海南省成人代谢综合征流行现状及危险因素研究  

Prevalence and risk factors of metabolic syndrome among adults in Hainan Province

作　　者：江娟 王兴任[1] 吴红英[1] 王小焕[1] 欧婷婷[1] JIANG Juan;WANG Xing-ren;WU Hong-ying;WANG Xiao-huan;OU Ting-ting(Institute for Prevention and Control of Tropical Diseases and Chronic Non-infectious Diseases,Hainan Center for Disease Control and Prevention,Haikou,Hainan 570100,China)

机构地区：[1]海南省疾病预防控制中心热带病与慢性病预防控制所,海南海口570100

出　　处：《中国热带医学》2023年第6期625-630,共6页China Tropical Medicine

摘　　要：目的了解海南省代谢综合征(metabolic syndrome,MS)的流行现状及危险因素,为MS防控提供科学依据。方法采用多阶段整群随机抽样的方法抽取海南省18岁及以上常住居民3690人,采用入户预约和集中调查方式,由调查员对调查对象开展问卷调查、身体测量和实验室检测前血样处理,经过处理的样本由质控合格的实验室进行检测,最后分析MS的流行现状及其危险因素。结果海南省18岁及以上人群MS患病率为19.46%(标化患病率13.21%),城市(22.21%)高于农村(18.13%),患病率随着年龄增加而升高(P趋势<0.001),不同婚姻状况间和职业间MS患病率差异有统计学意义(P<0.01)。Logistic回归分析显示,40~<50岁(OR=2.986,95%CI:1.355~6.580),50~<60岁(OR=3.739,95%CI:1.715~8.151),60~<70岁(OR=3.890,95%CI:1.769~8.556),≥70岁(OR=3.927,95%CI:1.758~8.771),技术、运输、生产人员(OR=1.579,95%CI:1.033~2.412),离退休(OR=1.788,95%CI:1.415~2.259),未就业(OR=1.503,95%CI:1.044~2.165),戒烟(OR=1.582,95%CI:1.162~2.154),蔬果摄入不足(OR=1.196,95%CI:1.005~1.422),身体活动不足(OR=1.437,95%CI:1.155~1.787)与MS患病相关。调查对象中出现1种组分占30.22%,以高血糖最高(54.44%);出现2种组分占24.25%,以“高血糖+高血压”最高(33.30%);出现3种以上组分占19.46%,以“超重/肥胖+高血糖+高血压”最高(24.79%)。结论海南省MS患病水平呈上升趋势,需采取有效的生活方式干预手段以降低MS患病风险。Objective This study aims to explore the prevalence and risk factors of metabolic syndrome(MS)among the adults in Hainan Province,and to provide scientific basis for MS prevention and control.Methods A multi-stage cluster random sampling method was applied to select 3690 permanent residents aged 18 years and above in Hainan Province.The survey was conducted by trained investigators using household appointments and centralized surveys.A questionnaire survey,physical measurement,and laboratory examination were conducted after the collection of blood samples.The processed samples were then tested by a quality-controlled laboratory.Finally,we analysed the prevalence of metabolic syndrome(MS)and its relationship with population characteristics and health-related behaviors.Results The crude prevalence of MS in the population aged 18 and above in Hainan province was 19.46%and the standardized prevalence was 13.21%,with a higher rate in urban areas(22.21%)than in rural areas(18.13%).The prevalence of MS increased with age(P<0.001),and there were significant differences in MS prevalence among different marital and occupational statuses(P<0.01).Logistic regression results indicated that the age groups of 40-<50 years(OR=2.986,95%CI:1.355-6.580),50-<60 years(OR=3.739,95%CI:1.715-8.151),60-<70 years(OR=3.890,95%CI:1.769-8.556),70 years and above(OR=3.927,95%CI:1.758-8.771),technical,transportation and production personnel(OR=1.579,95%CI:1.033-2.412),retired(OR=1.788,95%CI:1.415-2.259),unemployed(OR=1.503,95%CI:1.044-2.165),smoking cessation(OR=1.582,95%CI:1.162-2.154),insufficient intake of fruits and vegetables(OR=1.196,95%CI:1.005-1.422),and insufficient physical activity(OR=1.437,95%CI:1.155-1.787)were all associated with the prevalence of MS.Among the investigated subjects,30.22%of them had one abnormal component,with hyperglycemia being the highest(54.44%);24.25%of them had two abnormal components,with"hyperglycemia+hypertension"being the highest(33.30%);and 19.46%had three or more components,with"overweight/obesity+hyp

关 键 词：代谢综合征 流行现状 危险因素 海南省 

分 类 号：R589[医药卫生—内分泌]