济南市儿童青少年代谢综合征不同诊断标准检出情况

发布时间：2018-03-26 07:40

本文选题：代谢疾病　切入点：糖尿病　出处：《中国学校卫生》2017年11期

【摘要】：目的采用3种代谢综合征(Metabolic Syndrome,MS)诊断标准描述济南市儿童青少年的MS检出率,为儿童青少年MS及心血管疾病预防提供基础数据。方法选取济南市城区4所中小学1 170名7~17岁儿童青少年进行身体测量和血生化检测。采用国际糖尿病联盟诊断标准(IDF标准)、中华医学会推荐的诊断标准(中国标准)和Cook等参照NCEP ATPIII制定的诊断标准(Cook标准)筛查MS的检出率,并比较3种标准的一致性。采用2010年中国人口普查的年龄性别构成对MS检出率进行标准化。结果采用IDF标准、中国标准和Cook标准诊断的MS标化检出率分别为3.24%,5.30%和6.79%,3种标准诊断的MS标化检出率均为男生高于女生(χ~2值分别为8.537,5.132,12.141,P值均0.05);采用IDF标准和中国标准,年龄组间的MS检出率差异无统计学意义(P值均0.05)。采用Cook标准,年龄组间的MS检出率差异有统计学意义(χ~2=6.355,P0.05)。关于MS检出率,中国标准与Cook标准一致性较好,Kappa值为0.784;IDF标准与中国标准、Cook标准之间的一致性中等,Kappa值分别为0.700和0.547。结论采用3种标准诊断的济南市城区儿童青少年的MS标化检出率均处于较高水平,应引起足够重视。Cook标准与中国标准诊断的MS标化检出率较高且一致性较好。
[Abstract]:Objective to describe the detection rate of MS in children and adolescents in Jinan by using three diagnostic criteria of metabolic syndromes (MS). Methods 1 170 7170 children and adolescents aged 717 years old in 4 primary and secondary schools in Jinan city were selected for body measurement and blood biochemistry test. The diagnosis was made by the International Diabetes Federation. The positive rate of MS screening was detected by the standard of Cook, the diagnostic standard recommended by the Chinese Medical Association (Chinese Standard) and Cook, which referred to the diagnostic standard established by NCEP ATPIII. The age and sex components of the 2010 Chinese population census were used to standardize the detection rate of MS. Results the IDF standard was adopted. The MS standardized detection rate of Chinese standard and Cook standard were 3.24% and 6.79%, respectively, which were higher in boys than in girls (蠂 ~ 2 = 8.5375.132 ~ 12.141 P = 0.05), IDF and Chinese standards were adopted. There was no significant difference in the detection rate of MS among age groups (P < 0.05). There was a significant difference in the detection rate of MS among age groups using Cook standard (蠂 ~ 2 / 6.355 / P = 0.05), and there was a significant difference in the detection rate of MS among age groups (蠂 ~ (2) 6.355) (P < 0.05). The consistency between Chinese standard and Cook standard is good. The consistency between Chinese standard and Cook standard is 0.784kappa and Chinese standard Cook standard. Conclusion the MS standard detection of children and adolescents in Jinan city using three kinds of criteria is 0.700 and 0.5477.Conclusion there is a good agreement between Chinese standard and Cook standard. The rates are at a high level, Sufficient attention should be paid to the diagnostic rate of MS standardized by Cook standard and Chinese standard.
【作者单位】：山东大学公共卫生学院流行病学系;
【基金】：国家科技支撑计划项目(2012BAI03B03)
【分类号】：R725.8

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