北京部分社区干部人群代谢综合征的流行病学研究

Epidemiological investigation of the prevalence of metabolic syndrome in the middle-aged and elderly community population of Beijing

目的调查北京部分社区中老年干部人群代谢综合征的患病率。方法于2003年9月和2004年5月对136个驻京部队干休所社区随机抽取共计2335人进行调查,以中国糖尿病协会的建议为诊断标准,对中老年干部人群的代谢综合征的患病率进行了统计分析。结果北京部分社区中老年干部人群代谢综合征的患病率为28.7%,老年组和高龄老年组分别为29.9%和29.6%,较中年组(24.3%)高。整个人群的肥胖占40.2%、高血压病为56.7%、糖代谢紊乱为64.1%、高甘油三酯血症为38%。老年和高龄老年组的肥胖和高甘油三酯患病率显著低于中年组,而糖代谢异常和高血压病的患病率则明显高于中年组。代谢综合征、糖代谢异常和高血压病随年龄的增长逐步增加,而甘油三酯和肥胖的患病率50～60岁为高峰,65岁后则逐步下降。结论北京部分社区中老年干部人群具有较高的代谢综合征患病率,代谢综合征和各组分的患病率在不同的年龄段有所不同。

Objective To investigate the prevalence and distribution of metabolic syndrome in the middle-aged and elderly community population of Beijing. Methods The medical check-up data in 2335 middle-aged and elderly persons, who were sampled randomly from the 136 communities in Beijing, were acquired and analyzed. Results The incidences of the middle-aged and elderly people with metabolic syndrome (MS), obesity, essential hypertension, glucose metabolic disorder, hyper triglyceridemia 28.7%, 40.2%, 56.7%, 64.1%, and 38%, respectively. In the groups of old and very old persons, the respective incidence of MS, blood sugar disorder, and essential hypertension was higher, and obesity and hyper glyceridemia were significantly lower than that of middle-aged group. Conclusion The incidence of MS is very high in the middle aged and elderly community population of Beijing. The incidence of MS and its components in the middle aged people are different from that of elderly population.