教职工代谢综合征患病情况调查

目的了解西南大学教职工代谢综合征的患病情况,为高校教职工健康保健并采取合理措施提供依据。方法选择西南大学2006年度参加体检的教职工3678例作为研究对象,测量身高、体重、血压,血糖(GLU)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C),并对结果进行统计分析。结果代谢综合征检出率12.53%,其中男性13.05%,女性11.89%,差异无统计学意义(p>0.05),各年龄段男女性之间也无统计学意义(p>0.05)。40岁以下年龄组检出率为2.91%,60岁以上年龄组为21.52%,两者比较,有统计学意义(p<0.01)。结论教职工代谢综合征检出率随年龄增高而升高,提示在高校教职工中应重视代谢综合征的早期干预和控制,预防心脑血管疾病发生。     

教职工代谢综合征患病情况调查分析

目的 了解教职工代谢综合征(metabolic syndrome,MS)的患病情况及其与年龄、性别的关系,为进一步的干预措施提供依据.方法 选择我校2009年参加体检的教职工4 368人作为调查对象,采用问卷调查、人体测量、生化检测综合诊断MS,并对结果进行统计分析.结果 MS的检出率为14.58%;男女检出率分别是15.18%、13.97%,差异无统计学意义(P>0.05).MS的检出率<40岁组为3.56%,40～60岁组为14.68%,>60岁组为22.56%,差异均有统计学意义(P<0.01).结论 教职工MS的检出率较高,并随着年龄的增长而升高,应及早采取干预措施,做好有效的预防.     

兰州理工大学教职工代谢综合征患病情况

代谢综合征（MS）作为一组伴有胰岛素抵抗的慢性代谢疾病的总称，主要包括高血糖、高血压、中心性肥胖、血脂异常等代谢方面的异常，具有很强的危害性，增加了糖尿病和心血管病的发病危险。随着我国经济的发展，人们膳食结构和生活方式的改变，也带来了疾病谱的急剧变化，MS患病率显著增加。为了解高校教职工代谢综合征及相关疾病的患病情况及流行特征，进而为MS防治及健康教育提供依据，     

泰安市某高校教职工代谢综合征患病情况及危险因素分析

目的了解高校教职工代谢综合征(MS)患病情况及其相关因素,为高校教职工MS的预防提供依据。方法对泰安市某高校自愿参加健康体检的957名教职工体检资料进行统计分析。结果该高校教职工中MS患病率为14.3%(137/957),其中男性患病率16.7%(89/533),显著高于女性患病率11.3%(48/424),差异有统计学意义(χ25.566,P0.05)。随年龄增长,MS患病率呈增加趋势;退休教职工MS患病率27.4%(75/274)高于后勤的18.3%(13/71),后勤高于行政的11.4%(25/219),任课教职工患病率最低为6.1%(24/393),不同工种之间患病率差异有统计学意义(χ262.095,P0.01)。多因素非条件Logistic回归分析显示男性、年龄、吸烟、饮酒、血尿酸、谷丙转氨酶是危险因素。结论该校教职工MS患病率较高,其发病是多种因素共同作用的结果,须进行早期干预治疗,以减少代谢紊乱导致的心血管疾病、糖尿病等的发生,提高该群体健康状况。     

军队疗养员代谢综合征患病情况调查

目的 调查老年疗养员代谢综合征(MS)的患病率及发病情况.方法 共调查320人,年龄40～75岁.MS诊断采用2005年国际糖尿病联盟代谢综合征全球共识定义为诊断标准.按年龄分为中年组(39～59岁)110人及老年组(≥60岁)210人两组.结果 (1)MS总患病率为30.3%,中、老年组分别为22.7%及34.3%.(2)对MS两组的发病情况分析表明,中年组低HDL-C和高TG血症为主要因素,老年组高血压为主要因素.结论 军队中年以上疗养干部中MS的患病率较高.     

