北京市东城区14～16岁学生代谢综合征相关症状分析

Prevalence of the Metabolic Syndrome Among Students Aged 14-16 in Beijing

目的分析北京市14-16岁学生代谢综合征（MS）及流行情况，为成年期疾病的早期预防提供依据。方法选择北京市2042名14～16岁学生，测量身高、体重、腰围和血压并检测血脂和血糖。按照NCHS超重、肥胖BMI分类标准和美国国家胆固醇教育计划成人MS判定标准，观察不同体重组代谢综合征及相关症状流行情况。结果男、女生MS流行率肥胖组（男为12．3％，女为12．0％）显著高于超重组（男为0．6％，女为3．1％），正常体重组无MS发生。男生以中心性肥胖和高血压、女生以中心性肥胖和高密度脂蛋白降低最常见。结论伴随体重增加，MS及各成份异常显著增加。加强对超重肥胖青少年MS指标监测已成为预防心血管疾病的必要措施。

Objective To analyze the prevalence of metabolic syndrome （MS） among students aged 14 - 16 in Beijing, and to provide the bases for the early prevention of adulthood diseases. Methods 2 042 adolescents aged 14 - 16 were chosen in Beijing. Individual body weight, height, waist circumference and blood pressure were measured. Serum lipids and fasting glucose were also measured. The prevalence of obesity and MS was assessed with NCHS and NCEP- ATPIII criteria, respectively. Results The prevalence of MS was lower in overweight adolescents （ 0.6% for male, 3.1% for female） than in obesity adolescents（ 12.3 % for male, 12.0% for female）. No MS case was found in normal ones. Besides central obedity, the most eommon component of MS was high blood pressure and low HDL - C for boys and girls respectively. Conclusion The prevalence of MS and abnormal components is increasing with the body weight. Super-vision of MS indices is the necessary measure to prevent cardiovascular diseases.