上海市金山区廊下镇60岁以上老年居民代谢综合征患病现状及其影响因素

Prevalence of metabolic syndrome and related factors among elderly residents over 60 years of age in a suburban town of Shanghai

目的探讨上海市金山区廊下镇60岁以上老年居民代谢综合征(metabolic syndrome,MS)患病现状及其危险因素,为制定更好的社区MS防治策略提供科学依据。方法选择2020年3-11月在上海市金山区廊下镇社区卫生服务中心参与健康检查的6067名60岁以上老年居民作为研究对象,收集其健康检查资料和个人信息,分析MS的患病情况,应用单因素分析和多因素logistic回归分析探讨MS的危险因素。结果6067名60岁以上老年居民中,诊断为MS患者855例,患病率为14.09%。单因素分析结果显示,MS患病与年龄、体质量指数、地区、吸烟、脂肪肝等因素密切相关,差异有统计学意义(P<0.05)。多因素logistic回归分析结果显示,年龄(OR=0.533,95%CI 0.452~0.691)、地区(OR=1.256,95%CI 1.156~1.563)、吸烟(OR=1.531,95%CI 1.203~1.912)、合并脂肪肝(OR=1.928,95%CI 1.539~2.325)是MS的影响因素。结论上海市远郊某镇60岁以上老年居民MS患病率较高,需要根据影响MS发生的危险因素制定更为合理的生活方式干预模式和健康教育方案,以控制MS的发生。

Objective To investigate the prevalence and risk factors of metabolic syndrome(MS)in elderly residents older than 60 years old in Lengxia Town,Jinshan District,Shanghai,and to provide a scientific basis for formulating better strategies for prevention and treatment of MS in communities.Methods A total of 6,067 elderly residents older than 60 years old who underwent a health examination in the community health service center of a town in Lengxia Town,Jinshan District,Shanghai from March to November 2020 were selected as the research participants.Health examination data and personal information were collected,the prevalence of MS was determined,and the risk factors for MS were analyzed by univariate and multivariate logistic regression analyses.Results A total of 6,067 elderly residents older than 60 years old underwent health examinations and complete data were available.A total of 855 patients were diagnosed with MS(prevalence=14.09%).Univariate analysis showed that the prevalence of MS was closely related to age,body mass index,geographic area of residence,cigarette smoking,and a fatty liver(P<0.05).Multivariate logistic analysis showed that age(OR=0.533,95%CI 0.452-0.691),geographic area of residence(OR=1.256,95%CI 1.156-1.563),cigarette smoking(OR=1.531,95%CI 1.203-1.912),and fatty liver(OR=1.928,95%CI 1.539-2.325)were associated with MS.Conclusion The prevalence of MS among the elderly residents older than 60 years old in a town in the outer suburbs of Shanghai is still considerable.More reasonable lifestyle intervention and health education programs based on the research results will mediate control over the occurrence of MS.