摘要
目的调查克拉玛依市某三级甲等医院成年健康检查人群代谢综合征(metabolic syndrome,MS)检出情况,分析其危险因素。方法收集2019年在克拉玛依市某三级甲等医院进行健康检查的44351名成年人群资料,并对数据进行分析。结果MS检出率为23.2%,其中男性(27.2%)高于女性(20.0%),患病率随着年龄的增长呈上升趋势(χ2=1437.77,P<0.01);不同性别、年龄组的体质指数(body mass index,BMI)、腰围、空腹血糖、收缩压、舒张压、三酰甘油、高密度脂蛋白胆固醇水平及MS各组分比较,差异均有统计学意义(均P<0.01);MS各组分中心性肥胖、高血压、三酰甘油升高、高血糖和低高密度脂蛋白胆固醇患病率分别为49.21%、48.22%、29.58%、22.71%和19.47%,男性均显著高于女性(均P<0.01);中心性肥胖、高血压和三酰甘油升高是MS组分最常见的组合(20.60%);性别(OR=0.664,95%CI:0.621~0.711)、年龄大(OR=1.953,95%CI:1.885~2.024)、吸烟(OR=1.4568,95%CI:1.349~1.598)、饮酒(OR=2.048,95%CI:1.874~2.237)、高BMI(OR=1.246,95%CI:1.238~1.255)及中心性肥胖(OR=8.307,95%CI:7.534~9.160)是MS患病的影响因素(均P<0.01)。结论克拉玛依市健康检查人群中MS患病率较高,要加大对中心性肥胖和高血压的防控力度,倡导戒烟限酒的健康生活方式,加强对男性和高龄人群的针对性干预。
Objective To investigate the detection status of metabolic syndrome(MS)among adult physical examination population in a grade-A tertiary hospital of Karamay,analyze the risk factors.Methods The data of 44351 adults who underwent physical examination in a grade-A tertiary hospital of Karamay in 2019 were collected and analyzed.Results The detection rate of MS was23.2%,the rate in males(27.2%)was higher than that in females(20.0%),and the prevalence increased with age(χ2=1437.77,P<0.01).There were statistically significant differences in the levels of body mass index,waist circumference,fasting plasma glucose,systolic blood pressure,diastole blood pressure,triglyceride,high density lipoprotein cholesterol,as well as MS components among different gender and age groups(all P<0.01).The prevalence rates of central obesity,hypertension,elevated triglyceride,hyperglycemia,and lower high density lipoprotein cholesterol in each component of MS were 49.21%,48.22%,29.58%,22.71%and 19.47%,respectively,and the rates in males were significantly higher than those in females(all P<0.01).The central obesity,hypertension and elevated triglyceride were the most common combinations of MS components(20.60%).The gender(OR=0.664,95%CI:0.621-0.711),older age(OR=1.953,95%CI:1.885-2.024),smoking(OR=1.4568,95%CI:1.349-1.598),drinking(OR=2.048,95%CI:1.874-2.237),high level of body mass index(OR=1.246,95%CI:1.238-1.255)and central obesity(OR=8.307,95%CI:7.534-9.160)were the influencing factors of MS(all P<0.01).Conclusion The prevalence of MS is relatively high among physical examination population of Karamay,and it is necessary to increase the prevention and control of central obesity and hypertension,advocate a healthy lifestyle of quitting smoking and limiting alcohol,and strengthen targeted interventions for men and the elderly.
作者
郑帅印
李砥
李富业
ZHENG Shuai-yin;LI Di;LI Fu-ye(School of Public Health,Xinjiang Medical University,Urumqi Xinjiang,830011,China;Clinical Medicine Research Center,Karamay Central Hospital,Karamay Xinjumg,834000,China)
出处
《职业与健康》
CAS
2022年第11期1523-1527,共5页
Occupation and Health
基金
新疆维吾尔自治区自然科学基金面上项目(2021D01A22)
克拉玛依市创新人才工程(2019RC001A-15)
克拉玛依市中心医院科技项目(YK2019-18)。
关键词
代谢综合征
流行病学
影响因素
Metabolic syndrome
Epidemiology
Influencing factors
