成渝地区中老年人群代谢综合征流行病学特征及其相关因素  

Prevalence of metabolic syndrome and correlative factors among the middle-aged and elderly population in Chengyu area

作　　者：黄晓波[1] 刘雅[1] 陈飞[2] 易延静[1] 胡泰上 徐俊波[1] 胡蓉[4] 张兴渝 袁宁[6] 欧阳凌云[6] 胡咏梅[1] 刘剑雄[1] HUANG Xiao-Bo LIU Ya CHEN Fei YI Yan-Jing HU Tai-Shang XU Jun-Bo HU Rong ZHANG Xing-Yu YUAN Ning OUYANG Ling-Yun HU Yong-Mei LIU Jian-Xiong(Department of Cardiology, Chengdu Second People＇s Hospital, Chengdu, Sichuan 610016 Department of Medical Statistics, West China School of Public Health, Sichuan University, Chengdu, Sichuan 610041 Department of Medical Statis- tics, School of Public Health, Chongqing Medical University, Chongqing 400016 Department of Cardiology, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010 Department of Internal Medicine, First People＇s Hospital of Chongqing New North Zone, Chongqing 400011 Department of Endocrinology, Chengdu Second People＇s Hospital, Chengdu, Sichuan 610016)

机构地区：[1]成都市第二人民医院心内科,四川省成都市610016 [2]四川大学公共卫生学院医学统计系,四川省成都市610041 [3]重庆医科大学公共卫生学院,重庆市400016 [4]重庆医科大学附属第二医院心内科,重庆市400010 [5]重庆北部新区人民医院内科,重庆市400011 [6]成都市第二人民医院内分泌科,四川省成都市610016

出　　处：《中国动脉硬化杂志》2017年第2期186-190,共5页Chinese Journal of Arteriosclerosis

基　　金：成都市科技局"中老年人群糖代谢异常患病危险度评估工具在社区的验证;推广及应用"项目(10YTYB272SF);四川省科技厅项目(2009FZ 0027)

摘　　要：目的探讨成渝地区中老年人群代谢综合征流行病学特征及其相关危险因素。方法于2013年采用分层整群抽样的方法,调查成渝城乡地区40~79岁中老年人7807例,进行身高、体重、血压、血脂及口服葡萄糖耐量试验(OGTT)等检测。用统一设计的调查表对研究对象进行面对面的问卷调查。代谢综合征诊断标准采用中华医学会糖尿病学分会标准。结果成渝地区中老年人群代谢综合征患病率为13.8%。男性患病率为13.3%,女性患病率为14.1%,两性患病率无统计学差异。城区患病率为14.6%,农村患病率为10.6%,城市患病率高于农村。40~69岁研究人群代谢综合征患病率逐渐升高。年龄、腹型肥胖、缺乏体育锻炼是成渝地区中老年男性代谢综合征主要的危险因素;年龄、一级亲属高血压病史、腹型肥胖是成渝地区中老年女性代谢综合征主要的危险因素。结论成渝地区中老年人群代谢综合征患病率较高。控制合理的腰围,对于人群代谢综合征的预防、干预以及阻止心血管疾病的发生发展可能有重要意义。Aim To assess the prevalence of metabolic syndrome and correlative risk factors among the middleaged and elderly populations in Chengyu area. Methods In 2013, a total of 7807 middle-aged and elder adults aged 40-79 years were enrolled from Chengyu area using a stratified cluster sampling method, to check height, weight, blood pressure, blood fat and oral glucose tolerance test （ OGTT）, etc. Data were collected through questionnaire and the diagnostic criteria for using the Chinese Medical Association standard complications. Results The prevalence of metabolic syndrome was 13.8%. Male and female prevalence was 13.3% and 14.1%, the prevalence of the sexes had no statistical difference. The urban and rural prevalence was 14.6% and 10.6%, the urban prevalence rate was higher than the rural. There was an increasing prevalence with the increase of age, but it fell slightly above 70-years-old. Age, abdominal obesity, lack of physical exercise were major related factors of metabolic syndrome among middle-aged and elderly male in Chengyu area; Age, family history of hypertension, abdominal obesity were related factors of metabolic syndrome among middle-aged and elderly female. Conclusion There was a high prevalence of metabolic syndrome among the middleaged and elder adults in Chengyu area. It was important to control reasonable waist circumference for metabolic syndrome prevention and intervention of the crowd and prevent the occurrence and development of cardiovascular disease.

关 键 词：中老年 代谢综合征 患病率 危险因素 

分 类 号：R18[医药卫生—流行病学]