上海市松江区机关事业单位代谢综合征的流行特征  

Prevalence of metabolic syndrome in employee of Shanghai Songjiang district government offices and institutions

作　　者：张丽娟[1] 周莹[1] 马志红[1] 范能光[1] 蒋灵芳 金春花[1] 高飞[1] 刘剑华[1] 李育红[1] 张文[1] 

机构地区：[1]上海交通大学附属第一人民医院松江分院内分泌科,上海201600

出　　处：《内科理论与实践》2011年第4期287-290,共4页Journal of Internal Medicine Concepts & Practice

基　　金：上海市松江区医学领先专业课题(项目编号:90-Ⅱ-10)

摘　　要：目的:探讨上海市松江区事业单位代谢综合征(MS)的流行特点。方法:采用整群随机抽样方法对上海市松江区事业单位2 662名20岁以上成人进行问卷调查,并测其身高、体重、血压、空腹血糖、血脂、尿酸。MS诊断采用2004年中华医学会糖尿病学分会制定的标准,了解MS的患病率及发病危险因素。结果:MS标化患病率为13.63%,男性患病率明显大于女性(20.59%比9.11%,P<0.01)。且MS中各组分的患病率男性都显著大于女性(P<0.01)。MS的患病率随着年龄和体质量指数(BMI)的增长而增加。多元回归分析结果表明,BMI、血糖、三酰甘油、收缩压、低密度脂蛋白、舒张压、年龄、血尿酸和血总胆固醇含量均为MS的危险因素。结论:上海市松江区事业单位MS患病率达13.63%,肥胖是MS主要危险因素。Objective To study the prevalence of metabolic syndrome （MS） in employee of Shanghai Songjiang district government offices and institutions. Methods A random sampling study was conducted in employee of Shanghai Songjiang district government offices and institutions with a representative sample of 2 662 adults aged above 20 years. Questionnaire was conducted. Height, weight, blood pressure, fasting blood glucose, lipid, blood uric acid and other indices were determined. The Chinese Diabetes Society （CDS, 2004） criteria was used for the diagnosis of MS. Results The standardized prevalence rate of MS in employee of Shanghai Songjiang district government offices and institutions aged above 20 years was 13.63% （male 20.59%, female 9.11%）. The prevalence rates of MS and components of MS in males were higher than that in females （P〈0.01）. The prevalence rate of MS increased with age and BMI. Multiple logistic regression analysis showed that body mass index （BMI）, blood glucose, triglyceride, systolic blood pressure, low density lipoprotein cholesterol, systolic blood pressure, age, blood uric acid and total cholesterol were the risk factors of MS. Conclusions The prevalence rate of MS in employee of Shanghai Songjiang district government offices and institutions aged above 20 years was 13.63%. Obesity was the main risk factor of MS.

关 键 词：代谢综合征 患病率 流行病学 

分 类 号：R589[医药卫生—内分泌] R181.38[医药卫生—内科学]