辽宁省阜新农村地区老年高血压人群代谢综合征的流行病学调查

Epidemiologic study on metabolic syndrome in the elderly people with hypertension in countryside of Liaoning province

目的了解辽宁阜新农村地区≥60岁高血压人群代谢综合征(MS)患病情况及相关因素。方法采用分层整群抽样对阜新农村≥60岁2443名常驻(≥5年)老年人进行流行病学调查和实验室检查。按美国国家胆固醇教育计划指南(NCEP-ATPⅢ)推荐标准诊断MS和进行各组分类,应用SPSS11.5软件进行统计分析。结果MS患病率为22.4%(标化率:22.2%),男性为10.9%(标化率:11.0%),女性为33.5%(标化率:32.5%),女性各年龄组MS患病率均高于男性(P<0.01);除空腹血糖(FPG)异常男、女患病无差异外,MS相关疾病患病率女性均高于男性(P<0.001);Logistic逐步回归分析显示,MS的危险因素为性别、腰围、FPG、TG,而HDL-C为MS保护因素。结论辽宁省农村地区老年高血压人群MS患病率较高,同时具有多种危险因素,应引起卫生部门重视,进行综合防治。

Objective To investigate the prevalence of metabolic syndrome（MS） and it′s related factors in the elder with hypertension in countryside of Liaoning province. Methods Through cluster multistage sampling to a resident （≥5 years） group of 2 443 people with hypertension aged more than 60 years old in the countryside of Liaoning province. MS was defined according to NCEP-ATPⅢ criteria. SPSS11.5 statistical software was used for data analysis. Results （1） The crude prevalence of MS was 22.4% （age-standardized： 22.2%）. The prevalence was 10.9% among men （age-adjusted： 11.0%） and 33.5% among women （age-adjusted： 32.5%）. The prevalence of MS in female was significantly higher than that in the male（P0.01）. （2）Women had greater incidence rate of related diseases than men except for impaired fasting blood glucose. （3）Multivariable logistic analysis showed that the risk factors of MS were the gender, waist circumference, fasting plasma glucose and triglyceride. Conclusions The prevalence rate of MS is higher in the elder with hypertension and the comprehensive controlling measures should be taken.