乌鲁木齐市水磨沟区居民代谢综合征患病率的调查

The Prevalence of Metabolic Syndrome in Shuimogou District of Urumqi City

目的分析乌鲁木齐市水磨沟区人群的代谢综合征(MS)的患病状况,并对维吾尔族、汉族MS的患病率进行比较。方法采用多级整群抽样的方法,于2008年6月以社区及工厂为单位对年龄在18岁以上的居民进行MS患病调查。结果该人群MS的粗患病率为12.85%,男性为14.91%,女性为7.39%,标化患病率为9.93%,男性为13.58%,女性为6.11%。男性MS患病率高于女性(P<0.001);维吾尔族居民MS患病率为12.32%,男性为14.13%,女性为6.60%;汉族为13.13%,男性为15.34%,女性为7.73%。按年龄标化后,维吾尔族MS患病率为13.26%,汉族为12.98%,维、汉两民族MS患病率差别无统计学意义(P>0.05);MS各组分的患病率从高到低依次为肥胖(43.31%)、高血压(30.08%)、高甘油三酯(25.79%)、高血糖(16.28%),至少有一项代谢异常者占65%。结论乌鲁木齐市水磨沟区维吾尔族和汉族MS患病率无差异,而该区男性MS患病率高于女性,且调查对象中至少有一项代谢异常者占60%以上。

Objective To investigate the prevalence of metabolic syndrome （MS） among residents in Shuimogon district of Urumqi city and to compare the differences between the Uygur and Han Populations. Methods Adopting cluster sampling, a survey of diabetes mellitus was conducted in Shuimogou district in June, 2008. Data of total 2420 subjects aged over 18 years with complete data, including background information of each individual, blood pressure, lipid profile, blood glucose and so on, were analyzed in this study. The＇criterion of the China Diabetes society （CDS） in 2004 was applied for diagnosis. Results The crude prevalence rates of MS were 12.85% in total, 14.91% in male and 7.39% in female, respectively. The age-standardized prevalence rates of MS were 9.93% in total, 13.58% in male and 6.11% in female. The prevalence rates of MS in male was higher than that in female （P〈0.001）; The prevalence rates of MS in the Uygur were 12.32% in total, 14.13% in male and 6.60% in female; Han populations were 13.13% in total, 15.34% in male and 7.73% in female. The age-standardized prevalence rates of MS were 13.26% in Uygnr and 12.98% in Han populations.There were no statistical significant differences between the Uygnr and Han populations in the prevalence rates of MS （P〉0.05）. The prevalence rates of components of MS were 43.31% for obesity, 30.08% for hypertension, 25.79% for hypertriglyceridemia and 16.28 % for hyperglycosemia. Among the four factors above, there were about 65% subjects who had at lest one abnormal factor according to the CDS criterion. Conclusion There were no differences in the prevalence rates of MS between the Uygnr and Han populations. However, the prevalence rate of MS in male was higher than that in female. More than half subjects had at least one abnormal metabolic factor.