广西白裤瑶族、壮族及汉族代谢综合征调查及危险因素分析

目的探讨广西白裤瑶地区代谢综合征的状况并分析其危险因素,为少数民族地区代谢综合征（metabolic syndrome,MS）的预防提供依据。方法按分层随机整群抽取广西南丹地区白裤瑶族109人、壮族106人、汉族94人进行一般情况、生活行为、心理症状问卷调查,并测量血压、身高、体重、腰围,血脂、血糖。结果调查对象的总患病率为21.36%,男女的标化患病率分别为12.3%、28.2%;白裤瑶族、壮族、汉族的标化患病率分别为26.9%、24.3%、27.5%。男性的血压异常、低高密度脂蛋白（high density lipoprotein,HDL）、高空腹血糖（fast blood glucose,FBG）的患病率高于女性,而腰围异常患病率低于女性,汉族的高甘油三酯（triglyceride,TG）、低HDL、高FBG患病率均高于白裤瑶族,汉族的高TG患病率高于壮族,以上差异均有统计学意义（均有P〈0.05）。多因素非条件Logistic分析结果显示：体质指数、女性、年龄、饮酒是MS患病的危险因素。结论广西白裤瑶地区人群MS患病率较高,不同性别、民族MS的患病分类不同,应针对其危险因素加强对MS的防治。

Investigation on the metabolic syndrome and its risk factors of Bai Ku Yao,Zhuang and Han nationalities in Guangxi

Objective To investigate the metabolic syndrome（ MS） and its related factors in subjects of national minorities in Guangxi Bai Ku Yao region,in order to provide evidence for MS prevention in areas of national minorities.Methods One hundred and nine people of Yao nationality,one hundred and six people of Zhuang nationality and ninetysix people of Han nationality were randomly selected by cluster sampling. The general conditions,life behavior and psychological symptom scale were investigated by questionnaires. Blood pressure,height,body weight,waist circumference,lipid and plasma glucose were also measured. Results The overall rate of MS in Nandan City was 21. 36%. The standardized MS rate were 12. 3% and 28. 2% in male and female respectively and were 26. 9%,24. 3%,27. 5% in Yao,Zhuang and Han respectively. The prevalence of abnormal blood pressure,low high density lipoprotein（ HDL） and high fast blood glucose（ FBG） in male was high than in female,while the prevalence of abnormal waist circumference was much lower than in female. The prevalence of high triglyceride（ TG）,low HDL and high FBG in subjects of Han was higher than that in Yao,while the prevalence of high TG was higher than in Zhuang. The differences among the groups above were statistically significant. The unconditioned Logistic multi-factor analysis showed that body mass index（ BMI）,female,alcohol and age were the risk factors for MS. Conclusions The prevalence of MS in Bai Ku Yao region of Guangxi was higher and the difference in genders and ethnic groups has different disease classifications. The prevention and treatment of MS should be strengthened according to its risk factors.