江苏泰兴地区45～64岁自然绝经女性代谢综合征的流行病学调查  

An epidemiological survey of metabolic syndrome in natural post-menopausal women aged 45-64 years in Taixing area, Jiangsu province

作　　者：吴娴[1] 胡斌[1] 李淑元 王伟[1] 杨亚军[1] 袁子宇[2] 张娟[2] 王笑峰[1] 

机构地区：[1]现代人类学教育部重点实验室,复旦大学生命科学学院遗传工程国家重点实验室,200433 [2]复旦大学泰州健康科学研究院

出　　处：《中华内分泌代谢杂志》2015年第2期99-102,共4页Chinese Journal of Endocrinology and Metabolism

基　　金：国家科技支撑项目（2011BAI09B00）

摘　　要：目的：了解江苏泰兴地区已自然绝经的女性代谢综合征的患病情况，为制定有效措施预防和干预代谢综合征的发生及发展提供基础数据。方法整群抽取泰兴地区45～64岁已自然绝经的女性对象，进行问卷调查、人体体质测量和生化检测，采用国际糖尿病联盟（IDF）（2005）的代谢综合征诊断标准进行分析。结果江苏泰兴地区的自然绝经女性代谢综合征粗患病率为35.25%，标化患病率为31.47%；代谢综合征患病率随着年龄的增高有升高的趋势（P＜0.01）；代谢综合征患病人群中，合并三、四、五项代谢组分异常的构成比分别为21.45%、10.73%、3.07% 。结论绝经后女性代谢综合征的患病率较高，且随着年龄的增长而增高，应加强宣传教育，及早采取预防和干预措施，提高绝经后女性的生活质量。Objective To determine the prevalence of metabolic syndrome （ MS） in women who had gone through natural menopause, and to provide basic data for developing effective prevention and intervention of metabolic syndrome in Taixing area Jiangsu province. Methods A cluster sample of natural postmenopausal women aged 45 to 64 years were sampled and assessed by questionnaires, physical measurements, and biochemical tests; and analyzed according to the International Diabetes Federation （ IDF, 2005） diagnostic criteria for MS. Results The crude prevalence of metabolic syndrome was 35. 25% and the standardized prevalence rate was 31. 47% after age being adjusted. The prevalence of metabolic syndrome was increased with age （ P 〈 0. 01）. The constituent ratio of the combinations of 3, 4, and 5 components in MS was 21. 45% , 10. 73% , and 3. 07% , respectively. Conclusion The prevalence of the metabolic syndrome among older women after menopause is high and increasing with aging. Public education should be strengthened to improve the quality of life in postmenopausal women and prevention and intervention should be adopted earlier as well.

关 键 词：绝经 女性 代谢综合征 患病率 

分 类 号：R589[医药卫生—内分泌]