育计划指南(NCEP-ATPⅢ)推荐标准诊断MS和进行各组分类,应用SPSS11.5软件进行统计分析.结果 MS患病率为22.4% (标化率:22.2%),男性为10.9% (标化率:11.0%),女性为33.5%(标化率:32.5%),女性各年龄组MS患病率均高于男性(P＜0.01);除空腹血糖(FPG)异常男、女患病无差异外,MS相关疾病患病率女性均高于男性(P＜0.001);Logistic逐步回归分析显示,MS的危险因素为性别、腰围、FPG、TG,而HDL-C为MS保护因素.结论 辽宁省农村地区老年高血压人群MS患病率较高,同时具有多种危险因素,应引起卫生部门重视,进行综合防治.     

我国2002年代谢综合征的流行情况

目的了解我国代谢综合征（MS）的流行现状。方法采用多阶段分层整群抽样方法于2002年8～10月和9～12月在全国31个省、直辖市、自治区的132个调查点中选取71971户居民进行调查。测量调查对象的身高、体重、腰围和血压，测定空腹血糖、血总胆固醇、甘油三脂、高密度脂蛋白胆固醇和低密度脂蛋白胆固醇。完成全部指标测定的总人数为48556人。结果根据中华医学会糖尿病学分会2004年MS的诊断标准，我国18岁以上人群MS的患病率为6.6%。我国城市各年龄组MS的患病率均高于农村，年龄调整后城市男性的患病率约为农村的两倍，女性约为农村的1.4倍。有糖代谢异常的MS男性为44.8%，女性为47.8%;有血脂异常的MS男性为86.3%，女性为83.4%;有高血压的男性为89.2%，女性为91.0%。符合MS诊断标准的人群男性95.2%有超重和肥胖，女性93.1%有超重和肥胖。结论我国18岁以上的人群MS的患病率为6.6%，其中男性为6.8%，女性为6.4%。城市的患病率高于农村。超重和肥胖是MS的最重要的危险因素。     

黑龙江省20～74岁居民代谢综合征流行病学调查

采取多极分层整群随机抽样的原则对黑龙江2 875名20～74岁居民进行问卷调查,并测量身高、体重、腰围、臀围、血压、静息心率及体脂含量,测定空腹血糖、胰岛素、血脂,并晨尿测定尿微量白蛋白.采用国际糖尿病联盟关于代谢综合征(MS)的诊断标准.结果 显示,黑龙江省20～74岁居民MS粗患病率为19.34%,年龄标化后患病率为21.92%(男性20.41%,女性23.11%).且 MS患病率随年龄的增长而增加.城市、城镇及乡村MS年龄标化患病率分别25.22%、17.38%和14.75%,城市MS患病率高于城镇和乡村(均P<0.05).多元回归分析结果表明,体脂含量高、胰岛素抵抗、年龄增高、城乡地域差异、经常饮酒、每日主食量过多、白蛋白尿、教育水平低、肥胖家族史及性别均为代谢综合征的危险因素.     

江苏省常州市农村老年人群代谢综合征患病率及相关影响因素分析

目的 了解农村老年人群代谢综合征(MS)的患病率及其相关影响因素.方法 2004-2005年采用整群随机抽样方法,对常州市农村60岁以上老年人进行流行病学调查,内容包括问卷、体检,检测空腹血糖、血脂等.结果 共调查60岁以上老年人4976例,采用国际糖尿病联盟MSI作定义(IDF,2005)标准,常州地区老年人MS的患病率为24.1%,其中男性10.3%,女性34.3 %;有1种以上代谢异常占86.2%;经多因素Logistic回归分析表明,性别、吸烟、甜食、高血压家族史和饮茶是MS的影响因素.结论 江苏省常州市农村老年人MS患病率较高,尤其是女性,必须加强MS的健康教育和健康促进工作,控制相关危险因素.     

