北京社区老年男性干部人群代谢综合征的流行病学研究

目的 调查北京部分社区老年男性干部人群代谢综合，征（MS）患病率。方法 于2003年9月和2004年5月在136个驻京部队干休所社区随机抽取1736人进行横断面调查，以中国糖尿病协会的建议为诊断标准，对老年男性干部人群的MS患病率进行了分析。结果 北京部分社区老年男性干部人群的MS患病率为30．7％，肥胖为39．6％、高血压为62．0％、高血糖为56．4％、高甘油三酯血症为37．1％。老年组和高龄老年组MS和高血压的患病率相似，高龄老年组的肥胖和高甘油三酯血症患病率显著低于老年组，而高血糖患病率则明显高于老年组，MS危险率也显著高于老年组。MS、糖代谢异常和高血压随年龄逐步增加，而高甘油三酯血症和肥胖的患病率则逐步下降。结论 北京部分社区老年男性干部人群具有较高的MS患病率，MS和各组分的患病率在不同的年龄段有所不同。进一步的流行病学调查和对人群进行干预的研究十分必要。

The epidemiologic study of metabolic syndrome in the elder male cadres population in community of Beijing

Objective To investigate the prevalence and distribution of metabolic syndrome(MS) in the elder male community population of Beijing.Methods Taking the recommendation of China Diabetics Association as diagnostic criterion,the prevalence of MS in(1 736) elder male cadres,sampled randomly from the 136 communities of garrison in Beijing in Sep.2003 and May 2004,were analyzed.(Results) The proportions of respondents with MS,obesity,essential hypertension(EH), hyperglycemia and hypertriglyceridemia were 30.7%,39.6%,62.0%,56.4%,and 37.1% respectively.The prevalence of MS and EH in the elder group were similar to those in very old group,while that of obesity and hypertriglyceridemia were significantly lower,that of hyperglycemia was significantly higher,the risk rate of MS in very older group was obviously higher than those in the elder group.The prevalence of MS,glucose metabolism abnormity and hypertension increased with ages,but that of hypertriglyceridemia and obesity gradually decreased with ages.Conclusions The prevalence rate of MS is very high in the elder male community population of Beijing and varies with different ages.It is necessary to do further epidemiologic investigation and intervention on this population.