2000～2004年代谢综合征的患病率及其变化趋势-青岛港健康研究

目的调查青岛港职工2000年～2004年四年间代谢综合征的患病率及其变化趋势。方法按心血管病流行病学标准化调查方法,采用整群抽样于2000年和2004年对青岛港职工分别进行调查。结果2000年11364名（男8759,女2605）18～54岁职工中,标化的代谢综合征患病率为10.0%（95%可信区间：9.4～10.6）,男性高于女性（标化率分别为13.9%、6.0%）;2004年10834名（男8591,女2243）18～54岁职工中,标化的代谢综合征患病率为12.5%（95%可信区间：11.9～13.1）,男性高于女性（标化率分别为16.1%、8.9%）。四年间女性标化的代谢综合征患病率升高了48.3%（P〈0.05）;男性增加了15.8%,有上升的趋势。结论青岛港职工代谢综合征患病率从2000年至2004年呈上升趋势。代谢综合征已经成为影响青岛港职工生命和健康的重大的公共卫生问题,要积极进行代谢综合征的各组分的综合防治。

The Trend of Metabolic Syndrome from 2000 to 2004-Qingdao Port Health Study

Objective To investigate the trend of metabolic syndrome(MS)in employees of Qingdao Port from 2000 to 2004.Methods The data were respectively collected in 2000 and 2004 by using international standardized cardiovascular epidemiological methods.The sample was selected using cluster sampling.The criteria of metabolic syndrome was according to International Diabetes Federation(IDF)2005 criteria.Results We examined 11364 employees aged 18~54 in 2000 and 10834 in 2004.The age and gender-standardized prevalence of MS in 2000 was 10.0%(95% confidence interval CI:9.4~10.6).Men had a higher age-standardized prevalence of MS than women did(13.9% and 6.0%,respectively).In 2004,the age and gender-standardized prevalence of MS was 12.5%(95% CI:11.9~13.1).Men also had a higher age-standardized prevalence of MS than women did(16.1% and 8.9%,respectively).The age-standardized prevalence of MS increased by 48.3% in women and by 15.8% in men,respectively.Conclusion The prevalence of MS in employees of Qingdao Port increased from 2000 to 2004.MS has become an important public health problem in Qingdao Port.It is urgent to develop strategies for the prevention of metabolic syndrome.