成都市社区老年人代谢综合征现状及影响因素的性别差异研究  

Gender differences of metabolic syndrome and influencing factors among elderly people in urban communities

作　　者：夏舟容 付林 蔡鹏[2] 彭长燕 杨洋 XIA Zhou-rong;FU Lin;CAI Peng;PENG Chang-yan;YANG Yang(Department of Health Behavior and Social Medicine,West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu,Sichuan 610041,China;不详)

机构地区：[1]四川大学华西公共卫生学院/华西第四医院健康行为与社会医学系,四川成都610041 [2]成都市青羊区疾病预防控制中心

出　　处：《现代预防医学》2024年第2期279-284,共6页Modern Preventive Medicine

基　　金：成都市青羊区慢病干预研究(0040405502588)。

摘　　要：目的了解城市社区老年人代谢综合征现状及性别差异,为代谢综合征的防控重点及早期干预提供针对性指导。方法利用2019年成都市青羊区65岁及以上老年人群体检数据,选取社会人口学特征、健康相关行为指标、健康自我报告以及代谢综合征指标,按性别分组,运用StataSE16.0软件进行趋势χ^(2)检验、χ^(2)检验以及logistic多因素回归分析。结果代谢综合征总体患病率为35.12%。老年女性人群患病率(35.81%)高于男性(34.15%),差异具有统计学意义,女性、70~79岁、吸烟以及嗜盐患病风险更高。模型2和模型3回归结果显示,部分脑力部分体力劳动者、保持每周一次以上锻炼与老年代谢综合征患病风险低相关。初中(OR=1.27,95%CI:1.12~1.44)、高中(OR=1.26,95%CI:1.10~1.45)、吸烟(OR=1.11,95%CI:1.01~1.22)、偶尔饮酒(OR=1.15,95%CI:1.04~1.27)仅与男性老年人群患代谢综合征患病风险高相关(P<0.05);教育水平在初中及以上(OR=0.85,95%CI:0.77~0.93)、老年人健康自评报告满意(OR=0.78,95%CI:0.61~0.99)仅与女性患病风险低相关(P<0.05)。结论成都市社区老年人代谢综合征患病率较高,且具有显著的性别差异,在后续防控与干预工作中应加强个性化干预,提高针对性,加强重点人群监测。Objective To explore the prevalence and gender distinctions of metabolic syndrome in elder adults in urban communities and to provide targeted guidance on early intervention of metabolic syndrome.Methods The data were collected from the 2019 medical examination data of the elderly population aged 65 years or older in Qingyang District,Chengdu,China.Sociodemographic characteristics,health-related behavioral indicators,health self-assessment reports,and metabolic syndrome indicators were selected for the chi-square test and then multi-categorical logistic regression analysis using StataSE16.0 software.Results The prevalence of metabolic syndrome was 35.12%in total,with women(35.81%)having a higher rate compared to men(34.15%),and multifactorial regression analysis showed a higher risk for women,70-79 years,smoking,and salt addiction.Model 2 and Model 3 regression analyses for men and women showed that partial mental partial physical labor,and maintaining exercise more than once a week were associated with a low risk of developing metabolic syndrome in old age in both male and female populations.Middle school(OR=1.27,95%CI:1.12-1.44),High school(OR=1.26,95%CI:1.10-1.45),smoking(OR=1.11,95%CI:1.01-1.22),and alcohol occasionally(OR=1.15,95%CI:1.04-1.27)were only associated with a high risk of developing metabolic syndrome in the male elderly population while education level at junior high school and above(OR=0.85,95%CI:0.77-0.93),and satisfactory health self-assessment reports in older adults(OR=0.78,95%CI:0.61-0.99)were only associated with a lower risk of the disease for women.Conclusion The prevalence of metabolic syndrome in older adults in urban communities is high,and there are significant gender differences.In the following prevention,control,and intervention work,we should strengthen personalized interventions,targeting and monitoring of key populations.

关 键 词：城市社区 代谢综合征 老年人 性别差异 

分 类 号：R589[医药卫生—内分泌]