上海市奉贤东区30岁以上人群不同诊断标准下代谢综合征患病率调查

目的:了解不同诊断标准下上海市奉贤东区代谢综合征(MS)的患病情况,并比较其一致性。方法:随机整群抽取奉贤东区灯民村、洪南村及海港开发区30岁以上居民2107人列入本次分析。采用1999年世界卫生组织(WHO)诊断标准、2004年中华医学会糖尿病学分会(CDS)诊断标准和2005年国际糖尿病联盟(IDF)诊断标准计算MS的患病率,并进行比较和一致性检验。结果:根据WHO、CDS、IDF这3种诊断标准,MS的患病率分别为10.20%、16.66%和27.20%。WHO与CDS诊断标准判断MS患病率的一致性最好,符合率为91.69%;其次为CDS与IDF,符合率为81.78%;而WHO与IDF符合率为77.60%。结论:上海市奉贤东区30岁以上人群MS患病率已经达到较高水平,3种MS诊断标准存在一定的一致性。

Survey of the prevalence of metabolic syndrome by different diagnostic criteria in individual over 30 years of age in East Fengxian District of Shanghai

Objective To compare the prevalence of metabolic syndrome in individual over 30 years of age in East Fengxian District of Shanghai by different definitions and find the appropriate. Methods A eross-seeitional survey with random sampling was performed including 2 107 individuals in East Fengxian community over 30 years of age. The different prevalences under the World Health Organization（WHO）in 1999,the China Diabetes Society（CDS） in 2004 and International Diabetes Federation （IDF） in 2005 definitions respectively were calculated and the results were compared by K test. Results The prevalences of metabolic syndrome under WHO,CDS,and IDF were 10.20%, 16.66% and 27.20%, respectively. The 91.69% concordance of metabolic syndrome cases was found between WHO and CDS,81.78% between CDS and IDF,and 77.60% between WHO and IDF. Conclusions The prevalence of metabolic syndrome has been in a high level in individual over 30 years of age in East Fengxian District of Shanghai. The agreement among three definitions is relatively high.