河北省中老年人代谢综合征患病现状及影响因素

目的  了解河北省中老年人代谢综合征（metabolic syndrome，MS）的患病现状及影响因素。方法  利用京津冀地区生活社区自然人群慢性病队列研究数据，分析河北省七个区县4 546名40~80岁居民MS的患病情况，采用多因素Logistic回归分析模型探讨MS患病的相关影响因素。结果  MS患病率为25.30%，其中男性患病率为28.59%，女性为23.09%；汉族患病率为28.15%，满族为21.07%。MS各组分中，超重肥胖、高血压、高血糖和血脂紊乱的患病率分别为50.99%、46.70%、22.06%和43.16%。多因素Logistic回归分析模型分析结果显示，女性（OR=0.69，95% CI：0.57~0.83，P＜0.001）、满族（OR=0.68，95% CI：0.59~0.79，P＜0.001）和较高的文化程度（相对于小学及以下文化者，高中/初中和大专及以上OR分别为0.83和0.75）是保护因素，高龄（与40~岁年龄组相比，50~岁、60~岁和70~岁年龄组OR分别为1.81、1.76和1.50）是危险因素。结论  河北省中老年人MS患病率较高，特别是在高龄、男性、汉族和低文化程度人群中。在对人群进行针对性防控的同时应采取积极措施控制体重。

Analysis on prevalence of metabolic syndrome and its influencing factors among middle-aged and above in Hebei Province

  Objective  To understand the prevalence of metabolic syndrome (MS) and its influencing factors among middle-aged and above in Hebei Province.  Methods  Using data from the chronic disease cohort study of natural populations in living communities in the Beijing-Tianjin-Hebei region, the prevalence of MS among 4 546 residents aged 40-80 years old in seven districts or counties of Hebei Province was analyzed, and the multivariate logistic regression model was used to explore the related influencing factors of MS prevalence.  Results  The prevalence of MS was 25.30%. Among them, the prevalence of men was 28.59%, and that of women was 23.09%; the prevalence of Han was 28.15%, and the Manchu was 21.07%. Among the components of MS, the prevalence of overweight/obesity, hypertension, hyperglycemia and dyslipidemia were 50.99%, 46.70%, 22.06% and 43.16%, respectively. Multivariate logistic regression results showed that females (OR=0.69, 95% CI:0.57-0.83, P ＜ 0.001), Manchus (OR=0.68, 95% CI:0.59-0.79, P ＜ 0.001), and higher education levels (compared to those with primary school and below, the odds ratio for high school/junior high school and college or above were 0.83 and 0.75, respectively) were protective factors, and the advanced age (compared with 40-49 years old age group, the odds ratio for 50-59 years old, 60-69 years old and 70-80 years old age group were 1.81, 1.76 and 1.50, respectively) was risk factors.  Conclusions  The prevalence of metabolic syndrome in Hebei is relatively high, especially among elderly, male, Han and low-education people. When carrying out targeted prevention and control of the crowd, active measures should be taken to control weight.