辽宁省城市人群代谢综合征的流行趋势和危险因素分析

目的:探讨辽宁城市代谢综合征(MS)的流行趋势。方法:选取沈阳市体检人群与社区人群(来自辽宁省各城市)进行分层抽样调查,共调查2000人,其中体检人群1000人,社区人群1000人。根据MS的诊断标准,研究对象被分为超重肥胖组(460人)和正常体重组(1540人),高血糖组(140人)和正常血糖组(1860人),高血压组(399人)和正常血压组(1601人),血脂异常组(486人)和血脂正常组(1514人),比较各分组间MS患病率。结果:符合代谢综合征诊断标准的有441例,即人群患病率为22.05%,男性代谢综合征的有263人,患病率为24.15%,女性为178例,患病率为19.53%,男性的显著多于女性(P0.01)。MS患病率随年龄增长而增加(P0.05)。超重肥胖组和正常体重组MS的患病率分别为42.12%和4.13%;高血糖组和正常血糖组MS患病率分别为49.47%和5.49%;血脂异常组和血脂正常组MS的患病率分别为38.35%和4.41%,高血压组和血压正常组的MS患病率分别为43.42%,3.56%。以上两组间比较差异均有显著性(P0.01)。结论:辽宁城市代谢综合征的患病率随年龄的增加而增长,男性高于女性;代谢综合征各分组的较对照组显著增加,以超重肥胖人群和高血压人群更甚。     

浙江省成人糖尿病患病率调查

目的 了解浙江省18岁以上城乡居民糖尿病流行特征及知晓情况.方法 采用多阶段分层随机整群抽样的方法,于2010年7月至11月对浙江省15个县区17437例18岁以上的居民进行横断面调查.调查内容包括问卷调查、医学体检和血样采集.结果 浙江省18岁以上居民经年龄、性别和地区调整后的糖尿病标化患病率为5.94％(粗患病率8.80％),与2002年浙江省患病率3.02％相比,8年的患病率增幅达到96.67％.城市和农村糖尿病标化患病率分别为7.52％(粗患病率11.33％)和5.19％(粗患病率7.09％),城市和农村标化患病率差异有显著性(u=6.58,P＜0.05).男性和女性标化患病率分别是5.74％(粗患病率8.36％)、6.15％(粗患病率9.13％),男性和女性糖尿病标化患病率差异无显著性(u=1.39,P＞0.05);浙江省居民糖尿病知晓率为59.19％,男性知晓率56.66％,女性知晓率61.23％,男性和女性糖尿病知晓率差异无显著性(x2=3.26,P＞0.05).城市居民知晓率为63.47％,农村知晓率为54.69％.城市农村居民糖尿病知晓率差异有显著性(x2=12.20,P＜0.01).结论 浙江省糖尿病患病率呈快速增长趋势,应及早采取有效的干预措施.     

上海市成人代谢综合征的流行特征

目的 采用美国国家胆固醇教育项目成人治疗组第三次指南(NCEP ATPⅢ)工作定义,评价上海市社区成人代谢综合征(MS)的流行状况.方法 采用分层整群随机抽样方法,在上海市35～74岁人群中进行横断面调查,获得有效问卷7414份列入本次分析.结果 按照NCEP ATPⅢ工作定义,MS的粗患病率为19.81%,年龄标化后的患病率为16.21%(95%CI15.37%～17.05%),女性高于男性(22.59%对16.64%,P<0.01),城市高于农村(20.84%对17.16%,P<0.01).MS患病率随年龄的增长而增加,55岁以上女性患病率显著上升.人群中有3种以上组分的个体比例高达19.81%,各危险因素的组合形式在4项组合中以"中心性肥胖+高甘油三酯血症+低高密度脂蛋白胆固醇+高血压"为最多.结论 上述研究结果表明MS已越来越成为影响上海城乡居民健康和生命的重大公共卫生问题,急需对MS作出早期诊断并加强综合防治.     

2012—2016年南京市区体检人群血尿酸的职业、年龄、性别分布特点和相关因素分析

目的:分析南京市来自6个行业体检人群血尿酸的年龄、性别分布特点,和高尿酸血症(HUA)的患病情况及其影响因素。方法:纳入2012年至2016年南京市4家医院参加健康体检的107478例体检者,比较不同性别、不同年份的HUA发病率;按照血尿酸值分为正常组和HUA组,比较两组代谢指标、年龄,计算不同行业体检人群的血尿酸水平,并采用多因素logistic回归方法计算HUA发病危险OR值。结果:HUA总体患病率为14.9%,男性HUA的患病率明显高于女性(20.5%比2.5%,χ2=5850.1,P<0.01),女性HUA的患病率随着年龄的增加呈上升趋势(20~29、30~39、40~49、50~59、60~69和≥70岁组的HUA患病率分别为1.0%、0.7%、0.9%、2.7%、3.8%和9.6%;趋势P<0.01)。HUA组的高血压、高血脂、糖尿病患病率及体重指数均高于血尿酸正常组(P≤0.01)。卫生行业人群血尿酸水平[(298±91)μmol/L]和HUA患病率(10.4%)最低,公安行业的血尿酸水平[(342±82)μmol/L]和HUA患病率最高(16.5%)。血尿酸水平与血脂、血糖、血压等代谢指标相关(P≤0.01),多因素logistic回归分析显示,男性、高血压、高甘油三酯、高胆固醇、肥胖、职业类别和高尿酸血症的发生相关。结论:南京地区体检人群中男性HUA患病率明显高于女性,女性HUA的患病率随着年龄的增加而增加。卫生行业体检人群的血尿酸水平和HUA患病率最低,而公安职业类别人群最高。男性、高血压、高脂血症、肥胖、职业类别与HUA的发生相关。     

