代谢综合征的不同诊断标准在北京某集团公司工作人员中的应用比较

目的对北京某集团公司工作人员进行流行病学调查，比较和探讨4种代谢综合征（MS）诊断标准对这一特殊人群诊断的患病率和一致性。方法对2007年3月～2008年3月在我院接受健康体检的3075例（男性2381例，女性694例）北京某集团公司从事管理、科研的脑力工作者，分别采用美国国家胆固醇教育计划成人治疗方案第三次报告（NCEP—ATPⅢ）、美国心脏协会（AHA）对NCEP—ATPⅢ修订的诊断标准（ATPⅢ^＊）、中华医学会糖尿病学分会（CDS）和国际糖尿病联盟（IDF）的MS诊断标准诊断MS，并比较MS的患病率和一致性。结果ATPⅢ标准MS合计患病率为22．57％（男22．89％，女21．46％，P〉0．05）；ATPⅢ^＊标准为34、70％（男33．94％，女37.32％，P〉0．05）；IDF标准为30．70％（男30．32％，女31．99％，P〉0．05）；CDS标准为29．46％（男27．13％，女15．85％，P〈0．001）。ATPⅢ与ATPⅢ^＊、ATPⅢ与CDS、ATPⅢ与IDF、ATPⅢ^＊与CDS、ATPⅢ^＊与IDF和CDS与IDF标准的MS诊断一致率分别为82．02％、81．53％、77.30％、78．05％、92．23％、78．73％。结论调查对象的MS患病率明显偏高，其中男性MS患病率未明显表现为增龄趋势；IDF与ATPⅢ^＊标准的诊断一致性最好；CDS标准中肥胖的判定建议采用腰围指标。

A comparison of four diagnostic criterions for metabolic syndrome applied among the officials of one corporation in Beijing

Objective The aim of this study was to explore the prevalence of metabolic and analysis of agreement of four diagnostic criterions for metabolic syndrome（MS）among the officials of one corporation in Beijing. Methods A cross-sectional survey was conducted among 3075 officials （man 2381, woman 694） of one corporation while physical examination was undergoing in our hospital from March 2007 to March 2008 in Beijing. The MS diagnosed and compared according to the National Cholesterol Education Program Adult Treatment Panel Ⅲ （ATPⅢ）, the modified ATPm criteria by American heart association （ATP Ⅲ^ ＊）, the China Diabetes Society （CDS） and the International diabetes federation（IDF）. Results The prevalence of MS were 22.57% （man 22.89% ,women 21.46% ,P〉0.05）, 34.70% （man 33.94% ,woman 37.32% ,P〉0.05）, 30.70% （man 30.32%,woman 31.99% ,P〉0.05） and 29.46%（man 27.13% ,woman 15.85% ,P〈0.001 ） according to the ATPⅢ, ATPⅢ ^＊, IDF and CDS definition, respectively. The agreement rate in the diagnosis of MS were 82.02%, 81.53%, 77.30%, 78.05%, 92.23%, and 78.73% between ATPⅢ and ATPⅢ^＊, ATPⅢ and CDS, ATPⅢ and IDF, ATPⅢ^＊ and CDS,ATPⅢ^＊ and IDF, CDS and IDF, respectively. Conclusion The prevalence of MS was significantly high among the officials of one corporation in Beijing. The prevalence of MS was not increased with age in man. The agreement between IDF and ATPⅢ^ ＊ definition was very good. The criteria of obesity was suggested to be waist circumferences instead of BMI for CDS definition.