摘要
目的:调查乌鲁木齐市汉族人群代谢综合征及其相关疾病的患病状况,并探讨其影响因素。方法:①于2001-08/09采用整群抽样方法调查乌鲁木齐新市区25岁以上汉族成人2688人。排除有高血压病史、严重心、肝、肾功能不全的人群,排除资料不全者,纳入2670人。按下列标准分为4组:代谢综合征组(n=243):1个个体同时存在高血糖、高血压、血脂紊乱3种成分;两种代谢紊乱组(n=701):1个个体同时存在高血糖、高血压、血脂紊乱3种成分中任意2种;一种代谢紊乱组(n=1087):即个体存在高血糖、高血压、血脂紊乱3种成分中的任意1种;无代谢紊乱组(n=639):无代谢异常。②所有调查对象均进行血压、体质量指数、腰围、血糖、血脂、胰岛素等指标的测定。比较分析不同性别及血脂紊乱状况人群的糖脂代谢紊乱、肥胖患病情况。③组间比较用方差分析,多因素分析采用Logistic回归。结果:纳入汉族成人2688人,排除资料不全者,2670人纳入结果分析并完成问卷调查。①男性糖尿病、糖耐量低减/空腹血糖受损、高血压、高三酰甘油血症、高低密度脂蛋白胆固醇血症、低高密度脂蛋白胆固醇血症、超重、肥胖、代谢综合征患病率均明显高于女性(P<0.01);高总胆固醇血症患病率明显低于女性(P<0.01)。②代谢综合征组、2种代谢紊乱组、1种代谢紊乱组、无代谢紊乱组体质量指数、腰臀比、空腹血糖、餐后2h血糖、收缩压、舒张压、总胆固醇、三酰甘油、低密度脂蛋白胆固醇呈降低趋势,且组间两两比较均有明显差异(P<0.01);高密度脂蛋白胆固醇呈上升趋势,无代谢紊乱组明显高于其余3组(P<0.01),而代谢紊乱各组间差异不明显(P>0.05)。③多因素非条件Logistic回归分析结果提示,体质量指数、腰臀比、年龄与代谢综合征高度相关(OR=2.6610,1.8710,3.7768,P<0.01)。结论:①乌鲁木齐市汉族男性成年人血糖、�
AIM： To investigate the prevalence of metabolic syndrome and its related diseases in Han people living in Urumqi city, and explore the influencing factors. METHODS： ① A total of 2 688 Han adults aged above 25 years old living in the new urban area of Urumqi city were investigated by means of cluster sampling between August and September 2001. Those with were involved. The subjects with the history of hypertension, severe insufficiencies of heart, liver and kidney, and incomplete data were excluded, finally 2 670 subjects were excluded. The subjects were divided into 4 groups according to the following standards, metabolic syndrome group （n =243）： an individual had 3 components of hyperglucemia, hypertension and lipidemic disorder at the same time; two metabolic disorders group （n=701）： an individual had any 2 of the 3 components of hyperglucemia, hypertension and lipidemic disorder at the same time; one metabolic disorder group： an individual had any one of the 3 components of hyperglucemia, hypertension and lipidevaic disorder; no metabolic disorder group： without metabolic abnormality.②The blood pressure, body mass index, waist circumference, blood glucose, blood lipid and insulin of all the subjects were determined. The prevalences of glucemic and lipidemic metabolic disorders and obesity were compared and analyzed between the subjects of different gender and different lipidemic disorder. ③The analysis of variance was used for the intergroup comparison, and Logistic regression was applied for the multivariate analysis. RESULTS： A total of 2 688 Han people were selected, and those with incomplete data were excluded, finally 2 670 subjects completed the questionnaire survey and involved in the analysis of results. ① The prevalence rates of diabetes mellitus, impaired glucose tolerance/damage of fasting blood glucose, hypertension, hypertriglyceridemia, low density lipoprotein hypereholesterolemia, high density lipoprotein hypocholesterolemia, overweight, obesity and metabolic syndro
出处
《中国临床康复》
CSCD
北大核心
2005年第31期7-9,共3页
Chinese Journal of Clinical Rehabilitation
