延边农村朝鲜族和汉族居民代谢综合征及其相关因素比较

Comparative study on metabolic syndrome and its related factors among the Korean-Chinese and Han nationalities in the urban of Yanbian area

目的:了解延边农村地区朝鲜族和汉族居民代谢综合征的患病水平,并探讨其相关因素。方法:调查于2004-08/09完成。在延边地区图们市随机选择2个镇,选择30岁以上朝鲜族和汉族常驻居民,均自愿参加调查,排除混血家族成员。采用面对面的询问法收集调查对象的一般人口学特征、生活方式和代谢综合征相关疾病的家族史等资料,并测量其血压、体格指标及生化指标。代谢综合征的诊断依照中华医学会糖尿病学分会的诊断标准,即符合以下3条或3条以上者:①超重及肥胖:体质量指数≥25kg/m2。②高血压:收缩压≥140mmHg和/或舒张压≥90mmHg及已确诊的高血压并治疗者。③血脂紊乱:三酰甘油≥1.7mmol/L及或高密度脂蛋白胆固醇<0.90(男),1.0(女)。④高血糖:空腹血糖≥6.1mmol/L及确诊的糖尿病并治疗者。应用多因素相关回归分析法分析代谢综合征与其相关因素的关系。结果:调查中问卷、体格检查及生化指标完整者共1120人。①不同民族不同性别调查对象代谢综合征的患病水平:朝、汉族男性代谢综合征的粗患病率分别为27.6%和13.8%,女性分别为28.0%和12.1%;其标准化患病率,朝、汉族男性分别为24.97%,12.98%,女性分别为24.06%,11.67%。无论是粗患病率还是标化患病率朝鲜族男女均显著高于汉族(P<0.01)。②代谢综合征与相关因素的相关回归分析:朝鲜族代谢综合征与性别、吸烟量、酒精摄入量、腰围、腰臀比值、总胆固醇水平、心脑血管疾病家族史密切相关;汉族与性别、吸烟量、酒精摄入量、腰围、总胆固醇水平密切相关。结论:延边农村地区朝鲜族和汉族的代谢综合征患病水平存在明显的民族差异,朝鲜族的代谢综合征与性别、吸烟量、酒精摄入量、腰围、腰臀比值、总胆固醇水平、心脑血管疾病家族史密切相关,而汉族与性别、吸烟量、酒精摄入量、腰围、总胆固醇水平密切相关。

AIM： To understand the level of metabolic syndrome （MS） and its related factors among the Han nationality and Korean-Chinese in a rural area of Yanbian. METHODS： This survey was conducted from August to September 2004 at two of towns around the Tureen city and selected randomly, in which the Han nationality and Korean-Chinese residents were aged at least 30 years, and they participated in this survey voluntarily, and half-blooded members were excluded. The data including demologic characteristics, lifestyle, family history of diseases associated with metabolic syndrome were gathered by face-to-face questionnaire, and it was measured that the anthropometric variables, blood pressure, physique index and biochemical characteristics. The MS was defined by CDS criteria of Diabetic Branch of Medical Assiociation, namely accorded with the following 3 or more than 3 standards： ①Overweight or obesity： Index of body mass ≥25 kg/m^2, ② Hypertension： Systolic pressure ≥ 140 mm Hg and/or diastolic pressure ≥90 mm Hg, who had been diagnosed as hypertension and being treated. ③Derangement of blood lipid： triacylglycerol ≥ 1.7 mmol/L and/or high density lipoprotein （HDL） cholesterol 〈 0.90 （males）, 1.0 （females）. ④ Hyperglycemia： Fasting glucose /〉6.1 mmol/L and who had been diagnosed as diabetic patients and being treated. MS and its related factors were analyzed with multiple factor correlation regression analysis. RESULTS： A total of 1120 persons had complete answer in questionnaire, physical inspection and biochemical index. ①Level of MS patients in different nation and sex： Rough prevalence rate of MS in Korean and Hart males were 27.6% and 13.8%, respectively, and 28.0% and 12.1%, respectively in females. Its standard prevalence rates were 24.97%, 12.98% in males and 24.06%, 11.67% in females in Korean and Han. No mater the rough prevalence rate or standard prevalence rate in males and females in Korean were higher obviously than that in Han nationality （P 〈 0.01 ）.②Correlation regression analysis of MS and its related factors： MS of Korean nationality was related with the sex, quantity of smoking, intake of alcohol, waistline, waist-to-hip ratio, level of total cholesterol, family history of cardiovascular and cerebrovascular diseases. That in Han nationality was related with the sex, quantity of smoking, intake of alcohol, waistline and level of total cholesterol. CONCLUSION： There is a significant difference in the MS prevalence between the Korean-Chinese and Han nationality. The MS in the Korean- Chinese of this area relates with sex, smoke and alcohol consumption, waist-to-hip ratio, total cholesterol, family history of cardiovascular and cerebrovascular diseases, while in the Han nationality relates with sex, smoke and alcohol consumption, waistline and total cholesterol.