企业职工代谢综合征患病率及相关亚型分布调查  

An Investigation on Prevalence of Metabolic Syndrome and Its Distribution of Related Subtypes in Hangzhou Enterprise Workers

作　　者：马先富[1] 刘庆敏[1] 吕筠[2] 李立明[2] 

机构地区：[1]杭州市疾病预防控制中心,浙江杭州310021 [2]北京大学公共卫生学院流行病与卫生统计学系

出　　处：《浙江预防医学》2014年第2期123-127,共5页Zhejiang Journal of Preventive Medicine

基　　金：社区健康干预(CIH)项目(牛津健康联盟.中国.杭州)

摘　　要：目的了解杭州市企业职工代谢综合征(MS)患病状况及代谢综合征相关亚型分布。方法采用社区健康干预(CIH)项目基线调查方法,依据国际糖尿病联盟(IDF)标准,对杭州市2009—2010年3个城区的12家企业单位2 066名在职职工进行自填式问卷调查及相关指标检测。结果杭州市企业职工MS患病率为10.72%,标化率为13.48%;随着年龄的增高,腰围(WC)、血压(BP)、空腹血糖(FPG)、甘油三酯(TG)、高密度脂蛋白(HDL-C)等5项组份及MS患病率均呈逐步增高(P<0.05),男性BP、FPG、TG、HDL-C等4项组份患病率均高于女性(P<0.05),低学历企业职工BP、FPG两项指标高于高学历人群(P<0.05);各亚型MS中,TG+HDL-C、BP+HDL-C、BP+TG+HDL-C、BP+FPG+TG+HDL-C均高于10.00%。结论杭州市企业职工MS患病率较高,男性及高年龄组人群具有较高的患病风险;TG+HDL-C可能为杭州市企业职工MS的主要组份。Objective To understand the epidemic status of metabolic syndrome among Hangzhou enterprise workers and to describe the distribution of metabolic -related subtypes.Methods 2 066 employees were recruited from 1 2 enterprises and institutions in three districts of Hangzhou city.A standardized self-administered questionnaire was conducted and metabolic-related anthropometric measurements were taken.Metabolic syndrome was defined according to the International Diabetes Federation （IDF）（2005 standards）.Results Prevalence of metabolic syndrome in Hangzhou enterprise workers was 1 0.72%,the standardized rate was 1 3.48%;levels of waist circumference,blood pressure,blood FPGcose, triglycerides,high-density lipoprotein and prevalence of metabolic syndrome of high age group were significantly higher than the low age group（P＆lt;0.05 ）.Levels of blood pressure,blood FPGcose,triglycerides,high-density lipoprotein of males were significantly higher than females （P ＆lt;0.05 ）.Levels of blood FPGcose of low -educated group were significantly higher than that in high-educated group （P＆lt;0.05 ）,while triglycerides level was lower than high-educated group （P＆lt;0.05 ）.In subtypes of metabolic syndrome,the prevalence of TG plus HDL,BP plus HDL,BP TG plus HDL and BP FPG TG plus HDL were higher than 1 0.00%.Conclusion Prevalence of metabolic syndrome in Hangzhou enterprise workers is high;male and older-group has a higher risk;TG plus HDL may be the main metabolic syndrome subtype.

关 键 词：企业职工 代谢综合征 患病率 亚型分布 

分 类 号：R181.31[医药卫生—流行病学]