浙江省部分人群代谢综合征的患病率和危险因素

THE PREVALENCE OF METABOLIC SYNDROME AND ITS RISK FACTORS IN SOME PEOPLE IN ZHEJIANG PROVINCE

目的依据中华医学会糖尿病分会(Chinese Diabetes Society,CDS)2004年提出的建议,分析浙江省部分人群代谢综合征(MS)的流行现况,为MS的防治提供指导。方法选择3 500例浙江地区各个阶层的人群,分别检测身高、体质量、血压、血脂、血糖等生化指标。运用SAS统计软件统计分析MS的患病率及其危险因素。结果浙江地区部分人群MS的患病率为10.1%(男性12.9%,女性3.3%)。男性在35岁后患病率显著增加,65岁后又呈下降趋势;女性65岁后患病率显著增加。65岁前女性患病率低于男性(P<0.01)。结论浙江省部分人群MS患病率较高,肥胖、高甘油三酯、高血压和高血糖等是MS主要危险因素。

Objective To investigate the prevalence of metabolic syndrome（MS） in some people in Zhejiang according to Chinese Diabetes Society （CDS） criteria, so as to provide the basis for prevention and treatment of MS. Methods A total of 3 500 subjects from different stratum in Zhejiang Province were studied. Fasting plasma glucose （FPG）, blood lipids, body mass index, blood pressure（BP） were measured. The data were analysed by SAS statistical soft. Results The prevalence of MS was 10.09% （male： 12.9% ,female： 3.2% ）. The prevalence of MS increased with the age of 〉 35 years then decreased after 65 years old for male, but increased significantly at the age of 〉 65 years for female. The prevalence of MS of female was significantly lower than that of male at the age of 〈 65 years （ P 〈 0.01）, and significantly higher than that of male at the age of 〉 65 years（ P 〈 0.01）. Conclusion The prevalence of metabolic syndrome was high in some people in Zhejiang Province. Obesity, hyperlipidemia, hypertension and hyperglycemia are the main risk factors for MS.