吕梁市成人代谢综合征流行特征及危险因素研究

发布时间：2018-06-30 11:14

本文选题：代谢综合征 + 患病率　；参考：《山西医科大学》2017年硕士论文

【摘要】：目的:了解山西省吕梁地区成人常住居民代谢综合征(metabolic syndrome MS)患病情况、分布特点及其相关危险因素。并比较2016年修订版《中国成人血脂异常防治指南》、CDS和IDF三种MS诊断标准的敏感性及诊断结果一致性。方法:数据来源于2013年-2015年吕梁地区心血管疾病危险因素筛查,共3339人。运用SPSS19.0进行数据分析。计量资料运用t检验,率的比较采用χ2检验和趋势χ2。运单因素、多因素Logistic回归分析MS危险因素。使用Kappa值、ROC曲线判断MS结果一致性及诊断敏感性。结果:MS在《指南》、IDF、CDS诊断标准下检出率分别为35.28%、30.13%、31.99%,差异有统计学意义(P0.05);吕梁地区男性、退休人员、饮食口味偏咸、超重、肥胖为MS危险因素(P0.05)。经常吃蔬菜是MS保护因素(P0.05);《指南》和CDS标准检出一致性较高,K=0.649;以2005为参照标准,2016标准灵敏度最高62.99%,以2004为参照标准,2016灵敏度82.80%。结论:吕梁地区MS患病与国内其他地区比较相当高,且与多种因素有关,2016指南可以较好筛查40岁以上MS重点人群,应采取相应公共卫生措施预防与干预。
[Abstract]:Objective: to investigate the prevalence, distribution and risk factors of metabolic syndrome (metabolic syndrome MS) in adult residents in Lv Liang area of Shanxi province. The sensitivity and diagnostic results of CDS and IDF were compared in the revised Chinese guidelines for the Prevention and treatment of Adult dyslipidemia in 2016. Methods: data from 2013-2015 Lv Liang area cardiovascular risk factors screening, a total of 3339 people. SPSS 19.0 was used for data analysis. T test was used to measure the data, and 蠂 2 test and trend 蠂 2 were used to compare the rate. Multiple logistic regression analysis was used to analyze the risk factors of MS. Kappa value and ROC curve were used to judge the consistency of MS results and diagnostic sensitivity. Results the detectable rate of 7% MS was 35.28 ~ 30.13 and 31.99 ~ 99 respectively under the diagnostic criteria of IDFU CDS (P0.05), while male, retired, salty, overweight and obesity were risk factors of MS in Lv Liang area (P0.05). Eating vegetables regularly was the protective factor of MS (P0.05), the consistency between the guidelines and the CDS standard was higher than that of the control group (P 0.05), and the sensitivity of 2005 was the highest, and the sensitivity of 2004 was 82.80. Conclusion: the prevalence of MS in Lv Liang area is higher than that in other regions in China, and the guidelines related to various factors can better screen the key population of MS over 40 years old, and the corresponding public health measures should be taken to prevent and intervene.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R589

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