老年人群代谢综合征调查分析  

Prevalence of the Metabolic Syndrome in the Elderly Community Population Aged Over 60 Years

作　　者：徐伟民[1] 毛旭东[1] 曾文琴[1] 席蓓莉[1] 陆慧华[1] 

机构地区：[1]上海市徐汇区中心医院老年科,上海200031

出　　处：《实用临床医学（江西）》2006年第4期135-137,139,共4页Practical Clinical Medicine

基　　金：上海市徐汇区卫生局科研基金资助项目(05C-3)

摘　　要：目的：调查老年体检人员代谢综合征（MS）及其相关疾病的患病情况。方法：检测559例体检人员的身高、体重、腰围、血压、心率、体重指数（BMI）、空腹血糖、总胆固醇、甘油三脂、高密度脂蛋白等指标，并对调查结果进行统计分析。结果：老年男性MS发病率为14．15％，60-70岁组的MS发病率为最高，达22．41％；老年女性MS发病率为20．56％，80岁以上的发病率较高，达30．43％。在MS各种组合中，男性和女性均以肥胖＋高血压＋高血脂这种组合比例最大，占40％以上。MS患者伴发脂肪肝、糖尿病、高血压的比例均高于非代谢综合征的患者（P〈0．05，P〈0．01）。脂肪肝（OR=4．287，95％CI：1．737～10．583，P=0．002）、腰围（OR=3．783，95％CI：1．019～14．050，P=0．047），脂肪肝和腰围与MS密切相关。结论；本次调查显示老年人MS发病率有增高趋势，最多见的表现形式为肥胖＋高血压＋高血脂组合，MS合并脂肪肝、糖尿病、高血压的比例亦有增高，脂肪肝和腰围对MS具有显著危险性。Objective. To investigate the proportion of metabolic syndrome in the elderly people. Methods： Height,weight,blood pressure, heart rates, body mass index, plasma glucose, cholesterol, triglyceride, high-density lipoprotein were measured. Results. The prevalence of MS in men was 14. 15% with the highest among subjects aged 60-70 years. The prevalence of MS in women was 20.56% with the highest in groups over 80 years. The common manifestation of MS was obesity, hypertension and dyslipidemia. This ratio was over 40%. The proportion of fatty liver, diabetes mellitus and hypertension in MS was higher than other. Excluding the factors of hypertension,dyslipidemia, obesity and DM, fatty liver and waistline were prominence risk factors. Conclusion： The incidence of MS is very high in the elderly community population. The common type of MS is obesity, hypertension, and dyslipidemia. The ratio of fatty liver,diabetes mellitus, hypertension is excessive in MS.

关 键 词：代谢综合征 脂肪肝 老年 高血脂 甘油三脂 

分 类 号：R589[医药卫生—内分泌]