社区非糖尿病人群代谢综合征与糖化血红蛋白关系  

Relationship between metabolic syndrome and glycated hemoglobin in community non diabetic population

作　　者：李圣坚 段鹏 涂萍 王艳 LI Shengjian;DUAN Peng;TU Ping;WANG Yan(Department of Endocrinology and Metabolism of the Third Hospital of Nanchang,Jiangxi Province 330009,China)

机构地区：[1]江西省南昌市第三医院内分泌代谢科,南昌330009

出　　处：《上海医药》2023年第22期41-44,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:探讨社区非糖尿病人群代谢综合征(MS)与糖化血红蛋白关系。方法:采取分层整群随机抽样方法对1283名年龄20岁以上南昌社区常住居民(排除糖尿病患者)进行问卷调查、体格检查和实验室检查,依次检测空腹血糖(FBG)、餐后2 h血糖(2 h PG)、血脂、糖化血红蛋白(HbA1c),依据中华医学会糖尿病学分会诊断标准(CDS)计算MS的患病率。结果:按CDS诊断标准,社区非糖尿病人群MS的患病率为11%,且随年龄增长而增高,最高患病率出现在60~69岁年龄之间,但70岁以后MS患病率则是下降趋势,HbA1c为5.85%时对MS存在的预测值最大,敏感度为0.533,特异度为0.78,AOC值为0.709,可提示MS的存在。结论:对于社区非糖尿病人群,当检测到HbA1c>5.85%,提示MS的存在。Objective:To explore the relationship between metabolic syndrome(MS)and glycosylated hemoglobin in community non diabetic population.Methods:A stratified cluster random sampling method was used to conduct a questionnaire survey,physical examination and laboratory examination in 1283 permanent residents(excluding diabetes patients)aged over 20 years in Nanchang Community.Fasting blood glucose(FBG),postprandial blood glucose(2 h PG),blood lipids,and glycosylated hemoglobin(HbA1c)were measured in turn,and the prevalence of MS was calculated according to the diagnostic criteria(CDS)of the Diabetes Branch of the Chinese Medical Association.Results:According to CDS diagnostic criteria,the prevalence of MS in community non diabetic population was 11%,and increased with age,the highest prevalence was the 60~69 age group,but the prevalence of MS was a downward trend by 70 years later and when HbA1c was 5.85%,predicted value for the existence of MS was maximum,the sensitivity was 0.533,the specificity was 0.78,and the AOC was 0.709,which suggested the presence of MS.Conclusion:For community non-diabetic population,when the detection of HbA1c is>5.85%,it suggests the existence of MS.

关 键 词：代谢综合征 非糖尿病 糖化血红蛋白 

分 类 号：R589[医药卫生—内分泌]