蚌埠市社区居民代谢综合征的患病情况及其影响因素分析  

The prevalence rate of metabolic syndrome and its influence factor in community population in Bengbu city

作　　者：赵文红[1] 崔慧娴[1] 朋文佳[1] 吴学森[1] 

机构地区：[1]蚌埠医学院公共卫生学院,安徽蚌埠233030

出　　处：《蚌埠医学院学报》2017年第6期796-798,805,共4页Journal of Bengbu Medical College

基　　金：安徽省高等学校自然科学重点研究项目(KJ2017A212);安徽省高等学校省级质量工程特色专业建设项目(2014tszy019)

摘　　要：目的:通过对蚌埠市社区人群的横断面研究,掌握社区居民代谢综合征(MS)的患病现况、分布特征及影响因素。方法:采用随机整群抽样方法,抽取蚌埠市龙子湖区3个社区18岁以上的2 689名成年人作为调查对象,于2015年7-9月进行问卷调查和实验室检测,采用2004年中国糖尿病协会诊断标准确定MS病人;分析不同性别及不同年龄的MS患病率;采用logistic回归分析该人群中年龄、性别、抽烟、饮酒、蔬菜及水果摄入情况对MS患病风险的影响。结果:该人群中有369例符合中国糖尿病协会诊断标准,MS患病率为13.72%;男性为16.24%,女性为11.89%;不论男性或女性,随着年龄的增加,MS患病率逐渐升高(P<0.01);30~、40~及80~组段的人群中,男性MS患病率均高于女性(P<0.05~P<0.01),其他组段性别间差异无统计学意义(P>0.05);多因素分析显示,抽烟是MS的危险因素(P<0.01),蔬菜、水果摄入量增加则是MS的保护因素(P<0.01)。结论:蚌埠市社区居民MS患病率与年龄有关,随年龄的增加而升高;不抽烟和摄入充足的蔬菜、水果可以降低MS患病率。Objective： To investigate the distribution characteristics and influence factors of metabolic syndrome（ MS） of community population in Bengbu city using the cross-sectional study. Methods： Two thousand six hundred and eighty-nine adults from three communities selected by the stratified and cluster random sampling in Longzihu District of Bengbu City were investigated using questionnaire and laboratory test. The incidence rates of MS in different ages and genders were analyzed using the criteria of Chinese Diabetes Society of 2004. The effects of the age,sex,smoking,drinking wine,and intake of vegetable and fruis on the morbidity risk of MS were analyzed using binary logistic regression method. Results： Three hundred and thirty-nine participants were accorded with the criteria of MS,and the prevalence rate of MS was 13. 72%（ 16. 24% in male and 11. 89% in female）. With the increasing of age,the prevalence of MS increased（ P〈0.05）. The prevalence rates of MS in male were higher than that in female among the population of 30~,40 ~ and 80 ~ year-old（ P〈0.05 to P〈0.01）,and the difference of the other age population between male and female was not statistically significant（ P〉0.05）. The multivariate analysis showed that smoking was the risk factor of MS（ P〈0.01）. The increasing of the intake of fruit and vegetable was the protective factor（ P〈0.01）. Conclusions： The prevalence rate of MS of community population in Bengbu city is associated with the age of population,and which increases along with the increasing of age. No smoking and sufficient intake of fruit and vegetable can reduce the prevalence rate of MS.

关 键 词：代谢综合征 社区居民 患病率 影响因素 

分 类 号：R589[医药卫生—内分泌]