老年代谢综合征患病情况及特点

目的　 调查老年干部代谢综合征的患病情况及特点。　 方法　通过体检的方法 ,测定血糖、血脂、血压、心电图、身高、体重、腰围、臀围、眼底等 ,并详细对受检人员询问病史。　 结果 　 1615名老年干部中发现代谢综合征 198例 ,发生率为 12 2 6% ;10 0 4名中年干部中发现 65例 ,发生率仅为 6 47% (P <0 0 1)。老年干部糖尿病、高血压的发生率分别为 2 1 67%、5 7 71% ,较中年干部的发生率 13 5 5 %、2 9 5 8%有明显增高 (P <0 0 1)。老年代谢综合征者冠心病、腹型肥胖、眼底动脉硬化的发生率分别为 5 4 0 4%、63 64%和 40 91% ;而非老年代谢综合征者为 2 6 15 %、44 61%和 2 9 2 3% ,明显低于老年代谢综合征者 (P <0 0 1)。　 结论　老年代谢综合征发病率较高 ,其主要原因是糖尿病和高血压的高发病率。老年代谢综合征伴有高冠心病、动脉硬化发病率 ,是威胁老年人身体健康的主要疾病

Epidemiologic study on metabolic syndrome in the elderly

Objective To investigate the prevalence of metabolic syndrome in the elderly. Methods Glucose,lipid,blood pressure,electrocardiogram,body mass index,retina,waist and hip circumferences were measured in 1 615 persons over 60 years of ages and 1 004 middle-aged persons. Results The incidence of metabolic syndrome(12.26%),diabetes mellitus(21.67%) and hypertension(57.71%) in the aged persons was higher than that in the middle-aged persons(respectively 6.47%,13.55%,29.58%,P<0.01).The incidence of coronary artery disease(54.04%),center obesity(63.64%),retina atherosclerosis(40.91%) in the aged persons with metabolic syndrome was higher than that in the middle-aged persons with metabolic syndrome(respectively 26.15%,44.61,29.23%,P<0.01). Conclusions High incidence of metabolic syndrome is related to age.Metabolic syndrome is also related to high incidence of hypertension and diabetes mellitus.It was main disease that affected health in the aged persons.