海岛渔村人群代谢综合征及相关疾病调查

目的了解海岛渔村16岁以上人群代谢综合征（MS）及相关疾病的患病情况。方法采用分层整群随机抽样方法进行流行病学问卷调查和身高、体重、血压检查,同时测定空腹血糖（FPG）、胆固醇（TC）、三酰甘油（TG）、高密度脂蛋白胆固醇（HDL-C）、尿酸（UA）,对FPG≥5.6mmol/L者进行囗服75g葡萄糖耐量试验（OGTT）。结果MS及超重、肥胖、糖尿病（DM）、糖调节受损（IGT）、高血压、高TC血症、高TG血症、高尿酸血症（HUM）、低HDL-C血症的患病率分别为5.77%、15.88%、3.34%、5.56%、3.55%、23.57%、9.18%、12.24%、10.99%、10.57%。部分代谢异常的患病率随着年龄增加而增高;有53.37%的人有不同程度的代谢异常,且有20.23%的人合并2种或2种以上的代谢异常。结论渔村地区和大、中城市相比,MS及相关疾病的患病率偏低,和其他农村相比还是偏高,应加强对MS及相关疾病的防治。

A Survey of Metabolic Syndrome and its Related Diseases in Fishing Village in Island

Objective To investigate the prevalence of metabolic syndrome （MS） and its related diseases in population with the age above 16 in fishing village in island. Methods Stratified sampling and random duster sampling were used to select research objects in fishing village in Zhoushan city. The epidemiological questionnaire survey and medical examination were performed. Height, weight, blood pressure, fasting blood glucose （FPG）, cholesterol, triglyceride （TG）, high density lipoprotein cholesterol （HDL-C） and uric acid （UA） were mea.vared. 75g oral glucose tolerance test was carried out in people withFPG≥5.6mmol/L. Results The prevalence rates of MS, overweight, obesity, diabetes mellitus （DM）, impaired glucose regulation （IGR）, hypertension, hypercholesterolemia, hypertriglyceridemia, hypemricemia （HUM） and hypo,-high- density-lipoprotein cholesterol in research objects were 5.77%, 15.88%, 3.34%, 5.56%, 3.55%, 23.57%, 9.18%, 12.24%, 10.99% and 10.57%, respectively. The prevalence rates of MS, DM, IGR, hypertension, hypereholesterolemia and hypertriglyceridemia increased with age. 53.37% of the subjects suffered from different degrees of metabolic abnormity, 20.23 % complicated with two or more kinds of metabohc abnormities. Conclusions There were lower prevalence rates of MS and its related diseases in fishing village than the rate in big or medium-size city, but higher than the rate in rural area, so the prevention and management of MS and its related diseases should be strengthened.