江苏地区糖尿病、代谢综合征患病率现况调查

目的调查2008年江苏地区糖尿病、代谢综合征（MS）及其相关疾病的患病情况。方法采用多阶段分层整群随机抽样方法,对该人群进行问卷调查,并行空腹血糖、口服葡萄糖耐量试验、血脂、身高、体质量、腰臀围、体质指数、血压检测。糖尿病采用1999年WHO的诊断标准,MS采用中华医学会糖尿病学分会2004年建议的诊断标准,分析患病率。应用卡方检验进行率的比较,并对MS的危险因素做多因素logstic回归分析。结果江苏地区3436名20岁以上人群糖尿病、MS、高血糖、高血压、超重或肥胖、高甘油三酯血症和低高密度脂蛋白胆固醇血症的粗患病率分别为10．9％、18．7％、23．0％、35．4％、39．8％、28．5％和13．3％,标化后患病率分别为8．56％、15．9％、18．9％、27．8％、35．8％、27．1％和13．2％,上述疾病的患病率随年龄的增长而增加。女性MS患病率：农村（19．9％）〉城镇（15．8％）〉城市（14．6％）,男性城镇（23．7％）〉农村（21．7％）〉城市（19．9％）。经logistic回归分析显示性别、年龄、文化程度为MS的危险因素。结论江苏地区20岁以上人群糖尿病、MS患病率分别为8．56％和15．9％,已成为影响城乡居民健康的重大公共卫生问题,应加强防治工作力度。     

Prevalence and medical care of hypertension in four ethnic groups in the newly-industrialized nation of Mauritius.

Prevalence of hypertension was investigated in Mauritius in 2362 men and 2712 women among Hindu and Muslim Indian, Creole and Chinese ethnic groups aged 25-74 years. The age-standardized prevalence of hypertension varied from 9.4% to 17.3% in men and from 9.5% to 16.9% in women among the four ethnic groups and increased with age. The population mean values of systolic/diastolic blood pressure were 126/79 mmHg in men and 124/75 mmHg in women. The proportion of hypertensive persons aware of their condition was 50.5% in men and 66.6% in women. The proportion of treated and adequately controlled hypertensive patients was only 21.7% in men and 29.3% in women. Creoles had the highest mean value of systolic and diastolic blood pressure and the highest prevalence of hypertension whilst Muslim Asian Indians had the lowest values both in men and women. Further studies are needed to define the determinants of hypertension in the multi-ethnic Mauritian population. Diagnosis and treatment of hypertension need to be improved, especially in men and the Creole ethnic group.     

Prevalence and awareness of diabetes and mean fasting glucose by age, sex, and region: results from the Nutrition and Health Survey in Taiwan, 1993-1996.

AIMS: The objective of this study was to evaluate the prevalence and awareness of diabetes mellitus (DM) in Taiwan. METHODS: The Nutrition and Health Survey in Taiwan for people aged > or = 4 years was conducted between 1993 and 1996, using a multistaged, stratified, and clustered sampling scheme. RESULTS: The prevalence of DM, defined by fasting whole blood glucose > or = 6.1 mmol/l or diagnosed DM subjects taking hypoglycaemic drugs, was 3.7% in men > or = 19 years and 6.3% in women. Corresponding to age groups 19-44, 45-64 and > or = 65 years, the prevalence was 1.5%, 7.9% and 7.8% in men and 0.5%, 12.3% and 19.6% in women, respectively. People in mountainous areas and in Peng-Hu islands had the highest prevalence, but the lowest awareness rates among seven survey strata (regions). Women from metropolitan cities had the lowest DM prevalence and body mass index (BMI) values, but the highest rate of DM awareness among all strata. This phenomenon was not apparent in men. The age, sex, and regional patterns of DM prevalence were consistent with those of BMI. CONCLUSIONS: The prevalence of DM in Taiwan in 1993-1996 was relatively high, given a mean BMI of 23 kg/m2 in adults. Gender and regional differences were apparent in DM prevalence and awareness and in mean BMI.     

