天津市某社区50岁以上居民代谢综合征及相关因素研究

目的探讨天津市某社区50岁以上人群代谢综合征（Metabolic Syndrome,MS）患病率及影响患病率的相关因素。方法于2011年10月～2012年3月采用分层整群随机抽样方法抽取天津市某社区≥50岁、在天津市居住≥5年的居民共4 577人作为研究人群进行横断面调查,内容包括人口统计学特征、生活方式、疾病史、疾病家族史等调查,身高、体重、腰围、臀围等体格检查,以及空腹血糖、血脂等实验室检查。代谢综合征患者的诊断采用2005年国际糖尿病联盟（IDF）提出的代谢综合征诊断标准。以MS患者为病例组,非MS患者为对照组,应用非条件Logistic回归分析方法对MS的危险因素进行单因素分析和多因素分析,计算比值比（OR）及其95%可信区间（95%CI）。结果研究结果显示,4 577名研究对象中,MS患者1 838人,MS患病率为40.16%。以MS患者为病例组,非MS患者为对照组,进行单因素非条件Logistic回归分析,结果表明：年龄大（OR=1.102,95%CI：1.021～1.189）、月收入高（OR=1.091,95%CI：1.013～1.714）、高血压家族史（OR=1.788,95%CI：1.546～2.067）、糖尿病家族史（OR=1.810,95%CI：1.352～2.423）、腰臀比（WHR）高（OR=1.370,95%CI：1.287～1.460）、体重指数（BMI）大（OR=2.397,95%CI：2.198～2.614）和睡眠障碍（OR=1.274,95%CI：1.106～1.477）与较高的MS危险有关;多因素Logistic回归分析结果表明：年龄大（OR=1.192,95%CI：1.096～1.298）、人均月收入高（OR=1.090,95%CI：1.005～1.182）、高血压家族史（OR=1.619,95%CI：1.382～1.895）、糖尿病家族史（OR=1.600,95%CI：1.165～2.199）、BMI大（OR=2.284,95%CI：2.089～2.497）、WHR高（OR=1.334,95%CI：1.246～1.428）、睡眠障碍（OR=1.183,95%CI：1.015～1.378）与较高的MS危险有关;而男性（OR=0.514,95%CI：0.450～0.587）与较低的MS危险有关。结论研究人群MS患病率为40.16%。性别、年龄、人均月收入、体重指数、高血压家族?

Cross-sectional study its related factors on the prevalence rate incommunity residents of Metabolic Syndrome and aged above 50 in Tianjin

Objective To investigate the prevalence and associated factors of Metabolic Syndrome （MS） in residents aged fifty and above. Methods A cross-sectional study was conducted from October,2011 to Mareh,2012 in Tianjin. 4 577 subjects aged fifty and above, and having lived in Tianjin over 5 years were recruited by means of stratified cluster sampling. Information was collected through face-to-face interview, including demographic data, behavior pattern, disease history,family disease history, physical examination, （height, weight, waist and hip circumferences ） and laboratory examinations （fasting serum glucose and serum lipids）. The patients with metabolic syndrome （MS） were diagnosed according to the diagnostic criteria of International Diabetes Federation in 2005. Univariate and multivariate non-conditional logistic regression were used to analyze odds ratio and its 95 percent of confidence interval for exploring the associated factors with MS,in which case group consisting of MS patients and control group consisting of non-MS controls. Results There were 1 838 patients with MS in 4 577 subjects. The prevalence of MS was 40. 16%. The results of univariate logistic regression analysis showed that age （OR= 1. 102,95%CI： 1. 021-1. 189） ,average income per month （OR= 1. 091,95%CI：1. 013-1.714）, family history of hypertension （ OR = 1.78,95% CI： 1. 546 - 2. 067 ）, family history of diabetes （ OR = 1.810,95%CI： 1. 352 - 2.423 ）, waist-to-hip ratio （ OR = 1. 370,95% CI： 1. 287 - 1. 460 ） and body mass index （ OR = 2. 397,95%CI：2. 198-2. 614） ,dyssomnia （ OR= 1. 274,95%CI： 1. 106-1. 477 ） were associated with higher risk for MS; The results of multivariate logistic regression analysis showed that age （ OR = 1. 192, 95% CI： 1. 096 - 1. 298 ） , average income per month （ OR = 1. 090,95% CI： 1. 005 - 1. 182）, family history of hypertension （ OR = 1. 619, 95% CI： 1. 382 - 1. 895 ）, family history of diabetes （ OR = 1. 600,95% C1：1.165- 2. 199 ）,