摘要
目的调查广州市开发区3个街道社区中老年居民代谢综合征(MS)的流行现况,初步评估运用2004年中华医学会糖尿病分会关于代谢综合征建议(简称CDS标准)定义MS在社区人群的应用价值,并探讨社区人群MS综合干预措施。方法采用随机抽样的流行病学调查方法进行问卷调查,并对调查人群(392人)测定空腹血糖、血脂、体重指数和血压等,运用CDS标准对资料进行分析。结果(1)调查人群的MS患病率为20.9%,其中45～49岁年龄组MS患病率为18.8%,≥60岁年龄组MS患病率为25.4%,MS患病率性别差异不明显;(2)调查人群中MS各组成成分(简称组分)的患病率高低顺序为血脂异常>超重或肥胖>高血压>高血糖;(3)调查人群中MS4类不同组分(4项组分组合成1类,3项组分组合成3类)聚集程度的患病率在20.9%～28.6%之间,且类别之间差异不明显;(4)调查人群MS中最多见的表现形式是超重或肥胖+血脂异常+高血压和以上3项组分组合+高血糖;次要表现形式是超重或肥胖+血脂异常或高血压+高血糖。结论广州市开发区3个街道社区中老年居民人群具有很高的MS患病率,且多种代谢异常的聚集较为严重;CDS标准适用于社区人群MS的定义与评估;社区居民人群的MS综合干预措施极为必要。
OBJECTIVE To describe the prevalence of metabolic syndrome （MS） in GETDD, using CDS standards 2004 definition, amd to discuss the community interfere of MS. METHODS Randoms sampling method was used and the participants were interviewed by trained health workers under a structured questionnaire.Fasting plasma glucose （FPG）, blood lipids, body mass index, blood pres- sure （BP） of all sample population （392 Subjects） were measured. RESULTS （1） The prevalence of MS was 20.9% by CDS standards difinition. The prevalence of MS of the group in 45-49 were 18.8% and in ≥60 year-olds were 25.4%. （2） The prevalence in unit of MS was dislipidemia〉orerweight and obesity〉hypertension〉high FPG. （3） The prevalence in four groups of MS was 20.9%- 28.6%. （4） The most common combination of MS individual components were overweight and obesity, dislipidemia and high BP and high FPG.The second combination of MS individual components were overweight and obesity, dislipidemia of high BP, and high FPG. CONCLUSIONS The prevalence of MS was high at middle-old age in GETDD. Clustering of MS components was common.CDS standards is applicable to define and evaluate the prevalence of MS community.It is necessary to provide the community interfere about MS.
出处
《中国初级卫生保健》
2008年第1期75-77,共3页
Chinese Primary Health Care
关键词
代谢综合征
流行病学
社区干预
metabolic syndrome, epidemiology, community interfere
