摘要
目的 了解飞行员代谢综合征（metabolic syndrome,MS）的患病率及相关危险因素的流行学特征,对飞行员健康管理提供决策依据.方法 随机选取2012年10月1日-2013年9月30日来院疗养飞行员进行调查分析.调查内容包括问卷调查、体格检查、实验室检查.问卷调查包括基本情况、吸烟、饮酒、睡眠、高血压家族史和糖尿病家族史等;体格检查包括测量腰围、血压（收缩压、舒张压）;实验室检查包括检测空腹血糖（FPG）、三酰甘油（TG）、高密度脂蛋白胆固醇（HDL-C）.结果 来院疗养的飞行员代谢综合征患病率11.38%（14/123）.MS组与非MS组在年龄、腰围、收缩压、舒张压、三酰甘油方面比较有统计学意义（P〈0.05）;40岁及以上组与20～29岁组、30～39岁组患病率比较差异有统计学差异（P〈0.05）.肥胖、高血压、高血脂是飞行员代谢综合征的危险因素.多因素分析结果显示,最终进入模型且差异有统计学意义的变量有吸烟、饮酒、高血压家族史、睡眠时间过少（≤6 h）.结论 飞行员40岁以上年龄组代谢综合征患病率较高,因此,应采取综合措施以降低飞行员代谢综合征的发生率,其中,重点干预肥胖、高血压、高血脂.
Objective To explore the prevalence of metabolic syndrome （MS） in pilots, and to investigate the risk factors for providing basis for decision of the health management in pilots. Methods The Chinese guidelines on prevention and treatment of dyslipidemia zin aduls,2007 was recommended diagnostic criteria of metabolic syndrome. The batch sanatorium pilots were randomly selected from 2012 October to 2013 September for survey analysis. The study consisted of questionnaire survey, physical examination and laboratory test. The questionnaire included general condition, smoking, drinking, sleep, hypertension history and diabetes history. Physical examination included waist circumference, blood pressure （SBP and DBP）. Laboratory test included FPG, TG and HDL-C. Results A total of 123 pilots were surveyed and 14 suffered from MS with a prevalence of 11.38%. The age, waist circumference, SBP, DBP,TG between the MS group and non-MS group all showed statistically significant differences （ P 〈 0.05 ）. The prevalence of over forty years of age and order group,twenty to twenty-nine group and thirty to thirty-nine group showed statistically significant differences （ P 〈 0. 05 ）. Obesity, hypertension and high blood lipid are risk factors of metabolic syndrome in pilots. Multifactor analysis showed that smok- ing, drinking and family hypertension history and sleep time ≤ 6 h entered the model. Conclusion The prevalence of metabolic syndrome of pilots over forty years old age group is extremely high, so intervention should be taken into action immediately to reduce the high prevalence. Intervention should be focused on obesity, hypertension and high blood lipid.
出处
《东南国防医药》
2014年第1期55-57,共3页
Military Medical Journal of Southeast China
关键词
代谢综合征
危险因素
患病率
metabolic syndrome
risk factor
prevalence