上海市成人代谢综合征流行调查

目的 分析上海社区20～74岁人群中代谢综合征(metabolic syndrome，MS)及各组的患病现况及其伴发胰岛素抵抗(insulin resistance，IR)情况。方法 由1999～2001年上海华阳和曹杨社区肥胖及其相关疾病基线调查资料中，取有完整血糖、血脂、血压、胰岛素、尿微量白蛋白、尿肌酐等资料的20～74岁人群共2048人(男性896例，女1152例)列入本次分析。代谢综合征的诊断根据WHO(1999)代谢综合征的工作定义。结果 (1)上海社区20～74岁人群MS患病率为17．14％，男性在45岁以上及女性在50岁以上MS患病率明显升高，65～69岁患病达到高峰。(2)MS中最多见的表现形式是高血糖(或IR) 血脂异常 中心性肥胖及高血糖(或IR) 血脂异常 中心性肥胖 高血压。(3)胰岛素抵抗在MS及各组分的伴发频率分别为：MST1．65％、糖尿病61．11％、糖调节异常38．27％、高血压35．76％、血脂异常38．40％、中心性肥胖38．39％及微量白蛋白尿37．98％。结论 上海社区20～74岁人群中约1／6者患MS，胰岛素抵抗在MS及各组分中普遍存在，尤以糖尿病及MS为甚。     

Gender and age impacts on the correlations between hyperuricemia and metabolic syndrome in Chinese

Prevalence of both metabolic syndrome (MS) and hyperuricemia are increasing. However, findings regarding their relationships are inconsistent. We aimed to explore correlations between MS and hyperuricemia in a large Chinese population, emphasizing the impacts from gender and age. Data analyses were performed in 17,762 subjects randomly recruited from Tianjin municipality in China. Hyperuricemia was defined as serum uric acid (SUA) >420?μmol/L for men, >360?μmol/L for women. MS was diagnosed by the consensus criterion released in 2009 from a joint collaboration between American Heart Association and other organizations. MS was also diagnosed by Chinese Diabetes Society (CDS) criterion. Total hyperuricemic prevalence was 12.16%, with male significantly higher than female. Total MS prevalence by consensus criterion was much higher than by CDS criterion (25.56% versus 14.09%). Correlation coefficients were much greater in women than in men. SUA was significantly positively related with body mass index and waist circumference. Generally, binary logistic regression models disclosed females with high SUA were twice likely to suffer from MS than males. Young females (≤44?years old) with hyperuricemia had the highest odd ratio of 7.857 by consensus criterion; and after further adjustment by body mass index, this odd ratio was 3.040. SUA and MS were much more closely related in females than in males. Young women with hyperuricemia had the highest risk of MS.     

Low back pain in an urban population in Southwest Nigeria

This cross-sectional study was designed to determine the prevalence and risk factors for low back pain in an urban community. A house-to-house enquiry was conducted using a questionnaire administered by trained interviewers. Four hundred and seventy-four respondents, 271 men (57%) and 203 women (43%) participated in the study. The 12-month prevalence of low back pain was 44%, while the point prevalence was 39%. Back pain was more prevalent among men (49%) than women (39%). It was also associated with a history of trauma and low educational status. The prevalence of back pain was highest among farmers (85%) and lowest among housewives (32%). The prevalence of low back pain in this community is comparable to levels recorded in industrialized countries. However, in this study low back pain did not feature as a main cause of morbidity, accounting for a mean of 3 days off work per person per year.     

Combined effect of high low-density lipoprotein cholesterol and metabolic syndrome on subclinical coronary atherosclerosis in white men without clinical evidence of myocardial ischemia