军队疗养员代谢综合征患病情况调查

目的调查老年疗养员代谢综合征（MS）的患病率及发病情况。方法共调查320人,年龄40～75岁。MS诊断采用2005年国际糖尿病联盟代谢综合征全球共识定义为诊断标准。按年龄分为中年组（39～59岁）110人及老年组（≥60岁）210人两组。结果（1）MS总患病率为30.3%,中、老年组分别为22.7%及34.3%。（2）对MS两组的发病情况分析表明,中年组低HDL-C和高TG血症为主要因素,老年组高血压为主要因素。结论军队中年以上疗养干部中MS的患病率较高。     

襄阳市某企业离退休职工代谢综合征患病情况调查分析

目的通过对襄阳市某汽车制造企业离退休职工代谢综合征（MS）患病情况进行调查分析,为社区制定预防保健措施提供依据。方法对体检资料完整的50岁及以上离退休职工3685人的代谢综合征（metabolic syn-drome,MS）进行统计分析。结果调查人群代谢综合征检出率23.39%,其中男性22.36%,女性24.32%,70岁及以上人群代谢综合征患病率在性别上差异有统计学意义（P 〈0.05）,但总检出率在性别上差异无统计学意义（P〉0.05）;不同年龄组别中,代谢综合征及相关疾病患病率差异有统计学意义（P 〈0.05）;MS 组的超重/肥胖、高血压、高 TG 血症、低 HDL-C 及高血糖的发生率明显高于非 MS 组,差异有统计学意义（P 〈0.01）。结论离退休职工中代谢综合征患病率较高,且有随年龄增高而增高的趋势,女性尤为明显,应高度重视对该人群的预防保健工作,针对 MS 发病的高危因素进行合理的治疗和预防,有效降低 MS 的发生。     

驻京某部机关干部代谢综合征患病情况研究

目的了解驻京某部机关干部的代谢综合征（MS）及其各组分的患病情况,为MS的综合防治提供依据。方法通过查体收集调查人群的一般资料、生化指标等数据,按照年龄分为5组,对所有数据进行统计,分析MS的患病率及发病率最高的代谢异常。结果调查人群的MS发病率（20.31%）明显高于中国大、中城市和乡镇20岁以上人群MS患病率（14%）,以46～55岁组患病率最高,MS各组分中以超重或肥胖的患病率（94.19%）最高。结论该人群MS患病率较高,具有一定的分布特点,应以46～55岁组的在职干部为重点控制人群,以控制体重为防治重点,采取针对多重危险因素的综合防治措施。     

徐州市居民代谢综合征患病调查

目的 调查江苏省徐州市居民代谢综合征(MS)流行现况,分析徐州市居民MS的患病分布。方法 采用分层整群抽样方法,进行生活方式与疾病史的问卷调查、体格检查与身体测量(包括身高与体重、腰围与臀围以及血压等)、实验室生化检查(包括空腹血糖、血脂等)。运用中华医学会糖尿病分会(CDS)2004MS诊断定义,使用SPSS13.0软件进行统计分析。结果 城市社区居民MS的患病率为15.2%(男、女性分别为19.1%与86%);男性总患病率显著高于女性(P<0.01)。随着年龄增加,人群MS患病率升高,特别是60岁~女性人群患病率超过男性;不同经济条件、教育程度和职业间人群MS患病率之间差异有统计学意义。结论 苏北城市社区人群具有较高的MS患病率,结合人群的患病特点,采取针对性预防措施,将更有利于MS的防治。     

郑州某高校教职工代谢综合征及相关因素分析

目的了解郑州某高校教职工中代谢综合征(MS)的发病趋势及MS相关因素的特征。方法采用病例-对照研究,依据2004年中华医学会糖尿病学分会提出的MS诊断标准对3481名郑州大学教职工的体质指数(BMI)、血压、血糖、血脂等体检结果进行统计分析。结果教职工中MS患病率为10.3%(358/3481),随年龄增长逐步升高(χ2=110.008,P<0.05)。男性MS患病率是13.1%(255/1954)显著高于女性患病率6.7%(102/1527)(χ2=36.929,P<0.05),男性的收缩压、舒张压、血糖和甘油三酯显著高于女性(P<0.05)。MS的5种类型,同时患肥胖、高血压、高血脂的比例最高,占48.3%。Logisitic回归分析显示年龄、收缩压、舒张压、BMI、血糖、甘油三酯为危险性因素,高密度脂蛋白为保护性因素。结论该高校教职工男性患病率较高,年龄、性别、BMI、血压、血糖、血脂与MS密切相关,50岁以上人群易患MS,应注意防治。     

