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。

Analysis of epidemic trend and risk factors of metabolic syndrome in cities of Liaoning

Objective：Aim of the study is to determine the epidemic trend and risk factors of metabolic syndrome（MS）in cities of Liaoning.Methods：A total of 2000 peoples were involved in the study,including 1000 peoples who underwent physical examination and 1000 peoples from communities（from cities of Liaoning）.According to diagnostic standard of MS,the subjects were divided into：over weight and obese group（460 cases） and normal weight group（1540 cases）,hyperglycemia group（140 cases） and normal blood glucose group（1860 cases）,hypertension group（399 cases） and normal blood pressure group（1601 cases）,lipid abnormality group（486 cases） and normal lipid group（1514 cases）.Morbidities of MS in each group were compared.Results：For the whole research study population,prevalence was 22.05%（441/2000）,24.15% for male（263/1089）and 19.53% for female（178/911）,the difference had significance（P〈0.01）.Morbidities of MS in over weight and obese group and normal weight group were 42.12% and 4.13% respectively and those of hyperglycemia group and normal blood glucose group were 49.47% and 5.49%,while the morbidities in lipid abnormality group and normal lipid group were 38.35% and 4.41%,in hypertension group and normal blood pressure group were 43.42%,3.56%.There were significant difference between corresponding groups above（P〈0.01 all）.Conclusion：The morbidity of metabolic syndrome in cities of Liaoning increases as age increases,and men have a higher morbidity than women;the morbidities of all subgroup of MS are more than those of control group,especially in over weight and obese population,and hypertension population.