广汉市40岁以上社区居民糖尿病、高血压、血脂紊乱及代谢综合征基线调查

Epidemiological Survey of Metabolic Syndrome and Its Related Diseases in Individual Over 40 years of Age in Guanghan Municipal Community

目的了解广汉市城区40岁以上社区常住居民代谢综合征及其相关疾病的患病、知晓、控制情况。方法采用多阶段、多级分层、随机抽样的流行病学调查方法,对广汉市城区4个社区40岁以上常住居民(在当地居住1年以上)1792人进行问卷调查,测量身高、体重、血压,检测空腹血糖、血脂、口服75g葡萄糖(于300mL水中)负荷后2h血糖等。结果①调查对象各种危险因素发生率分别为超重/肥胖(24.21%)、糖调节受损(12.72%)、糖尿病(10.09%)、高血压(31.79%)、血脂紊乱(33.27%)及代谢综合征(12.44%),患病率随年龄的增长而显著升高,增龄趋势男女间基本一致;②调查对象对自己所患各种危险因子知晓率/控制率分别为糖调节受损(6.25%/1.25%)、糖尿病(51.87%/3.21%)、高血压(61.55%/10.52%)、血脂紊乱知晓率/控制率为(26.45%/2.31%)。结论广汉市城区40岁以上社区居民代谢综合征及其相关疾病患病率低于全国城市社区平均水平,患病率随年龄的增长而升高;被调查者对各种代谢异常的知晓率与控制率还有很大差距。

Objective To survey the prevalence of metabolic syndrome and its related diseases in residents in a municipal community of Guanghan.MethodsA cross-sectional survery and random sampling was carried out in a cohort of 1 792 residents over 40 years in 4 municipal communities in Guanghan. Questionaire, fasting blood glucose and 2 hours blood glucose (75 gram glucose challenge test) were evaluated. Serum lipid-profile as well as height, weight, blood pressure were measured.ResultsThe age-standardized prevalence of various risk factors is: metabolic syndrome(12.44%), overweight/obesity(24.21%), impaired glucose tolerance(12.72%), diabetes(10.09%), hypertension(31.79%), and dyslipidemia(33.27%). The prevalence of these diseases were increased with age.ConclusionThe prevalence rate of metabolic syndrome and its related diseases in residents over 40 years in Guanghan were lower than that found in other communities in China.=