社区体检人群代谢综合征患病情况及相关影响因素的调查分析

发布时间：2018-03-03 11:22

本文选题：代谢综合征　切入点：患病率　出处：《中华疾病控制杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的了解某社区体检人群代谢综合征(metabolic syndrome,MS)的患病率及其影响因素,为本地区MS的综合防治提供科学依据。方法采用整群抽样的方法,以某社区参加健康体检的18岁及以上成人作为研究对象进行问卷调查、体格检查和实验室检查,采用非条件Logistic回归分析MS的相关影响因素。结果收集信息完整的研究对象610名,其中男性334人(54.8%),女性276人(45.2%)。有82人被检出患有MS,患病率为13.4%,男女患病率分别为15.6%(52/334)和10.9%(30/276),差异无统计学意义(X~2=2.868,P=0.090)。年龄大、文化程度低、具有高血压或糖尿病家族史、疏于锻炼或盐摄入过多的研究对象MS患病率均高于对照组。MS患者的体质指数(body mass index,BMI)、腰围等体检及实验室检测指标均高于对照组(均有P0.05),而高密度脂蛋白胆固醇(high density lipoprotein cholesterol HDL-C)则低于对照组。多因素分析结果显示年龄增大、具有糖尿病家族史、BMI高、高腰围、高血压、高甘油三酯和低HDL-C是MS的危险因素。结论社区体检人群具有相当比例的个体患有MS,应针对相关危险因素及早采取综合防治措施。
[Abstract]:Objective to investigate the prevalence of metabolic syndromes (MS) and its influencing factors in a community, and to provide a scientific basis for the comprehensive prevention and treatment of MS in this area. A questionnaire survey, physical examination and laboratory examination were conducted among adults aged 18 and above who took part in a health checkup in a community. Unconditioned Logistic regression analysis was used to analyze the related factors of MS. Results 610 subjects with complete information were collected. Of these, 334 were male and 276 were female, and 82 were found to have MS.The prevalence rate was 13.4. the prevalence rate of males and females was 15.60.52 / 334 and 10.90.30 / 276respectively. There was no significant difference between them. There was no significant difference in age, education and family history of hypertension or diabetes. The prevalence rate of MS was higher than that of the control group. The body mass index (BMI) of MS patients was higher than that of the control group (P 0.05), and the waist circumference was higher than that of the control group (P 0.05), while the high density lipoprotein cholesterol (HDL-C) was higher than that of the control group (P 0.05). Density lipoprotein cholesterol HDL-C was lower than that of control group. High family history of diabetes, high waist circumference, hypertension, high triglyceride and low HDL-C are risk factors of MS.
【作者单位】：皖南医学院公共卫生学院预防医学教研室;
【基金】：安徽省大学生创新创业训练项目(AH201510368137)
【分类号】：R589

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