北京市城区中老年居民代谢综合征的患病现况及危险因素分析

目的调查北京市东城区〉40岁的居民代谢综合征（MS）的患病现况，分析其相关危险因素。方法整群抽取北京市东城区5个社区共9416例〉40岁的居民，对所选对象进行问卷调查，测量身高、体质量、腰围、血压，并测定空腹血糖及血脂。计算不同年龄及性别的调查对象MS及相关疾病的患病率，分析MS的相关危险因素。结果MS的粗患病率为20．20％，男性为22．90％，女性为18．28％，男女患病率间差异无统计学意义（P〉0．05）。按2005年北京市1％人口抽样调查结果年龄标准化，MS总患病率为16．21％，男性为18．13％，女性为15．50％。高血压、超重、血脂异常及高血糖的患病率分别为29．72％、40．36％、20．72％和25．47％。Logistic逐步回归分析结果表明，高血压、超重、高血糖、血脂异常、民族、职业、收缩压、教育程度、饮酒类型是组成MS的独立危险因素。结论北京市东城区中老年居民中MS有较高的患病率；除组成MS的主要危险因素高血压、超重、高血糖和血脂异常外，民族、职业（机关人员、警察）、收缩压、教育程度（中专）、饮酒类型（白酒）也是组成MS的独立危险因素。

Prevalence and Risk Factors Research of Metabolic Syndrome from Middle and Aged Community Inhabitant in Beijing

Objective To investigate the morbidity and analyze the risk factors of metabolic syndrome in community population above 40 years old. Methods 9 416 inhabitant above 40 years old were sampled for investigation, questionnaire, physical examination and laboratory data were performed. Four groups were divided according to age. Morbidity rate of metabolic syndrome and related diseases from the total population and aged groups were calculated. Logistic regression was applied to analy-ses the risk factors resulting in metabolic syndrome. Results The gross morbidity rate of metabolic syndrome is 20. 20% (22. 90% with male, 18. 28% with female) , There was no difference between male and female. After age - standardization, the morbidity rate of metabolic syndrome was 16. 21% (18. 13% with male, 15. 50% with female). The sickness rate of hyper-tension, overweight, hyperlipemia and hyperglycemia are 29. 72% , 40. 36% , 20. 72% and 25.47%. In addition to hyperten-sion, overweight, hyperlipemia and hyperglycemia, nation, occupation, systolic blood pressure level in physical examination, educational level and being addicted to drink is the independent risk factors composed metabolic syndrome. Conclusion Meta-bolic syndrome has a high prevalence rate in urban middle and old - aged population. There was no difference between male and female above 40 years old. Nation, occupation, systolic blood pressure level in physical examination, educational level and be-ing addicted to drink is also the independent risk factors composed metabolic syndrome.