2010—2013年南京市成年居民代谢综合征患病情况及流行特征  

Prevalence and epidemic characteristics of metabolic syndrome among adult residents in Nanjing City in 2010-2013

作　　者：孙睿旋 郭宝福[2] 谢国祥[2] 李小成[2] 金迪[2] 祝白春[2] 姜云[2] 王艳莉[2] 陈洋[2] 马连凯[2] 孙桂菊[1] Sun Ruixuan;Guo Baofu;Xie Guoxiang;Li Xiaocheng;Jin Di;Zhu Baichun;Jiang Yun;Wang Yanli;Chen Yang;Ma Liankai;Sun Guiju(Key Laboratory of Environmental Medicine of Ministry of Education,School of Public Health,Southeast University/Department of Nutrition and Food Hygiene,Nanjing 210009,China;Nanjing Municipal Center for Disease Control and Prevention,Nanjing 210009,China)

机构地区：[1]东南大学公共卫生学院营养与食品卫生系教育部环境医学工程重点实验室,南京210009 [2]南京市疾病预防控制中心,南京210009

出　　处：《卫生研究》2019年第1期61-65,75,共6页Journal of Hygiene Research

基　　金：南京市科技发展计划项目(No.201108006)

摘　　要：目的了解南京市成年居民代谢综合征(MS)的患病情况以及流行特征。方法 2010—2013年,采用多阶段分层与人口成比例的整群随机抽样的方法,共调查南京市成年居民4918人。对调查对象进行问卷调查、体格检查和实验室检查,收集调查对象的基本情况、个人健康情况以及身高、体重、腰围、血压、空腹血糖、总胆固醇、甘油三酯、高密度脂蛋白胆固醇等相关指标。MS患者的筛查采用2009年国际联合暂定声明(JIS)诊断标准。结果 4918名调查对象中有1627人患MS,粗患病率为33.1%,年龄标化患病率为26.3%,男性MS年龄标化患病率为29.0%,女性为24.8%,不同性别之间的年龄标化患病率差异无统计学意义(χ~2=1.352,P=0.245)。不同年龄段(χ~2=132.557,P<0.001)、职业(χ~2=87.572,P<0.001)、文化程度(χ~2=26.077,P<0.001)的调查对象MS患病率间差异均有统计学意义。有高血压(χ~2=26.582,P<0.001)、糖尿病(χ~2=16.013,P<0.001)家族史的调查对象MS患病率更高。结论 2010—2013年南京市成年居民代谢综合征患病率较高。OBJECTIVE To understand the prevalence and epidemic characteristics of metabolic syndrome (MS)among adult residents in Nanjing City. METHODS In 2010-2013,a total of 4918 adult residents in Nanjing City were surveyed using a multi-stage stratification and population proportional clustering random sampling method.Questionnaires,physical examinations and laboratory examinations were conducted to collect the basic conditions,health history of the subjects and related indicators including height,weight,waist circumference,blood pressure,fasting blood glucose,total cholesterol,triglycerides,high-density lipoprotein cholesterol,etc.The 2009 International Joint Interim Statement (JIS)was used to filter patients with metabolic syndrome.RESULTS Among the 4918 surveyed subjects,1627 were MS,with a crude prevalence rate of 33.1% and an age-standardized prevalence rate of 26.3%,the standardized prevalence rate of MS was 29.0% in males and 24.8%in females.Agestandardized prevalence rates between different genders had no significant statistical difference (X^2 =1.352,P =0.245).There were significant statistical differences between the crude prevalence rate of MS among subjects of different ages (X^2=132.557,P < 0.001),occupations (X^2 =87.572,P <0.001 )and educational level (X^2 =26.077,P < 0.001).Patients with a family history of hypertension (X^2 =26.582,P <0.001 )and a family history of diabetes (X^2 =16.013,P <0.001 )had a higher prevalence of MS. CONCLUSION The prevalence of metabolic syndrome in adult residents in Nanjing City in 2010-2013 was relatively high.

关 键 词：代谢综合征 患病情况 流行特征 

分 类 号：R181.37[医药卫生—流行病学] R589[医药卫生—公共卫生与预防医学]