国际糖尿病联盟新标准下北京地区成人代谢综合征的特点调查

The characteristic of metabolic syndrome defined by IDF criteria in Beijing adult population

目的比较两种不同诊断标准下北京地区成人代谢综合征(MS)的患病率和特点。方法用分层随机抽样方法对北京市长期居住成人1416名进行心血管危险因素横断面调查。MS分别按照国际糖尿病联盟(MS-1)和美国国家胆固醇教育计划成人治疗组第三次报告的定义(NCEPATP-Ⅲ,MS-2)进行诊断。结果(1)1416例研究人群中MS-1患病率为25.9%,高于MS-2的患病率(29.4%),P<0.05;(2)两种MS的性别、年龄分布比较无明显差异,MS-1中肥胖的患病例明显高于MS-2(P<0.05),其余各组分的患病率和胰岛素抵抗指数(HOMA-IR)水平无明显差异(P>0.05);(3)分别分析空腹血糖、腰围、收缩压、舒张压、血甘油三酯、高密度脂蛋白对MS-1和MS-2诊断的贡献,分别以腰围、空腹血糖最大。结论新定义的MS患病率比ATP-Ⅲ定义的略减少。

Objective To compare the prevalence rate and characteristic of metabolic syndrome （MS） defined by IDF criteria poptdation with those by NCEP ATP-Ⅲ criteria in Beijing adtdt. Methods A cross-sectional analysis of data of 1416 adtdts in Beijing who were enrolled by stratified-random sampling method. MS was defined by IDF criteria（ MS-1 ） and NCEP ATP-m criteria（ MS-2）, respectively. Results （ 1 ） The prevalence rate of MS-1 was 25.9%, which was lower than that of MS-2 29.4%, （ P 〈 0.05 ） ; （2） The frequency of central obesity in MS-1 was higher than that in MS-2 （P 〈 0.05 ）. There were no significant difference in the frequencies of the other components between MS-1 and MS-2 （ P 〉 0.05 ） ; （3） Logistic regression analysis showed that the contribution of central obesity to MS-1 and FBG to MS-2 was the strongest among all of variables respectively. Conclusions The prevalence rate of MS defined by IDF criteria decreased compared with that defined by NCEP ATP-Ⅲ criteria.