贵州省布依族成年人群代谢综合征与心血管疾病相关性研究  

The association between metabolic syndrome and cardiovascular diseases in Bouyei adults in Guizhou province

作　　者：郑流波[1] 刘磊磊 杨婷婷[2] 聂婵 钟建琴 洪峰[2] ZHENG Liu-bo;LIU Lei-lei;YANG Ting-ting;NIE Chan;ZHONG Jian-qin;HONG Feng(Department of Cardiology,Guizhou Provincial People’s Hospital,Guiyang,Guizhou550002 China;不详)

机构地区：[1]贵州省人民医院心内科,贵州贵阳550002 [2]贵州医科大学公共卫生与健康学院环境污染与疾病监控教育部重点实验室

出　　处：《中国预防医学杂志》2022年第4期250-254,共5页Chinese Preventive Medicine

基　　金：国家重点研发计划课题(2017YFC0907301):西南区域少数民族聚集地世居自然人群队列研究。

摘　　要：目的评估贵州省布依族成年人群代谢综合征与心血管疾病相关性。方法采用多阶段、分层整群抽样方法,在贵州省黔南布依族苗族自治州,选择30~79岁5436人布依族成人,于2018—2019年进行基线调查。采用多因素logistic回归模型分析代谢综合征与心血管疾病的相关性。结果调整混杂因素之后,代谢综合征患者的心血管疾病、冠心病、脑卒中患病风险分别为2.01(95%CI:1.47~2.76)、1.93(95%CI:1.31~2.85)、2.19(95%CI:1.36~3.52)。女性、农村、老年代谢综合征患者的心血管疾病患病风险分别为2.14(95%CI:1.41~3.24)、2.13(95%CI:1.50~3.02)、2.30(95%CI:1.65~3.21),冠心病患病风险分别为2.10(95%CI:1.29~3.40)、2.03(95%CI:1.30~3.16)、2.16(95%CI:1.44~3.26),脑卒中患病风险分别为2.68(95%CI:1.32~5.44)、2.41(95%CI:1.46~3.99)、2.52(95%CI:1.54~4.13)。农村女性、老年女性、农村老年代谢综合征患者的心血管疾病患病风险分别为2.19(95%CI:1.39~3.46)、2.32(95%CI:1.50~3.56)、2.43(95%CI:1.68~3.52),冠心病患病风险分别为2.08(95%CI:1.21~3.60)、2.29(95%CI:1.38~3.78)、2.26(95%CI:1.41~3.64),脑卒中患病风险分别为2.89(95%CI:1.42~5.88)、2.79(95%CI:1.35~5.77)、2.72(95%CI:1.61~4.60)。结论代谢综合征是贵州省布依族成人心血管疾病的危险因素,对于女性、老年人、农村人群,尤其是农村女性、老年女性、农村老年人群,应给予重点关注。保持代谢健康状态有助于降低心血管疾病的发生发展。Objective To explore the association between metabolic syndrome(MS)and cardiovascular diseases among Bouyei adults in Guizhou province.Methods A total of 5436 Bouyei adults aged 30-79 years were randomly selected using a multistage stratified cluster sampling method in Guizhou province and a baseline survey was conducted during 2018 and 2019.Multivariate logistic regression model was used to analyze the relationship between MS and cardiovascular diseases.Results After adjusting for potential confounders,the risks of cardiovascular diseases,coronary heart disease,and stroke in patients with MS were 2.01(95%CI:1.47-2.76),1.93(95%CI:1.31-2.85)and 2.19(95%CI:1.36-3.52).Among women with MS,subjects in rural areas with MS and the elderly with MS,the risks of cardiovascular diseases were 2.14(95%CI:1.41-3.24),2.13(95%CI:1.50-3.02)and 2.30(95%CI:1.65-3.21),the risks of coronary heart diseases were 2.10(95%CI:1.29-3.40),2.03(95%CI:1.30-3.16),2.16(95%CI:1.44-3.26)and the risks of stroke were 2.68(95%CI:1.32-5.44),2.41(95%CI:1.46-3.99),2.52(95%CI:1.54-4.13).While among women with MS in rural areas,the elder ladies with MS and the elderly with MS in rural areas,the risks were 2.19(95%CI:1.39-3.46),2.32(95%CI:1.50-3.56),2.43(95%CI:1.68-3.52)for cardiovascular diseases and were 2.08(95%CI:1.21-3.60),2.29(95%CI:1.38-3.78),2.26(95%CI:1.41-3.64)for coronary heart diseases and were 2.89(95%CI:1.42-5.88),2.79(95%CI:1.35-5.77),2.72(95%CI:1.61~4.60)for stroke.Conclusions MS is the risk factor for cardiovascular diseases among Bouyei adults in Guizhou Province,especially among women and the elderly from rural areas and older ladies.Therefore,It is very important to maintain a healthy metabolic profile in order to decrease the risk of cardiovascular diseases.

关 键 词：代谢不健康 心血管疾病 危险因素 少数民族 

分 类 号：R195.4[医药卫生—卫生统计学] R181.3[医药卫生—卫生事业管理]