宁夏泾源县成人代谢综合征患病率调查  

The prevalence of metabolic syndrome among adults in rural areas of Ningxia Hui autonomous region

作　　者：王婷[1] 张海东[2] 路青玲 薛海莉[4] 王福霞[5] 马忠[5] 王金莲[6] 李小卫 于秀峰 侯旭宏[10] 孙庆毅[10] 贾伟平[10] 何兰杰[7] Wang Ting Zhang Haidong Lu Qingling Xue Haili Wang Fuxia Ma Zhong Wang Jinlian Li Xiaowei Yu Xiufeng Hou Xuhong Sun Qingyi Jia Weiping He Lanjie(Department of Endocrinology, Cardio-Cerebral Vascular Disease Hospital of General Hospital of Ningxia Medical University, Yinchuan 750000, Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People＇s Hospital, Shanghai 200233, Chin)

机构地区：[1]宁夏医科大学总医院门诊部,银川750004 [2]宁夏医科大学总医院心脑血管病医院医教科,银川750000 [3]宁夏医科大学总医院心脑血管病医院体检科,银川750000 [4]宁夏医科大学总医院心脑血管病医院预防保健科,银川750000 [5]宁夏医科大学总医院心脑血管病医院B超室,银川750000 [6]宁夏医科大学总医院心脑血管病医院病案统计室,银川750000 [7]宁夏医科大学总医院心脑血管病医院内分泌科,银川750000 [8]宁夏回族自治区固原市泾源县香水镇卫生院 [9]宁夏回族自治区固原市泾源县兴盛乡卫生院 [10]上海交通大学附属第六人民医院内分泌代谢科,200233

出　　处：《中华内科杂志》2017年第6期409-413,共5页Chinese Journal of Internal Medicine

基　　金：国家科技部973项目（2011CB504000）

摘　　要：【摘要】目的了解宁夏农村地区成人代谢综合征的流行现状。方法采用分层、随机、整群抽样方法，对泾源县10639名成年人进行横断面调查，代谢综合征的纳入标准采用中国2型糖尿病防治指南（2013年版）。结果最终纳入10214人，农村地区成人代谢综合征的总患病率为17．4％，标化患病率为14．7％。代谢综合征患病率及标化患病率男性均高于女性（19．9％比15．3％，17．3％比13．5％，P〈0．001），并随着年龄的增长而增加（线性趋势检验，P〈0．05）。代谢综合征各组分的患病率和标化患病率分别为腹型肥胖（19．5％和16．7％）、高血糖（15．0％和12．9％）、高血压（42．0％和37．1％）、高TG血症（25．8％和23．1％）、低HDL-c血症（28．5％和27．7％）。腹型肥胖患病率女性高于男性（20．5％比18．2％，P=0．004），高血压、高TG血症、低HDL—C血症的患病率男性高于女性（P〈0．001）。人群中有1种代谢综合征异常组分的个体比例高达68．4％。结论宁夏农村地区成人代谢综合征的患病率较高，应开展一系列的综合防治措施来预防和控制代谢综合征，改善农村地区人群公共卫生状况。Objective To investigate the prevalence of metabolic syndrome （MS） among adults in rural areas of Ningxia Hui autonomous region. Methods A cross-sectional study was conducted in 10 639 adults enrolled with a multistage method from Jingyuan County. The MS was identified according to Chinese type 2 diabetes prevention guide （ 2013 ）. Results Among all the subjects, 17.4% of them met the MS definition with the standardized prevalence of 14.7% after adjustment of sex and age. The prevalence and standardized rate of MS in men were 19.9% and 17.3% , and in women were 15.3% and 13.5%. The prevalence of MS in men was higher than that in women （ P 〈 0. 001 ） and increased with aging in both genders. The prevalence and standardized rate of abdominal obesity, hyperglycemia, hypertension, high triglycerides,and low HDL-C were 19.5% and 16.7% , 15.0% and 12.9% , 42.0% and 37.1% , 25.8% and 23.1% , 28.5% and 27.7% ,respectively. The rate of abdominal obesity was higher in women than in men （20. 5% vs 18.2% , P =0. 004） , whereas the rate of hypertension, high triglycerides, and low HDL-C were higher in men than in women （ all P 〈 0. 01 ）. The prevalence of having one parameter of the MS was 68.4%. Conclusion The prevalence of MS is higher in rural areas of Ningxia Hui autonomous region, suggesting that a series of comprehensive prevention measures should be carried out to prevent and control the MS so as to improve the public health conditions in rural areas.

关 键 词：代谢综合征 患病率 

分 类 号：R589[医药卫生—内分泌]