成年人代谢综合征及相关因素的分析

The analysis of metabolic syndrome in Adults and related factors

目的观察临沂市成年人代谢综合征（MS）的发生率及相关因素。方法采取多级抽样法抽取30岁以上的I临沂城镇居民1883人，分别检测空腹血糖（FBG）、空腹胰岛素（Fins）、血清总胆固醇（TCH）、甘油三脂（TG）、高密度脂蛋白胆固醇（HDL-C）、高密度胆固醇亚组分（HDL2-C、HDL3-C）、低密度脂蛋白胆固醇（LDL-C）、极低密度脂蛋白胆固醇（VLDL-C）。结果BMI≥25kg／m^2组MS的发生率为20．9％；BMI（25kg／m^2组为5．6％，两组有显著性差异（P〈0．01）。结论超重与肥胖组的MS发生率明显高于正常体重组。超重与肥胖组血清FBG、Fins、TCH、TG、LDL-C、VLDL-C显著增高；BMI与TCH、TG、LDL-C、VLDL-C呈正相关。

Objective To observe the incidence and related factors of metabolic syndrome （MS） in adults in Linyi City. Methods To detect the fasting blood glucose（ FBG）, fasting insulin（Fins） , serum total cholesterol（TCH） ,triglyceride （ TG）, high density lipoprotein cholesterol （ HDL - C）, HDL subfractions （ HDL2 - C, HDL3 - C）, low - density lipoprotein cholesterol （ LDL - C ） and very low density lipoprotein cholesterol （ VLDL - C ） of 1883 patients in Linyi. Results The incidence of MS was 20.9% in BMI I〉 25kg/m2 group and 5.6% in BMI 〈25kg/m2 group. Two groups had significant difference （ P 〈 0. 01 ）. Conclusion The incidence of MS group were significantly higher in overweight group than in the normal weight group. FBG, Fins, TCH, TG, LDL - C, VLDL - C was significantly higher in overweight group ; BMI was positively correlated with TCH, TG, LDL- C, VLDL- C.