四川省西南地区汉族和彝族及苗族居民代谢综合征流行状况调查  

Survey on the Epidemiologic Status of Metabolic Syndrome among Han,Yi and Miao Nationalities in Southwest Sichuan

作　　者：刘永[1] 刘峰[2] 贾红 

机构地区：[1]重庆医药高等专科学校护理学院内科护理教研室,重庆市400030 [2]重庆医药高等专科学校临床医学院预防教研室,重庆市400030 [3]西南医科大学公共卫生学院流行病与卫生统计学教研室,四川省泸州市646000

出　　处：《中国全科医学》2017年第33期4199-4203,共5页Chinese General Practice

基　　金：四川省教育厅基金项目(13ZB0259);达能膳食营养研究与宣教基金(DIC 2013-03)

摘　　要：目的了解四川省西南地区汉族、彝族、苗族居民代谢综合征(MS)患病情况,为MS预防和干预提供参考依据。方法 2013年1月—2014年12月,采用多阶段整群随机抽样法,抽取四川省凉山彝族自治州、宜宾市、乐山市、泸州市共20个少数民族相对集中的乡镇的1 108例居民为调查对象。采用自制问卷进行问卷调查,并对居民进行体格检查和实验室检查。根据国际糖尿病联盟(IDF)2005年制定的MS诊断标准统计MS患病率并进行分析。结果共发放调查问卷1 108份,回收有效问卷1 022份,有效回收率为92.2%。其中男552例,女470例;18~<30岁173例,30~<45岁290例,45~<60岁322例,≥60岁237例;汉族456例,彝族361例,苗族205例。居民MS粗患病率为15.4%(157/1 022)。不同年龄居民MS患病率比较,差异有统计学意义(P<0.05);汉族居民MS患病率(19.5%)高于彝族(11.6%)、苗族(12.7%)居民(P<0.05);不同性别居民MS患病率比较,差异无统计学意义(P>0.05)。男性居民中心性肥胖发生率低于女性,低高密度脂蛋白胆固醇(HDL-C)发生率高于女性(P<0.05);不同年龄段居民中心性肥胖、高三酰甘油(TG)、低HDL-C、高血压、血糖异常发生率比较,差异有统计学意义(P<0.05);不同民族居民中心性肥胖、高TG、高血压、血糖异常发生率比较,差异有统计学意义(P<0.05)。结论川西南地区汉族、彝族、苗族居民MS患病率和全国平均水平相当。合理维持健康体质量是有效预防MS的最关键举措,应加强人群健康教育,培养合理饮食和运动习惯,降低MS的发生率。Objective To investigate the prevalence rate and epidemiologic features of metabolic syndrome（ MS）among Han,Yi and Miao residents in southwest Sichuan Province, in order to provide a reference for MS prevention and intervention. Methods From January 2013 to December 2014,1 108 Han, Yi and Miao residents were selected from 20 townships of 4 cities in southwest Sichuan（ including Liangshan Yi Autonomous Prefecture,Yibin,Leshan and Luzhou） in which ethnic minorities are relatively concentrated by multistage and cluster sampling. They were surveyed by a self-developed questionnaire and underwent physical examination and laboratory examination as well. The prevalence rate of MS in these participants was calculated and analyzed according to MS diagnostic criteria（ IDF 2005）. Results Of the 1 108 cases,1 022 responded to the survey effectively,giving a response rate of 92. 2%,including 552 males and 470 females; 173 aged 18-29,290 aged 30-44,322 aged 45-59 and 237 aged 60 or over; 456 Han cases,361 Yi cases and 205 Miao cases. The crude prevalence rate of MS was 15. 4% in all the residents. The prevalence rates of MS in different age groups were significantly different（ P 0. 05）. Han residents showed higher prevalence rate of MS（ 19. 5%） than Yi residents（ 11. 6%） as well as Miao residents（ 12. 7%）（ P 0. 05）. No significant sex-specific difference in the prevalence rate of MS was found（ P 0. 05）.Compared with females,male residents had lower prevalence rates of central obesity and increased HDL-C（ P 0. 05）. The prevalence rates of central obesity,increased TG,decreased HDL-C,hypertension and fasting blood glucose abnormalities in different age groups were significantly different（ P 0. 05）. The prevalence rates of central obesity,increased TG,hypertension and fasting blood glucose abnormalities in residents of different nationalities were significantly different（ P 0. 05）. Conclusion The prevalence rate of MS among Han, Yi and Miao people in southwest Sichuan is similar to

关 键 词：代谢综合征X 流行病学 汉族 彝族 苗族 

分 类 号：R589[医药卫生—内分泌]