北京某社区老年男性代谢综合征的患病特点

Epidemiologic study on metabolic syndrome diagnosed by the definition of CDS in the elderly in some high-grade communities in Beijing

目的:了解北京地区部分高档社区老年男性代谢综合征的患病率及相关流行病学特征。方法:采用CDS工作定义对1996年5月至1997年5月在我院接受体检的683例65岁以上的北京部分高档社区老年男性进行调查分析。结果:①高血糖41.43%、高血压54.03%、血脂异常25.04%、肥胖50.51%(BM I≥25kg/m2)。②代谢综合征患病率为24.60%。③存在代谢综合征的老年男性,冠心病、肾脏损害、脑血管疾病和胆石症的构成比都比较高。④Logistic回归分析显示,BM I、糖尿病史、高血压病史和血甘油三酯、餐后2 h血糖水平和收缩压增高是代谢综合征的危险因素。结论:①老年男性人群是代谢综合征的高危人群;②肥胖、糖尿病和高血压病史、血甘油三酯、餐后2 h血糖水平和收缩压增高是代谢综合征的重要危险因素。

Objective. To study the prevalence of metabolic syndrome and the epidemiological characteristics in the elderly in some high-grade communities in Beijing. Methods： A survey was conducted among 683 elderly subjects while physical examination was undergoing in PLA General Hospital from May 1996 to May 1997. The risk factors of metabolic syndrome were analyzed with multiple logistic regression. Results： （ 1 ）41.43% subjects with hyperglycemia, 54.03% with hypertension, 25.04% with dyslipidemia, and 50.51% with obesity （BMI≥25kg/m^2 ）. （2）The prevalence of metabolic syndrome was 24.60%. （3） Multiple logistic regression analysis showed that the risk factors of metabolic syndrome were BMI, diabetes, hypertension, high level of triglyeride, hyperglycemia of 2 hour post glucose challenge, and high systolic blood pressure. Conclusions： （ 1 ） Elder men were the high-risk groups of metabolic syndrome. （2） Obesity, diabetes, hypertension, high level of triglyeride, hyperglycemia of 2 hour post glucose challenge, and high systolic blood pressure were the main risk factors of metabolic syndrome.