河北省成人代谢综合征的流行及相关因素分析  

Disparities in the Prevalence of Metabolic Syndrome and its Risk Factors among Han and Manchu Adults in Hebei province

作　　者：赵晶晶 曹亚景[1] 孙纪新[1] 单广良[2] 潘利[2] 张玲 何慧婧[2] 刘括 崔泽[1] ZHAO Jing-jing;CAO Ya-jing;SUN Ji-xin;SHAN Guang-liang;PAN Li;ZHANG Ling;HE Hui-jing;LIU Kuo;CUI Ze(Hebei Province Center for Disease Prevention and Control,Shijiazhuang,Hebei 050021,China;不详)

机构地区：[1]河北省疾病预防控制中心慢性非传染性疾病防治所,河北石家庄050021 [2]中国医学科学院基础医学研究所 [3]首都医科大学公共卫生学院,临床流行病学北京市重点实验室

出　　处：《现代预防医学》2021年第23期4370-4376,共7页Modern Preventive Medicine

基　　金：国家重点研发计划(2016YFC0900600,2016YFC0900603);河北省医学科学研究课题计划(20200697)。

摘　　要：目的了解河北省成人代谢综合征(metabolic syndrome, MS)流行及其相关因素。方法利用2017年7月至9月进行的以人群为基础的横断面研究数据,采用多阶段分层整群抽样方法,分析河北省成人MS流行情况,采用单因素和多因素logistic回归分析MS相关危险因素。结果共纳入6 491名20~80岁成人,1 300人患有MS,其患病率为20.03%(标化率:16.51%),男性为24.57%(标化率:21.86%),女性为17.05%(标化率:13.52%),汉族人为22.48%(标化率:18.86%)和满族人为16.38%(标化率:12.99%)。多因素logistic分析显示,高龄是MS的危险因素,女性、满族、文化程度较高者和重体力劳动者是保护因素。结论本研究表明,河北省MS患病率较高,尤其是老年人、男性、汉族、文化程度低、轻体力活动者。该结果为MS预防和治疗的循证决策提供基本信息,以便决策者可以采用精准的公共卫生干预措施。Objective To describe the differences in the prevalence of metabolic syndrome(MS) and its risk factors by age, sex, and ethnicity in Hebei province. Methods This survey was a population-based cross-sectional study conducted from July to September 2017. Using multistage stratified cluster sampling, the prevalence of MS of Hebei Province was analyzed. Univariate and multivariate logistic regression analysis were used to analyze the risk factors related to MS. Results A total of 6 491 subjects aged 20~80 years were finally included, 1 300 people have MS, the prevalence of MS was 20.03%(age-standardized: 16.51%), with 24.57%(age-standardized: 21.86%) in males and 17.05%(age-standardized: 13.52%) in females, and 22.48%(age-standardized: 18.86%) in Han adults and 16.38%(age-standardized: 12.99%) in Manchu adults, respectively. The multivariate logistic analysis showed that advanced age was risk factor for MS, while female, Manchu ethnicity, education, and physical activities were the protective factors. Conclusion This study showed that the prevalence of MS in Hebei was high, especially among the elderly, male, Han ethnicity, people with low education and low physical activities. These findings may provide basic information for evidence-based policy decisions in prevention and treatment of MS, so as to policymakers can adopt the proven, cost-effective public health interventions.

关 键 词：河北省 代谢综合征 流行 相关因素 

分 类 号：R589[医药卫生—内分泌] R181.3[医药卫生—内科学]