浙江省奉化市成人代谢综合征流行现状调查  

Epidemiological features of metabolic syndrome among adults in Fenghua

作　　者：李寿俊[1] 曹云生[1] 孙嵩[1] 冯伟[1] 汪晓敏[1] 

机构地区：[1]浙江省奉化市疾病预防控制中心,浙江奉化315500

出　　处：《中国预防医学杂志》2012年第9期670-674,共5页Chinese Preventive Medicine

摘　　要：目的了解奉化市成人代谢综合征(MS)患病情况及其分布特征。方法采用多阶段分层整群随机抽样方法调查奉化市18岁以上人群600人,分别按照国际糖尿病联盟(IDF)、美国国家胆固醇教育计划成人治疗组第三次报告(NCEP-ATPⅢ)2005年修订版、中华医学会糖尿病学分会(CDS)和2009年IDF、世界心脏联盟(WHF)和国际动脉粥样硬化学会(IAS)等多家组织共同暂定的统一MS定义,分析MS及其各组分代谢异常的患病情况。应用SPSS 17.0进行数据分析。计量资料采用t检验和方差分析进行比较;率的比较采用χ2检验及趋势χ2检验,P<0.05为差异有统计学意义。结果按IDF标准,MS粗患病率为29.83%,标化后为17.46%(男性17.56%,女性23.69%,P=0.000);CDS标准,MS粗患病率为23.50%,标化后为12.86%(男性10.38%,女性15.42%,P=0.008);ATPⅢ标准,MS粗患病率为29.67%,标化后为18.22%(男性16.23%,女性20.75%,P=0.022);2009年统一的标准,MS粗患病率为46.33%,标化后为28.99%(男性27.21%,女性30.73%,P=0.222)。按上述4种诊断标准,MS患病率均随着年龄增长而增高(χ2=27.423,P=0.000;χ2=31.752,P=0.000;χ2=27.414,P=0.000;χ2=35.208,P=0.000)。结论 2009年统一的MS诊断标准较其他三种标准更具公共卫生意义。代谢综合征已成为影响奉化市居民生命和健康的重大公共卫生问题,应开展代谢综合征社区综合防治工作。Objective To assess the prevalence of metabolic syndrome （MS） in adults in Fenghua city. Methods A cross sectional study was conducted in Fenghua with a total of 600 adult residents aged over 15 years, who were randomly selected using stratified cluster sampling. The prevalence of MS was assessed individually according to 4 different diagnostic criteria including International Diabetes Federation （IDF） , the US National Cholesterol Education Program Adult Treatment Panel （NCEP-ATPIII） , China Diabetes Society （CDS） and Uniform Criteria of MS. Results According to the 4 diagnostic criteria of IDF, NCEP-ATPIII, CDSand Uniform criteria, the crude prevalences of MS were 29.83%, 29.67%, 23.50% and 46.33% respectively. After adjusting age factor, these numbers were down to 17.46 % （male 17. 56 %, female 23.69%, P： 0.000）, 18.22% （male 16.23%, female 20.75%, P= 0.022）, 12.86% （male 10.38%, female 15.42%, P：0.008） and 28.99% （male 27.21%ff0, female 30.73%, P 0.222） respectively. The prevalence of the MS increased along with age based on the four diagnostic criteria of MS （X2：27.423, P=0.000; x2=31.752, P=0.000; x2=27.414, P=0.000; x2=35.208, P= 0. 000）. Conclusion The uniform criterion of MS seems to be better than the other three in the diagnosis of MS. Since metabolic syndrome has become a noteworthy public health problem, it is suggested that community-based comprehensive screening for MS patients is fundamental for the control.

关 键 词：代谢综合征 患病率 横断面研究 

分 类 号：R589[医药卫生—内分泌]