家庭经济水平与如皋市金婚夫妇代谢综合征的关系

目的探讨家庭经济水平（FIL）与如皋市金婚夫妇代谢综合征（MS）的关系。方法随机抽取如皋市内的金婚年龄夫妇587对进行MS患病调查,内容包括MS相关指标及胰岛素抵抗（IR）、FIL,FIL按快速聚类分析法将研究对象按由低到高均等分为低（A组）、中（B组）、高（C组）3组,比较各组MS、心脑血管疾病患病率,血压、血脂、血糖和体质指数（BMI）以及胰岛素抵抗（IR）异常率。结果MS患病率：B组（17.60%）低于A、C组（26.02%,27.81%）,差别有统计学意义（P〈0.05）;心脑血管疾病患病率C组（17.44%）高于A、B组（11.73%,10.20%）,差别有统计学意义（P〈0.05）;B组BMI、血糖、甘油三酯（TG）以及IR异常率均低于A、C组（P〈0.05）,C组低高密度脂蛋白（HDL）率高于A组;B组BMI、TG及IR低于A、C组（P〈0.05）,C组的HDL低于A、B组（P〈0.05）。结论过高或过低的FIL可能是促进如皋市金婚夫妇患MS的原因之一。

Relationship between Family Income Level and Metabolic Syndrome of Golden Wedding Couples in Rugao City, Jiangsu Province

Objective To investigate the impact and relationship between family income level （FIL） and prevalence rate of metabolic syndrome （MS） of golden wedding couples in Rugao city. Methods Random sample survey of golden wedding couples about MS in Rugao city was run recently, including relevant indexes of MS, insulin resistance （IR） degree （from HOMA-IR） and family income level. 587 couples were divided into three groups according to FIL by rapid cluster analysis： 196 with low FIL as group A, 196 with middle FIL as group B and 195 with high FIL as group C. The prevalence rate of MS, abnormal rates of blood pressure（BP）, blood lipids, blood glucose including fasting plasma glucose （FPG） and postprandial 2 hours plasma glucose （2 h PG）, body mass index （BMI） and insulin resistance （IR） of all groups were calculated and compared. Results The prevalence rate of MS in group B （17.60%） was lower than that in group A （26.02%）and group C （27.81%）（P〈0.05）, and there was no significant difference between that in group A and B; the prevalent rate of cardio-and/or cerebral vascular diseases in group C （17.44%） was much higher than that in group A （11.73%） and group B （10.20%）; the abnormal rates of BMI, FPG/2 h PG, triglyceride （TG） and IR in group B were lower than those in group B and C, and the rate of low HDL-C in group C was lower than that in group A, the levels of BMI, TG and IR in group B were lower than those in group B and C, and the level of HDL-C was lower in group C than that in group A and B （P〈0.05）. Conclusion Too high or too low FIL might be the risk factor for MS in golden wedding couples in Rugao City.