Prevalence and Correlates of Metabolic Syndrome in the Adolescents of Rural Wardha

Background and Objective:

Metabolic syndrome is a major concern as a precursor of cardiometabolic diseases. The present study was designed to study the magnitude and correlates of metabolic syndrome among the adolescents of rural Wardha.

Materials and Methods:

A cross-sectional study was carried out among the adolescents (10-19 years) of Anji PHC. A sample of 405 was selected by random sampling from the sampling frame available with department of Community Medicine. We collected data about their sociodemographic variables and other cardiometabolic risk factors. Fasting blood sample was collected to measure lipid profile and blood glucose. Blood pressure and anthropometric measurements (height, weight, and waist circumference) were also taken.

Results:

Prevalence of metabolic syndrome using ATP-III criteria modified for adolescents was found to be 9.9% (95% CI: 7.3-13.1) in the study population and lower level of high-density lipoprotein (HDL) cholesterol was found with a prevalence of 58.3% (95% CI: 53.4-63.0). The prevalence of metabolic syndrome was found to be significantly (P < 0.05) associated with the presence of obesity and hypertension among family members.

Interpretation:

There was a moderately high prevalence of metabolic syndrome among rural adolescents.

Conclusion:

The early identification of cardiometabolic risk factors such as hypertension and obesity can help prevent metabolic syndrome, diabetes, and cardiovascular disease.     

福州市体检人员代谢综合征患病率及相关因素研究

目的了解了福州市居民代谢综合征（MS）的患病率及其分布特征。方法采用横断面研究,对健康体检人员进行调查与体检,并进行血清学检查。结果MS患病率为5．58％,其中男性患病率为7.38％,高于女性的3．19％,差别具有统计学意义（P〈0．05）;MS中各项代谢紊乱的检出率以肥胖为首,其次为高甘油三酯（TG）血症、高血压、空腹血糖（FPG）过高和低高密度脂蛋白（HDL—C）血症;随着年龄增加,MS患病率升高;MS中最多见的表现形式是肥胖＋高血压＋血脂紊乱。结论福州市体检人员MS及其组成成分患病率较高,应提倡合理膳食,戒烟限酒,控制体重,积极参加体育锻炼,定期体检,做好三级预防,尽量避免代谢综合征及相关组分异常对健康造成的危害。     

广州市某社区中老年居民代谢综合征流行病学特征

目的 调查广州市开发区3个街道社区中老年居民代谢综合征(MS)的流行现况,初步评估运用2004年中华医学会糖尿病分会关于代谢综合征建议(简称CDS标准)定义MS在社区人群的应用价值,并探讨社区人群MS综合干预措施.方法 采用随机抽样的流行病学调查方法进行问卷调查,并对调查人群(392人)测定空腹血糖、血脂、体重指数和血压等,运用CDS标准对资料进行分析.结果 (1)调查人群的MS患病率为20.9%,其中45～49岁年龄组MS患病率为18.8%,≥60岁年龄组MS患病率为25.4%,MS患病率性别差异不明显;(2)调查人群中MS各组成成分(简称组分)的患病率高低顺序为血脂异常＞超重或肥胖＞高血压＞高血糖;(3)调查人群中MS 4类不同组分(4项组分组合成1类,3项组分组合成3类)聚集程度的患病率在20.9%～28.6%之间,且类别之间差异不明显;(4)调查人群MS中最多见的表现形式是超重或肥胖 血脂异常 高血压和以上3项组分组合 高血糖:次要表现形式是超重或肥胖 血脂异常或高血压 高血糖.结论 广州市开发区3个街道社区中老年居民人群具有很高的MS患病率,且多种代谢异常的聚集较为严重:CDS标准适用于社区人群MS的定义与评估;社区居民人群的MS综合干预措施极为必要.     

