警察代谢综合征患病情况及影响因素分析

Prevalence and influencing factors of metabolic syndrome among police

目的了解天津市警察代谢综合征(MS)患病率及其相关影响因素。方法对在天津市公安医院接受体格检查的2 008名警察进行横断面调查,计算MS的患病率和标化患病率,采用单因素和多因素Logistic逐步回归方法对相关影响因素进行分析。结果 2 008名警察MS患病275例,患病率和标化患病率分别为13.7%(男性14.1%、女性2.7%),12.3%(男性12.6%,女性3.2%);多因素Logistic逐步回归结果表明,男性(OR=7.483,95%CI=1.023～54.749)、年龄增加(OR=1.037,95%CI=1.021～1.052)、睡觉打鼾(OR=1.880,95%CI=1.414～2.500)、病前发生应激事件(OR=2.175,95%CI=1.576～3.002)为MS的危险因素。结论警察为MS高危人群,男性、年龄增加、睡觉打鼾和病前发生应激事件是代谢综合征可能的危险因素。

Objective To explore the prevalence and risk factors of metabolic syndrome among the police in Tianjin city.Methods A cross-sectional survey was conducted among 2008 police taking physical examination in Tianjin Police Hospi-tal.The prevalence and age-standardized prevalence of metabolic syndrome（MS） were estimated.Univariate and multivariate logistic stepwise regressions were used to identify risk factors of MS.Results There were 275 MS patients in the police.The prevalence and age-standardized prevalence of MS in the police were 13.7%（14.1% in males,2.7% in females） and 12.3%（12.6% in males,3.2% in females）.The multivariate logistic stepwise regression analysis showed that gender（odds ratio[OR]= 7.483,95% confidence interval[CI]= 1.023-54.749）,age（OR = 1.037,95% CI = 1.021-1.052）,snoring in sleeping（OR = 1.880,95% CI = 1.414-2.500）,and stress event occurring before the disease（OR = 2.175,95% CI = 1.576-3.002） could significantly increase the risk of the disease.Conclusion Police is a high-risk group for MS.Gender,age,snoring in sleeping,and stress event occurring before the disease could significantly increase the risk of the disease.