黑龙江省20～74岁居民代谢综合征流行病学调查  

The prevalence of metabolic syndrome in Heilongjiang residents aged 20-74 years

作　　者：吴南楠[1] 李强[1] 陈凯庭[1] 冯艳 刘晓颖[3] 李善忠[4] 张巾超[1] 

机构地区：[1]哈尔滨医科大学附属第二医院内分泌代谢病科,150086 [2]牡丹江市第二人民医院内分泌血液科 [3]绥化市第一医院血液、内分泌科 [4]黑龙江省桦南县人民医院内科

出　　处：《中华内分泌代谢杂志》2010年第9期758-761,共4页Chinese Journal of Endocrinology and Metabolism

基　　金：国家科技支撑计划（20078A107A00）;中华医学会临床医学科研课题（07020470055）;黑龙江省科技攻关课题（GA07C303107）;哈尔滨市科技攻关课题（2007AA3CS084） 志谢 参加本次调查研究所有单位及人员：卫生部中日友好医院内分泌科（杨文英、萧建中）;哈尔滨医科大学附属二院（杨爽、刘枫晨、李国庆、梁春峰、李娜、孙禹、张春梅）;牡丹江市二院内分泌科（王冬梅、柳晶）;绥化市第一医院（王海霞）;桦南县人民医院（高树君、邬荣川、王启宇）;哈尔滨市远大都市绿洲社区业主委员会（丁建依）;哈尔滨市哈平办事处（张莉莉）

摘　　要：采取多极分层整群随机抽样的原则对黑龙江2875名20～74岁居民进行问卷调查，并测量身高、体重、腰围、臀围、血压、静息心率及体脂含量，测定空腹血糖、胰岛素、血脂，并晨尿测定尿微量白蛋白。采用国际糖尿病联盟关于代谢综合征（MS）的诊断标准。结果显示，黑龙江省20～74岁居民MS粗患病率为19．34％，年龄标化后患病率为21．92％（男性20．41％，女性23．11％）。且MS患病率随年龄的增长而增加。城市、城镇及乡村MS年龄标化患病率分别25．22％、17．38％和14．75％，城市MS患病率高于城镇和乡村（均P〈0．05）。多元回归分析结果表明，体脂含量高、胰岛素抵抗、年龄增高、城乡地域差异、经常饮酒、每日主食量过多、白蛋白尿、教育水平低、肥胖家族史及性别均为代谢综合征的危险因素。A cross-sectional study was conducted in Heilongjiang in a representative sample of 2 875 Chinese adults aged from 20 to 74 years. Questionnaire was conducted. Their height, weight, waist circumference, blood pressure, blood glucose, serum insulin, lipids, and other indexes were determined. The criterion of International Diabetes Federation was applied for metabolic syndrome （MS） diagnosis. The results showed that the preliminary prevalence rate of MS was 19.34% and the age-adjusted prevalence rate of MS was 21.92% （ male 20.41% ,female 23.11% ）. The prevalence rate of MS increased with the age. The prevalence rate in the urban area was higher than that in the town and rural area （ both P 〈 0.05 ）. The result of multiple factor logistic regression analysis showed that body fat content, insulin resistance, age, residential difference, drinking habit, daily staple food quantity, urine albumin, education, family history of obesity, and gender were related with MS.

关 键 词：代谢综合征 患病率 流行病学研究 危险因素 

分 类 号：R589[医药卫生—内分泌]