贵州某企业劳动力人群代谢综合征患病情况与特征分析

[目的]探讨贵州某重工业企业劳动力人群代谢综合征（metabolic syndrome,MS）的患病情况与特征。[方法]采用多阶段整群抽样方法调查企业人群MS各组份特征及其相互关系,并进行统计分析。[结果]企业人群MS患病率为16．87％（男22．41％、女4．21％）,且74％的男性和45％的女性至少患有一种MS组分;MS组分中单项以血脂异常最多见,血压升高次之;组份组合以“高三酰甘油血症、血压升高、腹型肥胖”、“高三酰甘油血症、低高密度脂蛋白血症、腹型肥胖”、“高三酰甘油血症、低高密度脂蛋白血症、血压升高”形式比例最高。[结论]该企业MS患病率为16．87％,血脂异常、血压升高是该企业劳动力人群MS发病的主要因素。     

Association between Carbohydrate Intake and the Prevalence of Metabolic Syndrome in Korean Women

Carbohydrates consist of a large proportion of calories in the Asian diet. Therefore, we aimed to investigate the association between carbohydrate intake and metabolic syndrome in Korean women. A cross-sectional analysis was conducted with a total of 4294 Korean women aged 40–69 years from the Korean Genomic and Epidemiology Study (KoGES). Carbohydrate intake was calculated based on a validated food frequency questionnaire. Metabolic syndrome was defined by using the National Cholesterol Education Program, Adult Treatment Panel III (NCEPIII). Logistic regression was used to estimate the association of carbohydrate intake with metabolic syndrome and its components. In this study, high carbohydrate intake seemed to be associated with low socioeconomic status and an imbalanced diet. After adjusting for confounding factors, subjects with higher carbohydrate intake showed an increased risk of metabolic syndrome (odds ratio (OR) 1.34, 95% confidence interval (CI) 1.08–1.66, p-trend = 0.004, highest vs. lowest quartile [≥75.2 vs. <67.0% of energy]), particularly elevated waist circumference. This association was stronger among those with low levels of C-reactive protein (CRP) and those with low dairy intake. In conclusion, higher carbohydrate intake is associated with a higher risk of metabolic syndrome, particularly abdominal obesity, in Korean women. This association may differ according to individuals’ CRP level and dairy intake.     

Prevalence and Influencing Factors of Metabolic Syndrome among Adults in China from 2015 to 2017

The prevalence and influencing factors of metabolic syndrome (MetS) in Chinese residents aged 20 or older were investigated. The data were collected from China Nutrition and Health Surveillance (2015–2017), which used a stratified, multistage, random sampling method. A total of 130,018 residents aged 20 years or older from 31 provinces were included in this study. The National Cholesterol Education Programme Adult Treatment Panel III (NCEP ATP III) criteria were used to define MetS. The standardised prevalence of high waist circumference, high blood pressure and low high-density lipoprotein cholesterol were 40.8%, 49.4% and 41.1%, respectively. The following factors were associated with a higher prevalence of MetS: female [odds ratio (OR) = 1.773, 95% CI = 1.709–1.840]; older age (OR = 1.037, 95% CI = 1.036–1.039); living in north China (OR = 1.087, 95% CI = 1.058–1.117); high body mass index (OR = 1.402, 95% CI = 1.395–1.408); higher income [OR (95% CI): 1.044 (1.007–1.083), 1.083 (1.044–1.124) and 1.123 (1.078–1.170) for moderate, high, and very high income, respectively]; family history of hypertension (OR = 1.237, 95% CI = 1.203–1.273); family history of diabetes (OR = 1.491, 95% CI = 1.426–1.558) and current smoking status (OR = 1.143, 95% CI = 1.098–1.191). Living in the countryside (OR = 0.960, 95% CI = 0.932–0.988), moderate alcohol consumption (OR = 0.917, 95% CI = 0.889–0.946) and being physically active (OR = 0.887, 95% CI = 0.862–0.913) were associated with a lower prevalence of MetS. The prevalence of MetS among residents aged 20 years or older in China is increasing, especially among women, people aged 45 years or older and urban residents. Preventive efforts, such as quitting smoking and engaging in physical activity, are recommended to reduce the risk of MetS.     

