济南市城乡35-64岁人群代谢综合征现况调查

Prevalence of metabolic syndrome in the general adult population aged 35-64 years in Ji'nan

目的了解济南市城乡35-64岁人群代谢综合征发病状况及其与冠心病、脑卒中的相关性。方法抽样调查济南地区35-64岁人群4041人。在进行问卷调查的同时,进行体检及采集空腹血样检测相关指标,分析代谢综合征发生情况;采用二值多元Logistic回归分析代谢综合征对冠心病、脑卒中的危险性。结果济南市35-64岁人群的肥胖、高血糖、高血压、高甘油三酯、低高密度脂蛋白胆固醇的标化患病率分别为39.6%,7.7%,42.0%,20.1%和17.9%;代谢综合征标化患病率为14.6%,且城区（17.4%）高于农村（12.9%）,男性（16.6%）高于女性（12.5%）。代谢综合征与冠心病、脑卒中呈显著正相关,校正其他危险因素后,代谢综合征使冠心病与脑卒中患病的危险分别增加到1.8和2.0倍。结论济南市城乡居民代谢综合征低于全国平均水平,但仍不可忽视其对人们健康和生活质量的影响;代谢综合征明显增加冠心病与脑卒中的发病危险性,及早预防、检测和治疗代谢综合征,可以有效降低心脑血管疾病的社会负担。

Objective To investigate the prevalence of the metabolic syndrome and the relationship between metabolic syndrome and coronary heart disease and stroke among the dwellers in Ji＇ nan, China,. Methods We analyzed the data on 4041 residents aged 35 - 64 years from a cross- sectional survey of Ji＇nan. Physical examination was carried and fasting blood glucose was tested when the baseline data were collected. The association between metabolic syndrome and coronary heart dis- ease and stroke were analyzed by binary logistic regression. Results The age standardized prevalence of metabolic syndrome was 14.6 % in subjects aged 35- 64 years in Ji＇ nan. The age standardized prevalence of obesity, high blood sugar, hyperten- sion, high blood triglyeride and low high density lipoprotein - cholesterol were 39.6 %, 7.7 %, 42.0 %, 20.1% and 17.9 %, respectively. The metabolic syndrome was associated with a 1.78 and 2.02 fold higher risk of coronary heart disease and stroke, respectively. Conclusion A large proportion of adults have metabolic syndrome. The meatbolic syndrome was positively associated with the risk of coronary heart disease and stroke. The social burden on cardio - cerebrovasular diseases can be effectively dereased by early detection and prevention.