长沙健康体检人群代谢综合征现状及危险因素分析  

Status and risk factors for metabolic syndrome in physical examination population in Changsha

作　　者：王晓华[1] 

机构地区：[1]长沙市中心医院健康管理中心,长沙410004

出　　处：《国际病理科学与临床杂志》2011年第5期385-388,共4页Journal of International Pathology and Clinical Medicine

基　　金：湖南省中医药科技计划(2009089)~~

摘　　要：目的:探讨2010年长沙市部分企业员工代谢综合征的患病现状、分布特征及其危险因素,为预防代谢综合征提出有效的干预措施。方法:对长沙市某体检人群1 342人进行空腹血糖、血脂(包括总胆固醇、三酰甘油、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇)、尿酸、身高、体质量、血压测定及膳食结构、家族史、生活习惯和运动情况等问卷调查,对结果进行多元Logistic逐步回归分析。结果:从1 342名中共检出代谢综合征165名,发生率为12.3%,其中男性为13.9%,女性为10.0%,且随年龄的增加而增长。多元Logistic回归分析结果表明,年龄、饮酒、高脂饮食及糖尿病家族史是男性代谢综合征的主要危险因素;年龄、缺乏运动及高血压家族史是女性代谢综合征的主要危险因素。结论:湖南长沙市部分企业员工代谢综合征的患病率较高,必须引起重视;坚持终身运动、合理膳食以及限酒是预防代谢综合征经济、有效的措施。Objective To explore the prevalence feature and risk factors of metabolic syndrome for employees in some area of Changsha in 2010,and to find the effective preventive strategy. Methods A total of 1342 people were enrolled in this study,whose healthy behavior and family history were taken by questionnaires.Blood sugar,serum lipid levels（including total cholesterol,low and high-density lipoprotein cholesterol and triglyceride）,uric acid,body mass index,and blood pressure were measured.Risk factors of metabolic syndrome were estimated with multivariable logistic analysis. Results The prevalence rate of metabolic syndrome was 12.3%（13.9% in males,10.0% in females）,and it was increased with age.Multivariable logistic analysis showed that for males the risk factors for metabolic syndrome were age,drinking,high lipid diet,and familial history of diabetes mellitus while for females were age,lack of exercises,and familial history of high blood pressure. Conclusion The prevalence of metabolic syndrome for employees in some area of Changsha is high.The prevention of metabolic syndrome could be strengthened through lifetime exercises,diet adjustment,and drinking limits.

关 键 词：代谢综合征 患病率 危险因素 

分 类 号：R589[医药卫生—内分泌]