江苏省苏锡常地区成年人群代谢综合征的患病率及相关危险因素分析

目的了解江苏省苏锡常地区成年人群代谢综合征(MS)的患病率及其相关危险因素,为该地区MS的有效防治提供依据。方法应用2005年国际糖尿病联盟(IDF)颁布的MS诊断标准,采用分层整群随机抽样方法,于2009年3—11月在苏锡常地区选取≥20岁的常住人群进行问卷调查、体格检查及相关代谢指标测定。MS的影响因素分析采用Logisitic回归分析。结果 3 723人中符合MS诊断标准者751例,MS患病率为20.2%,标化患病率为14.5%。男、女MS的患病率分别为21.5%,18.3%,标化患病率分别为15.1%,13.1%,两者差异无统计学意义。MS的患病率在70岁之前有随年龄增长而上升的趋势。农村人群MS的患病率高于城市。MS的5项组分中至少具有1项组分异常的检出率高达74.3%。Logisitic回归分析结果显示年龄、文化程度、吸烟、高血压家族史、糖尿病家族史和肥胖家族史是MS患病的相关危险因素。结论苏锡常地区成年人群MS患病率较高,并且有随年龄增长上升的趋势,应尽早针对MS相关危险因素采用综合控制措施,以减少心脑血管疾病的发生。

Analysis on the Prevalence and Risk Factors of Metabolic Syndrome in Adults in Suxichang Area of Jiangsu Province

Objective To investigate the prevalence and risk factors of metabolic syndrome（MS） in Suxichang area of Jiangsu province.Methods Metabolic syndrome was defined according to the consensus worldwide definition of International Diabetes Federation（IDF） in 2005.With multistage randomized cluster sampling,investigations including questionnaire,physical examination,fasting plasma glucose and blood lipids were performed among 3 723 adults aged 20 years and over in Suxichang area.Results There were 751 subjects who met the criterion of MS.The crude prevalence of MS was 20.2% and the age-adjusted prevalence was 14.5%.The age-adjusted prevalence was 15.1% in men and 13.1% in women（P〈0.05）.The prevalence increased with the increment of age before 70 yrs old.Before fifty years old,the prevalence of MS was higher in men than in women.Over fifty years old,the prevalence of MS was similar between the two genders.74.3% subjects had at least one of the five metabolic disorders.The prevalence was higher in urban area than in rural area.The logistic regression analysis showed that age,education,smoking,family history of hypertension,diabetes and obesity were related risk factors to MS.Conclusion The prevalence of MS was considerably high in SuXiChang area.It was increased with increasing age.Monitoring of the risk factors and comprehensive measures of intervention should strongly be advocated in adult people to avoid the occurrence of cardiovascular diseases.