慈溪市代谢综合征流行特征及影响因素分析  

Epidemic characteristics and related factors of metabolic syndrome among adult residents in Cixi city

作　　者：邵丽文[1] 许坚[1] 陈国华[1] 罗央努[1] 胡青青[1] 叶真[2] 俞敏[2] 张新卫[2] 

机构地区：[1]慈溪市疾病预防控制中心,浙江315300 [2]浙江省疾病预防控制中心

出　　处：《中国公共卫生》2014年第4期430-434,共5页Chinese Journal of Public Health

基　　金：浙江省科技计划项目(2011C13032-1)

摘　　要：目的了解浙江省慈溪市≥18岁居民代谢综合征(MS)患病情况,分析流行特征和相关影响因素。方法采用整群随机抽样方法,对慈溪市1 147名常住居民进行横断面调查,MS诊断标准按照国际糖尿病联盟(IDF)等定义。结果按照IDF标准判定结果,慈溪市居民MS患病粗率为24.59%,标化率为24.04%;MS患病率随年龄增加呈增长趋势(χ2=72.48,P<0.01),60岁达到顶峰;女性患病率(30.33%)高于男性(18.77%),差异有统计学意义(χ2=20.6,P<0.01);文化程度越低,患病率越高,职业以离退休和无业人员患病率最高;影响因素单因素分析表明,体质指数(BMI)、甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、吸烟、血脂异常、糖尿病、高血压、高血压家族史、糖尿病家族史是MS患病的可能影响因素(P<0.05);多因素非条件logistic回归分析显示,年龄40岁^(OR=2.858,95%CI=2.013^4.057)和≥60岁(OR=6.431,95%CI=4.028~10.267)、BMI 24.0~27.9 kg/m2(OR=2.212,95%CI=1.165~4.201)和≥28.0 kg/m2(OR=3.968,95%CI=1.788~8.804),TG≥1.70 mmol/L(OR=3.732,95%CI=2.869~4.855)、TC≥5.18 mmol/L(OR=1.519,95%CI=1.203~1.917)、HDL-C≥1.04 mmol/L(OR=0.014,95%CI=0.006~0.036)是MS患病的影响因素。结论 MS已成为威胁慈溪市居民生命和健康的重大公共卫生问题,应优先开展MS社区综合防治工作。Objective To investigate the prevalence of metabolic syndrome（MS ） among the residents over 18 years old in Cixi city,and to analyze epidemic characteristics and influencing factors of MS.Methods With multistage stratified random sampling,a cross-sectional survey was carried out among 1 147 residents in Cixi city.MS was defined based on the standard of International Diabetes Federation（IDF）.Results The MS prevalence rate was 24.59% and the standardized rate was 24.04%.The MS prevalence rate increased with age （χ2=72.48,P〈0.01）and the adults of 60 years old had the highest rate.The prevalence rate of the females was higher than that of males（30.33%vs 18.77%,χ2=20.6;P〈0.01）.The residents with lower education had a higher prevalence rate.Among the people with different occupations,the retired and unemployed had the highest MS prevalence rate.Single factor analysis showed that the main MS risk factors were overweight and obesity,hypertension,diabetes and dyslipidemia （P〈0.01 ）.Multiple factor logistic regression analyses showed that the MS influence factors were age（odds ratio [OR]=6.431,95%confidence interval [95%CI]=4.028-10.267）,body mass index（BMI）（OR=3.968,95%CI=1.788-8.804）,triglyceride（OR=3.732,95% CI=2.869-4.855）,cholesterol （OR=1.519,95%CI=1.203-1.917）,and high density lipoprotein cholesterol（OR=0.014,95%CI=0.006-0.036）.Conclusion MS has become a major public health problem for Cixi residents.We should give priority to develop MS comprehensive intervention in communities.

关 键 词：代谢综合征(MS) 流行特征 影响因素 

分 类 号：R589[医药卫生—内分泌]