芜湖市中小学教师代谢综合征的流行病学调查

EPIDEMIOLOGY SURVEY ON THE METABOLIC SYNDROME AMONG TEACHERS OF PRIMARY AND SECONDARY SCHOOL IN WUHU

[目的]了解芜湖市中小学教师代谢综合征及其相关疾病的疾病分布和影响因素。[方法]采用随机整群的抽样方法,横断面调查中小学教师2026名,分析代谢综合征的疾病分布和影响因素。[结果]芜湖市中小学教师代谢综合征、高血压、高甘油三酯血症、高胆固醇血症、超重、肥胖和腹型肥胖的标化患病率分别为8.89%、24.82%、30.07%、26.89%、17.21%、7.49%、24.00%,且男女之间差异均有统计学意义。代谢综合征人群以"血脂异常+肥胖+高血压"患病率最高,达到5.55%,和其他症候群代谢综合征的患病率比较差异有统计学意义。按照中华医学会和WHO标准诊断代谢综合征,结果分别为8.89%、7.85%,差异无统计学意义,但高于ATP-Ⅲ的诊断结果:4.17%。同时调查人群随着年龄的增加,代谢综合征的患病率呈上升趋势。[结论]芜湖市中小学教师代谢综合征患病率较高,并存在年龄和性别差异,代谢综合征症候群主要以高血压、肥胖和血脂异常为主要特征。

[Objective] To investigate the prevalence and influencing factors of metabolic syndrome （MS） and its com- plication among primary and secondary teachers in Wuhu. [ Methods] By cluster random sampling methods, cross-sectional Study was taken to investigate the situation of metabolic syndrome among 2026 teachers, and the prevalence and influencing factors of MS among these teachers were analyzed. [ Results ] The standardized prevalence of metabolic syndrome, hypertension, Hypertriglyceridemia, hypercholesteremia, overweight, obesity and abdominal obesity were 8.89%, 24.82%, 30.07%, 26.89%, 17.21%, 7.49% and 24.00%, respectively, meanwhile these indexes were found significantly difference between male and female teachers. The prevalence of MS people with high blood pressure, obesity and abnormal blood lipid showed to be highest prevalence among people with metabolic syndrome, amounted to 5.55%, which revealed significant difference with the prevalence of patients with other metabolism syndrome. The prevalence of MS which diagnosed by the criterion of Chinese Medical Association and WHO were 8.89% and 7.85%, which showed no significantly between them, while prevalence was above the result diagnosed by the criterion of ATP-Ⅲ ： 4.17%. Meanwhile the prevalence of MS revealed to be increased with the age. [Conclusion] The prevalence of MS among the middle and primary school teachers showed to be high in Wuhu, while significantly difference for prevalence of MS was found in gender and age. The main characteristics of the metabolic syndrome were high blood pressure, obesity and abnormal blood lipid.