海南省DSP点居民代谢综合征及危险因素研究  

Study on prevalence of metabolic syndrome and its related risk factors in residents of DSP in Hainan Province

作　　者：符艳[1] 王小焕[1] 王红美[1] 刘璞瑜 

机构地区：[1]海南省疾病预防控制中心,海南海口570203

出　　处：《中国热带医学》2015年第1期34-36,40,共4页China Tropical Medicine

基　　金：海南省自然科学基金立项课题(No.814341)

摘　　要：目的了解海南省DSP点居民代谢综合征(MS)患病率及其相关危险因素,为预防和控制MS提供科学依据。方法抽取海口市美兰区和定安县人群中各600例进行问卷调查,测量身高、体重、血压,血脂、空腹血糖等生化指标。分析代谢综合征及其危险因素的流行病学分布特点及其相关性。结果 18岁及以上人群代谢综合征患病率为10.6%,标化率为8.8%,高血压、超重、肥胖、高血糖、血脂紊乱的患病率及标化率分别25.4%(21.1%)、13.2%(10.9%)、6.6%(5.5%)、35.6%(29.5%)、23.8%(19.7%)。经卡方检验,不同性别、年龄、文化程度、超重/肥胖和静态生活方式的MS患病率差异有统计学意义(P<0.05)。Logistic回归分析显示,糖尿病史、年龄、肥胖、静态生活方式均与代谢综合征密切相关。结论海南省MS防治重点人群以高血压、高血糖和血脂异常为主,应及早开展综合干预,降低心脑血管疾病发病和死亡风险。0bjective To investigate the prevalence and risk factors of metabolic syndrome（MS） in residents of DSP inHainan. Methods A questionnaire investigation was conducted with stratified cluster sampling of 1200 subjects for physicalexamination and the blood samples were collected for measurement of fat and plasma glucose. MS was diagnosed for calculationof the prevalence and the risk factors were analyzed with logistic regression analysis. Results The prevalence rate of AS were10.6%,Standardized rate was 8.8%. the prevalence rates and standardized rates of hypertension, overweight and obesity,hyperglycemia, dyslipidemia were 25.4%（21.1%）, 25.4%（10.9%）, 6.6%（5.5%）, 5.5%（29.5%）, 23.8%（19.7%）, showingstatistically significant differences among the factors of gender, age, culture level, and overweight,obesity and sedentarylifestyle（P〈0.05）. Logistic regression analysis suggested a significant relationship between the family diabetes history, age,obesity, sedentary lifestyle and the MS. Conclusion Target population of MS in Hainan province are those with hypertension,hyperglycemia and dyslipidemia. Early integrated intervention measures could reduce the risks of morbidity and mortality ofcardiovascular disease.

关 键 词：患病率 代谢综合征 危险因素 

分 类 号：R589[医药卫生—内分泌]