摘要
目的描述北京市顺义区35~75岁职业人群代谢综合征(MS)及各组分的流行特征,分析MS的相关危险因素。方法采用横断面调查方法,对2017-2019年北京市顺义区35~75岁常驻居民进行体格测量和问卷调查,并对数据进行分析。结果本次调查共纳入职业人群12716人,MS患病率为27.77%(标化率为25.95%)。其中男性5510人(43.33%),患病率32.29%(标化率31.21%);女性7206人(56.67%),患病率24.31%(标化率21.92%)。各职业人群中,专业技术人员标化患病率最高(32.00%),行政办事人员最低(22.76%)。各年龄组患病率,35~<60年龄组,男性显著高于女性(P<0.01);70~75年龄组,女性显著高于男性(P<0.01),患病率随年龄增长而升高(P<0.01)。MS 4个指标超重或肥胖、高血糖、高血压、血脂紊乱的患病率分别为63.37%、21.66%、54.00%和37.82%,男性均显著高于女性(均P<0.01),患病率随年龄增长而升高(P<0.01)。35~<60岁年龄组,首要表现为超重或肥胖,随着年龄增长,60~75岁年龄组,首要表现变为高血压,超重或肥胖问题在各个年龄段一直存在。高龄、男性、初中及以下学历、有肾或输尿管结石疾病史、吸烟、办公场所二手烟一周≥4天及饮酒是MS的危险因素(均P<0.05)。结论北京市顺义区MS患病率高,主要表现为超重和肥胖、高血压,并呈现男性低龄化趋势。应重点关注男性、低学历、吸烟、饮酒及有结石疾病史人群,为"久坐模式"办公人群提供合理工间操等干预措施。
Objective To describe the epidemic characteristics of metabolic syndrome(MS)and its components in the occupational population aged 35-75 years old in Shunyi District of Beijing,and analyze the related risk factors of MS.Methods Using the cross-sectional survey method,the physical measurements and questionnaire surveys were conducted on the residents aged 35-75 years old in Shunyi District of Beijing from 2017-2019.And the data were analyzed.Results A total of 12716 occupational populations were included in this survey,and the prevalence rate of MS was 27.77%(standardized rate was 25.95%).Among them,5510 were males(43.33%)and the prevalence rate was 32.29%(standardized rate was 31.21%),7206 were females(56.67%),and the prevalence rate was 24.31%(standardized rate was 21.92%).Among all occupational groups,professional and technical personnel had the highest standardized prevalence rate(32.00%),and administrative staff had the lowest(22.76%).The prevalence of all age groups,the 35-<60 age group,men were significantly higher than women(P<0.01),the 70-75 age group,women were significantly higher than men(P<0.01),the prevalence rate increased with age(P<0.01).The prevalence of overweight or obesity,hyperglycemia,hypertension and dyslipidemia of the four indicators of MS were 63.37%,21.66%,54.00%and 37.82%.Males were significantly higher than females(all P<0.01),and the rate increased with age(P<0.01).The 35-<60-year-old age group mainly manifested as overweight or obesity.As the age increases,the 60-75-year-old age group became primarily manifested as hypertension.Overweight or obesity always existed in all age groups.Older age,male,junior high school education and below,history of kidney or ureteral stone disease,smoking,secondhand smoke in office for≥4 days per week,and alcohol consumption were the risk factors for MS(all P<0.05).Conclusion The prevalence of MS is high in Shunyi District of Beijing,mainly manifested as overweight,obesity,hypertension,and a trend of younger men.Intervention should be focused on men,
作者
贾佳
肖春丽
万阳
JIA Jia;XIAO Chun-li;WAN Yang(Department of Chronic Disease Control,Center for Disease Control and Prevention of Shunyi District,Beijing,101300,China)
出处
《职业与健康》
CAS
2021年第1期56-62,共7页
Occupation and Health
基金
国家卫生和计划生育委员会重大公共卫生服务项目
中央财政转移支付地方卫生计生服务项目。
关键词
代谢综合征
职业人群
超重或肥胖
高血压
危险因素
Metabolic syndrome
Occupational groups
Overweight or obesity
Hypertension
Risk factors
