杭州市成人代谢综合征及其各组分患病率分析

Prevalence of Metabolic Syndrome and Its Components among Adults in Hangzhou

目的了解杭州市成人代谢综合征（MS）患病率。方法采用2004年中华医学会糖尿病学分会提出的“中国人代谢综合征”的诊断标准，用分层整群抽样的方法于2005年调查了杭州市20～79岁城乡常住居民1600人。结果杭州市成人代谢综合征患病率为8．68％，标化患病率6．70％，标化后城区和农村MS患病率分别为6．92％和6．31％，男女MS患病率分别为7．92％和6．02％，城乡间、男女间患病率差异无统计学意义；血脂异常、糖尿病、高血压、超重的标化患病率分别是25．19％、5．70％、23．78％、30．79％；随着年龄的增长MS及其各组分的患病率均有升高趋势，40岁组起升高显著，为30岁组的2～6倍；MS多项异常集聚率较高，无任一项异常者占40．56％。结论杭州市代谢综合征的患病率虽低于其他地区，但表现为代谢异常率较高并以中老年人群为主，故应对MS及不同组分疾病尽早采取综合防制措施。

Objective To investigate the prevalence of metabolic syndrome （MS） in the general adult population in Hangzhou city. Methods MS was diagnosed according to the definition proposed by Chinese Society for Diabetes Mellitns in 2004,A stratified cluster sampling survey was performed in 2005, and data were colleeted from the 1 600 residents aged 20 - 79 years in Hangzhou. Results The crude prevalence of metabolic syndrome was 8.68%, and the age-standardized prevalence of metabolic syndrome was 6.70%. The age-standardized prevalence of metabolic syndrome was 6.92% in urban and 6.31% in rural area. The crude prevalence of metabolic syndrome was 7.92% in men and 6.02% in women. There were no significant differences in prevalences of metabolic syndrome between men and women, urban and rural area.The age-standardized prevalenees of dyslipoproteinemia, diabetes, hypertension and overweight were 25.19%, 5.70%, 23.78% and 30.79%, respectively. The prevalenees of metabolie syndrome and these diseases were inereasod with aging, being siginifieantly increased in individuals aged over 40 years. The prevalenees of these diseases were 2 - 6 times higher in individuals aged over 40 years than in those aged 30 years. The multinomial clustering rate of metabolic syndrome was high, but about 40.56% of individuals had no metabolie disorder. Conclusion The results from an epidemiologie study in Hangzhou show the metabolie syndrome is slowly prevalent, but the large numbers of individuals older than 40 years with metabolie disorders may have important implieations for the health invention care.