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| 合肥市某社区40岁以上人群代谢综合征流行特征 |
| Analysis on epidemic characteristics of metabolic syndrome among middle-to-old-aged residents of one community in city of Hefei |
| 投稿时间：2015-03-12 修订日期：2015-06-03 |
| DOI：10.3969/j.issn.1000-0399.2015.010.030 |
| 中文关键词: 代谢综合征 中老年人群 患病率 |
| 英文关键词: Metabolic syndrome Mid-aged population Prevalence |
| 基金项目:合肥市科技局重大科技项目(项目编号:2011043);国家代谢性疾病临床医学研究中心(项目编号:2013BA109B13);科技部重大新药创制(项目编号:2012ZX09303006-001) |
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| 中文摘要: |
| 目的 了解合肥市某社区中老年人群代谢综合征(MS)的患病情况与流行特征。方法 采用整群随机抽样的方法,对合肥市某社区内2 860位40岁及以上常住居民进行问卷调查、体格检查和实验室检查。按照国际糖尿病联盟诊断标准(IDF)对MS进行诊断。结果 调查对象共调查2 860人,男性1 093人(38.22%),女性1 767人(61.78%),平均年龄(56.38±10.8)岁,MS患病率为34.55%,标化患病率为33.73%,女性(39.7%)明显高于男性(26.2%),不同年龄段、不同文化程度、不同婚姻状况、不同居住情况调查对象间MS患病率不同。MS各组分患病率在25.8%~56.4%,在中心性肥胖的基础上,合并两项指标异常的有499人(17.4%),合并3项指标异常的有369人(12.9%),五项全部异常的有120人(4.2%),MS异常指标组合中以中心性肥胖合并低高密度脂蛋白(HDL)和血压异常的患病率最高(18.7%),除了合并三酰甘油和血糖异常的患病率男女间差异无统计学意义外,其他5个组合的患病率女性均高于男性,差异有统计学意义(P<0.05)。结论 该社区40岁及以上居民MS患病率较高,女性较男性患病率高,合并二项及以上代谢异常的比例较高。 |
| 英文摘要: |
| Objective To understand the prevalence and epidemiologic characteristics of metabolic syndrome (MS) among mid -aged residents in Hefei city. Methods The stratified cluster random sampling was used to select 2860 residents aged>40 years. They were given questionnaire survey, physician check-up and laboratory test. The MS was diagnosed according to the diagnostic criteria of International Diabetes Federation (IDF). Results A total of 2860 residents were interviewed with questionnaire, including 1093 men(38.22%)and 1767 women(61.78%). The average age was 56.38±10.8, the MS prevalence was 34.55% and the standardized prevalence of MS was 33.73%, and the prevalence of female(39.7%) was significantly higher than that of male(26.2%). The MS prevalence changed among different ages, different education degree, different marital status and different living conditions. The prevalence of MS components was 25.8%~56.4%. On the basis of central obesity, 499(17.4%), 369(12.9%) and 120(4.2%) people were found abnormal with two, three and four components respectively. The combination of central obesity and low high density lipoprotein cholesterol with hypertension accounted for 18.7%. The prevalence of combination of central obesity and high TG and high glucose in female was higher than that in male except other combinations. Conclusion The MS prevalence is high in Hefei, especially in women residents. A large proportion of the people have two or more kinds of metabolic abnormality. |
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