南京地区60岁及以上老年人群代谢综合征的流行病学分布特征  

Epidemiological characteristics of metabolic syndrome in the elderly aged 60 years and above in Nanjing,China

作　　者：邓天瑞 姚铸玲 王志勇 叶青[1] 唐伟 徐斐[1] DENG Tian-rui;YAO Zhu-ling;WANG Zhi-yong;YE Qing;TANG Wei;XU Fei(Nanjing Municipal CenteRfoRDisease Control and Prevention,Nanjing 210003,China;Department of Endocrinology,Geriatric Hospital of Nanjing Medical University,Nanjing 210024,China)

机构地区：[1]南京医科大学附属南京疾病预防控制中心,江苏省南京市210003 [2]南京医科大学附属老年医院内分泌科,江苏省南京市210024

出　　处：《实用老年医学》2023年第8期819-822,827,共5页Practical Geriatrics

摘　　要：目的了解南京地区≥60岁老年人群代谢综合征(metabolic syndrome,MS)流行病学分布特征及其影响因素,为老年人群MS的防控提供科学依据。方法2017年4~10月,采用多阶段分层整群抽样的方法在南京市抽样调查了15545名≥60岁居民。对MS的流行特征进行描述性分析,使用Logistic回归模型分析MS的影响因素。结果南京地区≥60岁老年人群MS的患病率为28.3%(95%CI:27.6%~29.0%),MS患病率的分布特征表现为:70~79岁者高于60~69岁者和≥80岁者,城区高于郊区,体力活动不足者高于充足者,有高血压家族史或糖尿病家族史者高于没有者。MS 5个组分的患病率从高到低,依次是高血压(60.8%)、中心型肥胖(39.1%)、高TG血症(33.9%)、高血糖(33.3%)和低HDL-C血症(14.7%)。70~79岁、高血压家族史和糖尿病家族史为MS发生的危险因素,居住在郊区和充足的体力活动则为MS的保护因素。结论南京地区老年人群MS患病率较高,要加大对高血压、中心型肥胖和高TG血症的监测和防控力度;对70~79岁者、有高血压家族史和糖尿病家族史的高危人群需采取针对性干预措施;鼓励老年人多进行体力活动,加强锻炼。Objective To investigate the characteristics of metabolic syndrome(MS)in the elderly population aged 60 and oveRin Nanjing,and to investigate the influencing factors of MS.Methods From April to OctobeR2017,a total of 15545 residents aged≥60 years were selected in Nanjing by multi-stage stratified clusteRsampling method.The prevalence characteristics of MS was descriptively analyzed,and the influencing factors of MS were analyzed by Logistic regression model.Results The prevalence of MS in the elderly aged≥60 years was 28.3%(95%CI:27.6%-29.0%)in Nanjing.The prevalence was higheRin those aged 70-79 years than that in those aged 60-69 years and≥80 years,being higheRin urban areas than that in suburban areas,being higheRin those with insufficient physical activity than that in those with adequate physical activity,being higheRin those with family history of hypertension oRdiabetes than that in those without.Among the five components of MS,hypertension had the highest prevalence(60.8%),followed by central obesity(39.1%),hypertriglyceridemia(33.9%),hyperglycemia(33.3%)and low high-density lipoproteinemia(14.7%).Logistic regression analysis showed that aged 70-79 years,family history of hypertension and diabetes were the risk factors foRMS,while living in suburban area and sufficient physical activity were the protective factors.Conclusions The prevalence of MS in the elderly population in Nanjing is high.Tailored interventions are encouraged foRpeople aged 70-79 years oRthose with family history of hypertension and diabetes.

关 键 词：代谢综合征 老年人 危险因素 流行特征 

分 类 号：R589[医药卫生—内分泌] R181.3[医药卫生—内科学]