High low-density lipoprotein (LDL) cholesterol and the presence of metabolic syndrome (MS) are established risk factors for clinical and subclinical cardiovascular disease (CVD). However, the relative contribution to CVD risk of MS and high LDL cholesterol is not well defined. Therefore, the aim was assess the relative risk for the presence of coronary artery calcification (CAC) with metabolic syndrome (MS) compared with that of moderate or high LDL cholesterol. A total of 440 consecutive asymptomatic men (mean age 46 +/- 7 years, range 29 to 65) presenting for CVD risk stratification were studied. MS was defined using National Cholesterol Education Program Adult Treatment Panel III criteria (n = 112; 24%). Moderate LDL cholesterol was defined as 130 to 159 mg/dl, and high LDL cholesterol as >/=160 mg/dl (n = 76; 17%). Overall, CAC was observed in 190 men (40%). The prevalence of CAC >0 was lowest in MS-negative men with LDL cholesterol <130 (35%) or 130 to 159 mg/dl (34%) and highest in MS-positive men with LDL cholesterol >/=160 mg/dl (80%). MS-positive men with LDL cholesterol of 130 to 159 mg/dl had CAC prevalence similar to that of MS-negative men with LDL cholesterol >/=160 mg/dl (54% vs 57%, respectively). This relation persisted with additional adjustment for age, smoking status, and cholesterol-lowering medication. In logistic regression analyses, the odds ratio for CAC >0 was highest in MS-positive men combined with high LDL cholesterol. In conclusion, these results suggest that the risk of CAC in asymptomatic men with moderate or high LDL cholesterol is magnified in persons with MS.     

Prevalence of metabolic syndrome in adults in Khanh Hoa, Viet Nam

Background The metabolic syndrome (MS) is characterized by a specific clustering of risk factors, including dyslipidemia, central adiposity, systemic hypertension, insulin resistance, and dysglycemia. It is associated with an increased risk of developing cardiovascular disease (CVD). Accurate data on prevalence and characteristics of MS will facilitate the development of preventive strategies for CVD. Objective To estimate accurately the prevalence of MS among Vietnamese adults with the usual criteria or with the criteria modified for Asian populations. Design and methods We studied a representative, cross-sectional, population-based sample of 856 subjects (mean age 52.82 &#177; 16.36) classified in three age groups from 15-34 years, 35-54 years and ＞ 54 years of age, living in Khanh Hoa Province, Viet Nam. MS was diagnosed according to the criteria defined by the Third Report of the National Cholesterol Education Program Expect Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel Ⅲ) (NCEP-ATP Ⅲ) and by the modified criteria for some Asian populations in which the waist circumference (WC) is considered abnormal if it is ＞ 90 cm for males and ＞ 80 cm for females.Results Using the NCEP-ATP Ⅲ criteria, the prevalence of MS in the studied population was 10.0％ (CI 95 ％:8.1-12.3). It was 2.4 ％ in the 15-34 age group (men 4.5％ and women 1.2％),5.2％ (men 6.3％,women 4.5％ ) in 35-54 age group and 15.8％ (men 9.7％, women 21.7％) in over 54 age group, respectively. And it was more common in women than in men (11.7％ vs 8.0％, P ＜0.001). Using 2001 population census data of the whole province over 15 years (695 218 habitants) we estimated that about 35 193 people suffered from the MS.The WC was the least common feature of MS (2.1％ for men and in 6.1％ for women).Overall,45.2 ％ of the studied population had one feature of MS, 23.1％ had two features, 8.2％ had three features, 1.6％ had four features, and 0.2％ had all five features. No feature of MS was identified in 21.7％.Using the modified criteria,the prevalence of MS in the studied population was 15.7％. It was 4.0％ in the 15-34 age group, 12.5％ in the 35-54 age group and 21.5％ in the＞54 age group. Prevalence of modified WC feature was 10.9％ for men and 23.6％ for women.Conclusions MS is more accurately identified among Vietnamese adults using the modified criterion of the WC for some Asian populations. Its prevalence is similar to that in the developed countries. ( J Geriatr Cardiol 2004;1(2) :95-100.)     

2000～2004年代谢综合征的患病率及其变化趋势-青岛港健康研究

目的调查青岛港职工2000年～2004年四年间代谢综合征的患病率及其变化趋势。方法按心血管病流行病学标准化调查方法,采用整群抽样于2000年和2004年对青岛港职工分别进行调查。结果2000年11364名（男8759,女2605）18～54岁职工中,标化的代谢综合征患病率为10.0%（95%可信区间：9.4～10.6）,男性高于女性（标化率分别为13.9%、6.0%）;2004年10834名（男8591,女2243）18～54岁职工中,标化的代谢综合征患病率为12.5%（95%可信区间：11.9～13.1）,男性高于女性（标化率分别为16.1%、8.9%）。四年间女性标化的代谢综合征患病率升高了48.3%（P〈0.05）;男性增加了15.8%,有上升的趋势。结论青岛港职工代谢综合征患病率从2000年至2004年呈上升趋势。代谢综合征已经成为影响青岛港职工生命和健康的重大的公共卫生问题,要积极进行代谢综合征的各组分的综合防治。