新疆维吾尔族和哈萨克族男性吸烟与代谢综合征的相关性  

Relationship between the prevalence study of smoking and metabolic syndrome among the males of Uygur and Kazakh in Xinjiang

作　　者：韦亚林[1] 彭潇[1] 马依彤[1] 杨毅宁[1] 谢翔[1] 付真彦[1] 马翔[1] 李晓梅[1] 黄莺[1] 陈铀[1] 

机构地区：[1]新疆医科大学第一附属医院心脏中心,乌鲁木齐830011

出　　处：《中华医学杂志》2011年第12期810-814,共5页National Medical Journal of China

基　　金：新疆维吾尔自治区重大科技专项课题（200733146-3）

摘　　要：目的 探讨新疆维吾尔族和哈萨克族男性吸烟与代谢综合征（MS）的相关性.方法 2007年10月至2010年3月应用四阶段整群随机抽样法,在新疆抽取乌鲁木齐市、克拉玛依市、阜康市、吐鲁番地区、和田地区、伊犁哈萨克自治州等6个地区年龄在35岁以上的维吾尔族和哈萨克族男性人群作为样本.探讨两个民族男性人群吸烟与MS及各组分的相关性.结果 共调查维吾尔族和哈萨克族人群4019人,维吾尔族吸烟869人,哈萨克族1114人,两民族吸烟组MS患病率分别为24.74%和29.62%,非吸烟组MS患病率分别为16.75%,24.72%,差异有统计学意义（P＜0.05）;进行同民族间基线资料比较发现在维吾尔族吸烟组中,收缩压、舒张压、腰围、血糖和甘油三酯均高于非吸烟组,而高密度脂蛋白小于非吸烟组,其中舒张压、腰围、甘油三酯在两组中比较差异有统计学意义（P＜0.05）;在哈萨克族中吸烟组腰围、甘油三酯、收缩压和舒张压水平高于非吸烟组,但血糖和高密度脂蛋白在吸烟组中的水平均低于非吸烟组,其中收缩压、舒张压和腰围在两组间的比较差异有统计学意义（P＜0.01）.通过Logistic多因素回归分析发现,在维吾尔族和哈萨克族MS中,吸烟OR值分别为1.698（95%CI 1.129～2.553）和1.845（95%CI 1.544～2.206）,且P＜0.05.结论 新疆维吾尔族和哈萨克族男性吸烟人群中MS患病率较高,吸烟可能为维吾尔族及哈萨克族MS患病的危险因素之一.Objective To investigate the prevalence and risk factors of smoking and metabolic syndrome （MS） among male Uygur and Kazakh adults residing in Xinjiang.Methods Four-stage selected random sampling was used to analyze the prevalence and the relationship between the risk factors of smoking and metabolic syndrome.The sampled adult populations over 35 years old were collected 6 localities （Urumqi,Kelamayi,Fukang,Turfan Basin locality,Hetian locality ＆ Yili Kazakh Autonomous Prefecture） in Xinjiang,China.The subjects were 4019 males of Uygur and Kazakh.Each individual answered a questionnaire,received physical examinations and a biochemical indicator survey.The smoking patients were divided into two groups： one complicated with metabolic syndrome and the other not.A logistic regression analysis was also made to identify the possible risk factors and their powers on the prevalence of metabolic syndrome with smoking.Results With regards to the habit of smoking,the smokers of Uygur and Kazakh were 869 and 1114 respectively.The prevalence of MS was 24.74% and 29.62% for Uygur and Kazakh smokers respectively.And 16.75% and 24.72% for Uygur and Kazakh non-smokers respectively.The comparison of baseline information showed that,in Uygur males,the mean values of diastolic blood pressure,waist circumference and triglyceride were higher in smoker group than those in non-smoker group （ P 〈 0.05 ）; in Kazakh males,the mean values of systolic blood pressure,diastolic blood pressure and waist circumference were higher than nonsmoker group （ P 〈 0.05 ）.Logistic regression analysis showed that the OR value of smoking was 1.698 （95% CI 1.129 -2.553） in Uygur and 1.845（95% CI 1.544 -2.206）in Kazakh of MS patients.Conclusion The prevalence of MS is higher in male smokers than that in nonsmokers in Uygur and Kazakh.Perhaps smoking is one of the risk factors for MS.

关 键 词：代谢综合征 吸烟 维吾尔族 哈萨克族 

分 类 号：R589[医药卫生—内分泌]