贵州省黔南、黔东南少数民族地区成人HUA与MS的流行现状及其关系

目的 了解贵州省黔南、黔东南地区HUA、MS的流行情况及其相互之间的关系,为该地区人群慢性病的防控提供科学依据。方法 收集2014年1月-12月在黔南、黔东南地区医院参加体检人员的一般信息、身体测量指标和生化测量指标,共计20676例。结果 (1)黔南地区HUA总检出率为24.8%(男性为33.0%,女性为11.1%);MS总检出率为12.3%(男性为16.9%,女性为4.5%);黔东南地区HUA总检出率为28.0%(男性为38.3%,女性为10.5%);MS总检出率为12.1%(男性为16.0%,女性为5.5%),两地区男性HUA、MS的检出率均高于女性,差异均有统计学意义(P<0.05);年龄分层分析显示,年龄对女性HUA、MS的检出率影响较大。(2)两地区男性除高血糖外,MS及其他组分的检出率在HUA 组均高于SUA水平正常组,女性MS及其所有组分的检出率在HUA组均高于SUA水平正常组;Pearson积矩相关分析结果显示,SUA水平与HDL呈负相关,与BMI、收缩压、舒张压、TG、TC、LDL均呈正相关,而年龄、空腹血糖在男性中与SUA水平呈负相关,在女性中与SUA水平呈正相关。结论 贵州省黔南、黔东南地区HUA和MS的检出情况不容乐观,且HUA与MS组分中超重或肥胖、高血压和高TG密切相关。

The epidemic situation of HUA and MS,the relationship between HUA and MS among adults in Qiannan and Qiandongnan minority areas Guizhou Province

Objective The purpose of this study is to learn the epidemic situation of HUA and MS, the relationship between HUA and MS among adults in Qiannan and Qiandongnan minority areas Guizhou Province, to provide a scientific basis for the prevention and control of chronic diseases for people living in both areas. Methods From January to December in 2014 the general information and the physical and biochemical indicators were collected for people participating in medical examination in Qiannan and qiongdongnan areas, a total of 20,676 healthy physical objects were recruited. Results (1) The total detection rate of HUA was 24.8% (the detection rate of HUA in men was 33.0%, the detection rate of HUA in women was 11.1%), The total detection rate of MS was 12.3% (the detection rate of MS in men was 16.9%, the detection rate of MS in women is 4.5%) in Qiannan area;The total detection rate of HUA was 28.0% (the detection rate of HUA in men was 38.3%, the detection rate of HUA in women was 10.5%), The total detection rate of MS was 12.1% (the detection rate of MS in men was 16.0%, the detection rate of MS in women is 5.5%) in Qiandongnan area; the detection rates of HUA and MS in men were higher than women in the two regions, and the differences were statistically significant(P<0.05). The age-stratified analysis showed that age was a greater impact on the detection rates of HUA and MS in women. (2) In addition to high blood sugar, the detection rates of MS and other components in HUA group were higher than in the SUA levels normal group among men, the detection rates of MS and all components in HUA group were higher than in the SUA levels normal group among women in the two regions.Pearson product moment correlation analysis showed that the SUA levels was negatively correlated with HDL,but the SUA levels was positively correlated with BMI, systolic blood pressure, diastolic blood pressure, TG, TC and LDL; age and fasting blood glucose were negatively correlated with the SUA levels in men, but age and fasting blood glucose were positively correlated with the SUA levels in women. Conclusion The detection situation of HUA and MS are not optimistic in Qian nan and Qian dong