哈尔滨市城区青少年代谢综合征患病率及影响因素分析  

Prevalence and influencing factors of metabolic syndrome in adolescents in Harbin City

作　　者：刘永昆[1] 陈素芬[1] 崔岳崇 庄婧誉[1] 王瑞凤[1] 周勇[1] 孙彩虹[1] 张慧颖[1] 马军[2] 王海俊[2] 

机构地区：[1]哈尔滨医科大学公共卫生学院儿少卫生与妇幼保健学教研室,黑龙江150081 [2]北京大学公共卫生学院儿童青少年卫生研究所

出　　处：《中国学校卫生》2015年第8期1211-1213,1216,共4页Chinese Journal of School Health

基　　金：卫生行业科研专项基金项目(201202010)

摘　　要：目的 了解哈尔滨市城区青少年代谢综合征（Met S）的流行特征及其影响因素,为青少年代谢综合征的预防和控制提供参考。方法 采用整群抽样方法,在知情同意后,于2014年4—6月对哈尔滨市城区1 579名10-18岁青少年进行体格检查、采血检验和问卷调查。结果 青少年代谢综合征总患病率为5.4%。其中男生为6.9%,女生为3.9%,差异有统计学意义（χ2=7.166,P〈0.01）;12和16岁患病率最高,分别为7.4%和9.9%;初中（10-15岁）组和高中（16-18岁）组患病率分别为4.6%和6.7%,差异有统计学意义（χ2=3.466,P〈0.05）;消瘦、体重正常、超重、肥胖儿童青少年代谢综合征患病率分别为0,0.2%,10.2%和23.8%,差异有统计学意义（χ2=240.422,P〈0.05）。腰围、腰臀比、收缩压、体质类型、喝饮料、每周吃油炸食品天数和体育成绩差是Met S患病率的主要危险因素（OR值分别为1.070,240.669,1.065,4.509,1.794,1.899,2.159）。结论 哈尔滨市城区青少年的代谢综合征患病情况不容乐观,影响因素包括营养状况、饮食和运动,建议早筛查、早诊断、早治疗。Objective To understand the prevalence and the characteristic of metabolic syndrome （ MetS） in adolescents in Harbin city, Heilongjiang Province, to determine risk factors of MetS, and to provide evidence to prevent and control MetS in ado- lescents. Methods By using cluster sampling method, after freely given informed consent, to investigate 1 579 adolescents, aged 10 to 18 years old, in Harbin city from April to June, 2014. The prevalence distinction of MetS was analyzed. Unconditioned Logistic regression model was used to analyze multiple-factors of MetS. Results The total prevalence of metabolic syndrome was 5.4%, the prevalence of male was 6.9% and female was 3.9%. The prevalence of 12 and 16 years old was the highest and the prevalence was 7.4% and 9.9% respectively. The prevalence of 10-15 age group and 16-18 age group was 4.6% and 6.7% respectively. Among thinness, normal weight, overweight and obesity groups, the prevalence of MetS were 0,0.2%, 10.2% and 23.8% respectively, and had significant difference. The results revealed that waist, waist-to-hip ratio,constitution types, sweet drinks, the days of eat fried food once a week and poor performance in sports were the mainly risk factors which influenced the prevalence. Conclusion The prevalence of MetS in adolescents is some serious. The influencing factors include nutritional status, diet and sport. The results rec- ommends that early screening, early diagnosis and early treatment would be very important.

关 键 词：营养和代谢性疾病 患病率 回归分析 青少年 

分 类 号：R179[医药卫生—妇幼卫生保健] R195.4[医药卫生—公共卫生与预防医学]