湘潭锰矿矿区代谢综合征的流行病学研究

The epidemiological study on the metabolic syndrome in district of Xiangtan Mengkuang in China

目的探讨队列人群代谢综合征的流行病学特征。方法2004年对湘潭锰矿矿区队列人群（25岁～）5792人进行基线危险因素调查。计算队列人群代谢综合征患者各种因素的均值±标准差和标准化患病率。结果（1）代谢综合征患病率为12．9％，其中男性为12．4％，女性为13．7％，且随年龄增加而增长。（2）代谢综合征患者中高腰围百分率最高，男性为87．3％，女性为83．5％。（3）多元Logistic分析结果表明代谢综合征危险因素男性为腰围和糖尿病家族史，女性为腰围及高血压家族史。结论本矿区队列人群中代谢综合征患病率较高，高腰围是代谢综合征重要的危险因素。

Objective To explore the epidemiological features of the metabolic syndrome in a cohort study of Xiangtan Mengkuang in China. Methods The prevalence rate,means and standard deviation of various risk factors associated with metabolic syndrome were analysed on the basis of base-line survey of risk factors of 5792 subjects （aged 25 years-old - ） in 2004. Results （1） The prevalence rate of metabolic syndrome was 12.9 % （ 12.4 % in males, and 13.7 % in females, P 〈 0.01 ）, and increased with age. （2）The percentage of high waist circumference among the metabolic syndrome patients was highest （87.3 % in males and 83.5 % in females）. （3）Multivariable logistic analysis showed that the high waist circumference and familial history of diabetes mellitus were the risk factors of metabolic syndrome in males; In females were the high waist circumference and familial history of high blood pressure. Conclusion The prevalence rate of metabolic syndrome is high in district of Xiangtan Mengkuang. The high waist circumference might be an important risk factor of metabolic syndrome.