广州市中老年干部代谢综合征的影响因素

Influential factors of metabolic syndrome in older cadres in Guangzhou

目的初步探索广州市中老年干部中代谢综合征(MS)的影响因素及其与MS的相关关系。方法对2006年下半年在广东省干部体检中心体检的中老年干部进行调查,随机选取428人进行分析,其中资料完整的有389份。调查内容包括:体格检查、生化检查以及一般状况的调查。研究中老年干部MS的分布特征及其患病率,采用Logistic回归方法评价若干影响因素,考察它们与MS的相关关系。结果广州市中老年干部MS患病率为37.02%,其中男性患病率为34.15%,女性44.76%,女性患病率高于男性患病率;有糖尿病和高血压家族史者MS患病率较高;合并有脂肪肝、高血压、糖尿病以及高血脂人群的MS患病率较高。结论在中老年干部中,女性是MS的高危人群;MS有明显的遗传倾向;对高血压、高血脂、糖尿病以及脂肪肝的预防,能够降低MS的发生率。

Objective To primarily investigate the epidemiological characters of metabolic syndrome （MS） and study the correlation between MS and interrelated factors. Methods In later half-year of 2006, the survey was carried out in the Guangdong Medical Examination Center for Cadres. 428 old cadres were randomly selected as the sample to study, 389 of them provided complete information. The inquiry items included physical examination, biochemistry examination, living habits and common status. Chi-square test was used to analyze at first to find significant factors roughly. Logistic regression was used to insure the correlation between influential factors and MS with confounders being controlled. Results The whole prevalence rate of MS in old cadres was 37.02%, while 44.76% in female and 34.15% in male.The prevalence rate in women was significantly higher than that in men. The fatty liver, hypertension, diabetes mellitus and hyperlipidemia were significamly correlated with MS. These factors all are risk factors. Conclusion The older women were under a higher risk situation; MS seemed to have connection with heredity. Avoiding diseases such as fatty liver, hypertension, diabetes mellitus and hyperlipidania might decrease the incidence rate of MS.