Betel Nut Chewing Increases the Risk of Metabolic Syndrome and Its Components in a Large Taiwanese Population Follow-Up Study Category: Original Investigation

Betel nut chewing is a popular habit in Taiwan, and it is associated with adverse metabolic effects. The aim of this study was to investigate correlations between betel nut chewing with metabolic syndrome (MetS) and its components in a longitudinal study using data from the Taiwan Biobank. A total of 121,423 participants were included in the baseline study, and 27,002 received follow-up examinations after a median of 4 years. The association between betel nut chewing and MetS was analyzed using multiple logistic regression after controlling for confounders. The baseline prevalence of MetS was 22.5%. Multivariable analysis showed that a history of chewing betel nut was significantly associated with baseline MetS (odds ratio (OR) = 1.629; 95% confidence interval (CI) = 1.535 to 1.730, p < 0.001) and five components of MetS in all participants. A long history of chewing betel nut (per 1 year; OR = 1.008; 95% CI = 1.004 to 1.013, p < 0.001) was associated with baseline MetS, abdominal obesity, hypertriglyceridemia and low high-density lipoprotein (HDL) cholesterol. In addition, high cumulative dose (per 1 year × frequency × daily score; OR = 1.001; 95% CI = 1.001–1.002; p < 0.001) was significantly associated with baseline MetS. At the end of the follow-up, a history of chewing betel nut (OR = 1.352; 95% CI = 1.134 to 1.612, p = 0.001) was significantly associated with MetS and its components including abdominal obesity, hypertriglyceridemia and low HDL-cholesterol in the participants without baseline MetS. In addition, a longer history of betel nut chewing was associated with MetS (per 1 year; OR = 1.021; 95% CI = 1.008 to 1.035, p = 0.002), abdominal obesity and hypertriglyceridemia at follow-up. However, cumulative dose (p = 0.882) was not significantly associated with follow-up MetS. Chewing betel nut and a long history of betel nut chewing were associated with baseline MetS and its components. In the participants without MetS at baseline, chewing betel nut and a long history of chewing betel nut were associated with the development of MetS after 4 years of follow-up. However, a cumulative dose of betel nut chewing was not associated with follow-up MetS. Betel nut chewing cessation programs are important to reduce the incidence of MetS in Taiwan.     

杭州市社区人群代谢综合征及相关疾病的流行病学调查

目的调查杭州市社区的15岁以上人群代谢综合征（Ms）及相关疾病的患病情况及流行趋势，为MS防治提供科学依据。方法采用分层整群随机抽样方法进行流行病学问卷调查和体格检查，同时测定空腹血糖（FPG）、血清胆固醇（TC）、甘油三酯（TG）、高密度脂蛋白胆固醇（HOE-C）、血压（BP）、体重指数（BMI）等。结果杭州市社区人群MS及超重、肥胖、糖尿病（DM）、糖调节受损（IGR）、高血压、高TC血症、高TG血症、低HDL-C血症的患病率分别为10．8l％、30．26％、8．18％、6．86％、4．32％、37．59％、18．89％、19．36％和3．57％；MS及DM、IGR、高血压、高TC血症、高TG血症的患病率随年龄增加而增加；社区人群中62．69％的人有不同程度的代谢异常，且有33．08％的人合并2种或2种以上的代谢异常。结论杭州市社区人群具较高的MS相关疾病的患病率，要加强对MS及相关疾病的防治。