长沙地区代谢综合征相关危险因素研究  

Research on the risk factors of metabolic syndrome in Changsha Area

作　　者：何霞[1] 王星娜[1] 胡湘明[1] 宋俊华[1] 陈海滨[1] 屈美荣[1] 陈勇[1] 张亚亚[1] 

机构地区：[1]长沙市第四医院内分泌科,湖南长沙410006

出　　处：《中国当代医药》2017年第7期162-165,共4页China Modern Medicine

摘　　要：目的研究长沙地区代谢综合征(MS)的相关危险因素。方法选取2012年5月~2013年5月长沙地区年龄在25~80岁的2961例健康居民进行问卷调查、体格检查及相关代谢指标测定。MS的影响因素分析采用Logisitic回顾分析。结果符合CDS诊断标准的MS患者共有630例,占所有调查居民的21.28%。在所有研究对象中,中心性肥胖发病率为30.77%,高血脂发病率为25.23%,低HDL-C发病率为22.76%,血压升高所占比例为33.60%,FPG升高所占比例为20.16%,餐后血糖升高所占比例为20.57%,糖尿病发病率为23.54%。在所有研究对象中,以血压升高的患病率最高。在合并3项组分中,男女的检出率无差异;在无MS与合并1项组分中,女性的检出率明显高于男性(P<0.05);在合并2项组分与4项组分中,男性的检出率明显高于女性(P<0.05)。MS的发病与是否饮酒及职业并无较大关系;MS的农村发病人群高于城市(P<0.01);随着文化程度的升高,MS的发病人群逐渐下降(P<0.01);喜甜饮食患者的发病率显著高于一般及不喜甜饮食患者(P<0.01);在吸烟、高血压家族史、糖尿病家族史、肥胖家族史的发病率远远高于无这些因素的居民(P<0.01)。Logistic分析结果示,年龄、吸烟、高血压家族史、糖尿病家族史、肥胖家族史等因素是MS发病的危险因素,文化程度是MS发病的保护因素。结论 MS在长沙地区发病率较高,在治疗此病时应针对MS的发病因素采用综合治疗方式,避免引发其他相关疾病。Objective To study the risk factors of metabolic syndrome （MS） in Changsha Area.Methods A total of 2961 healthy residents aged 25 to 80 years old in Changsha from May 2012 to May 2013 were selected for questionnaires, physical examinations and related metabolic indexes test.The influence factors of MS were analyzed by Logisitie review. Results There were 630 patients with MS in line with CDS criteria accounting for 21.28% of all residents.In all sub- jects,the incidence of central obesity,hyperlipidemia,and low HDL-C was 30.77%,25.23%,and 22.76%.The proportions of blood pressure increasing,FPG,and postprandial blood glucose were 33.60%,20.16%,and 20.57% in turn.The inci- dence of diabetes was 23.54%.Among all participants,the morbidity of high blood pressure was the highest.There was no difference in detection rate in male and female in merging group three.In groups of absence of MS and merging group one,the female detection rates were much higher than those in male （P〈0.05）.The male detection rates in merging groups two and four were greatly higher than those in female （P〈0.05）.The onset of MS was not significantly related to whether drinking and occupation.The prevalence of MS in rural areas was significantly higher than that in urban （P〈0.01）.With the improvement of educational levels,the number of patients suffered from MS was gradually decreased （P〈0.01）.The incidence of MS patients preference for sweet food was much higher than that in patients who didn＇t hate or like sweet food （P〈0.01）.The morbidity of MS in patients with smoking,and family histories of hypertension,diabetes mellitus,and obesity was much higher in comparison with those who didn＇t have （P〈0.01）.Logistic analySis showed that age,smoking, family history of hypertension,family history of diabetes mellitus,and family history of obesity were risk factors of MS occurrence.The educational degree was the protective factor of MS occurrence.Conclusion The incidence of MS is high in Changsha Area.During tre

关 键 词：代谢综合征 危险因素 文化程度 

分 类 号：R589[医药卫生—内分泌]