北京某高校2006和2008年代谢综合征检出状况比较  

Comparison of metabolic syndrome detected in a college of Beijing during 2006 and 2008

作　　者：王玲[1] 田慧[1] 李春霖[1] 邵迎红[1] 李剑[1] 刘瑜[1] 方福生[1] 成晓玲[1] 苗新宇[1] 杨彦[1] 

机构地区：[1]解放军总医院老年内分泌科,北京100853

出　　处：《军医进修学院学报》2009年第3期342-344,共3页Academic Journal of Pla Postgraduate Medical School

基　　金：北京首都医学科学发展基金(2005-2045)~~

摘　　要：目的:比较2006年和2008年北京某高校教职员工年度查体代谢综合征(MS)的检出率和影响因素。方法:使用预定的流行病学调查表,由专业人员询问调查人群的既往史,测量身高、体重、腰围、血压,并计算体重指数(BMI)值,除确诊2型糖尿病者,均统一行口服75g葡萄糖耐量试验(OGTT),测空腹和负荷后2h血糖、血胰岛素、空腹血脂、尿酸、肝肾功能等指标。分别计算两年MS的检出率。结果:按照CDS和IDF的诊断标准,2006年MS检出率分别为8.9%、9.9%,2008年分别为15.1%、17.4%,MS检出率随年龄的增长而增加。2006年糖尿病、糖尿病前期、高血压、高甘油三酯和(或)低高密度脂蛋白胆固醇、BMI≥25kg/m2者、腰围异常(男性≥90cm,女性≥80cm)者的检出率分别为3.5%、6.6%、16.6%、30.3%、41.5%、20.6%,2008年分别为4.2%、8.1%、25.6%、36.4%、48.5%、30.7%,分别净增20.0%、22.7%、54.2%、20.1%、16.9%、49.0%。较2006年明显增加(P<0.01)。结论:北京某高校教职员工具有较高的代谢综合征及其相关疾病的检出率,并呈增长趋势,以高血压和腰围的增加最为明显。Objective： To compare the detection rates for metabolic syndrome （ MS ） and its influence factors in an institution of Beijing during 2006 and 2008. Methods： A standard questionnaire and 75g oral glucose tolerance test （ OGTT ） were applied in the investigation. The levels of plasma glucose （ fasting and postprandial ） , blood insulin （ fasting and postprandial ）, lipid, and uric acid, and creatinine, as well as body height and weight, waist circumference （ WC ）, blood pressure, body mass index （ BMI ） of patients with MS were measured. The detection rate of MS in these patients was analyzed. Results： The prevalence of MS determined by CDS and IDF was 8.9% and 9.9%, respectively, in 2006, and 15.1% and 17.4%, respectively, in 2008. The prevalence of MS increased with aging. The prevalence of diabetes mellitus, prediabetes, hypertension, hypertriglyceridemia or/and hypo or hyper density lipoproteinemia, BMI ≥ 25kg/m^2 and waist circumference abnormality （ male≥ 90cm, female≥ 80cm ） was 4.2%, 8.1%, 25.6%, 36.4%, 48.5% and 30.7%, respectively. The prevalence of these diseases was significantly higher in 2008 than in 2006 （ 3.5%, 6.6%, 16.6%, 30.3%, 41.5%, 20.6% vs 20.0%, 22.7%, 54.2%, 20.1%, 16.9%, 49.0%, P〈0.01 ）. Conclusion： The faculty in a college of MS and its related diseases is high in the institution of Beijing with a higher detection rate of MS and its related diseases in 2008 than in 2006. The prevalence of hypertension and abnormal WC is significantly increased.

关 键 词：代谢综合征 糖尿病 高血压 疾病 

分 类 号：R58[医药卫生—内分泌]