济南市城镇居民代谢综合征患病状况及危险因素调查

The Prevalence and Risk Factors Analysis of Metabolic Syndrome in Jinan City Urban Residents

目的通过对健康体检资料的分析，了解济南市城镇居民中代谢综合征的患病状况及危险因素，为早诊断早治疗提供依据。方法对2003～2007年到山东省立医院健康查体中心查体的济南市城镇居民23596人的体检资料进行分析。结果代谢综合征的患病率随年龄的增长呈上升趋势，各年龄组之间差异有统计学意义，并且代谢综合征增龄趋势有性别差异；代谢综合征与脂肪肝、冠心病均有密切联系，代谢综合征患者患脂肪肝、冠心病、糖尿病的危险性均增加；相关危险因素的Logistic回归分析显示年龄、BMI、收缩压、舒张压、血清总蛋白、甘油三酯、血糖等的回归系数均有统计学意义。结论代谢综合征已成为影响济南市城镇居民健康的重要的公共卫生问题，应及早筛查并发现MS的高危人群，以便进行针对性的健康干预。

Objective To understand the prevalence and risk factors of metabolic syndrome of city urban residents in Jinan through the health examination data analysis, providing a basis for early diagnosis and treatment. Methods The data about health examination of 23 596 people was collected who took a health examination in Shandong Provincial Hospital, from 2003 to 2007. Results The prevalence of MS is in growth trend with the increasing of age and the growth trend has gender differences. The prevalence of MS had significant differences among all age groups. Compared to the one without MS, people with MS had a higher risk of taking fatty liver and hypertension. The logistic regression show that the coefficients of age, BMI, systolic blood pressure, diastolic blood pressure, serum total protein, triglycerides, blood glucose are all statistically significant. Conclusion Metabolic syndrome has become an important public health issue influencing the health of city urban resi- dents in Jinan. So the screening should be taken to find the high - risk groups so that the health intervention can be taken earlier.