广州市钢铁企业从业人员代谢综合征患病调查

Prevalence of metabolic syndrome among steel industry employees in Guangzhou city

目的了解广州市钢铁企业从业人员代谢综合征（MS）及相关疾病的患病状况。方法整群随机抽取广州市某钢铁集团16个单位4 241名（20~60岁）员工进行问卷调查和体检。采用国际糖尿病联盟（IDF）的MS诊断标准进行分析。结果 MS的粗患病率为9.70%（男9.80%,女9.40%）,经年龄和性别标准化后患病率为7.95%（男8.87%,女6.97%）;中心性肥胖、高甘油三脂（TG）血症、低高密度脂蛋白（HDL-C）血症、血压升高、高空腹血糖（FPG）糖尿病的标准患病率分别为15.84%,27.04%,20.46%,17.19%,8.29%;MS的患病率随年龄增长而增高;有1种~MS组分异常的人占55.7%;有高腰臀比、饮酒、缺乏运动、高血压家族史、糖尿病家族史、高尿酸血症、吸烟指数〉100等因素的人群MS患病率较高。结论广州市钢铁企业从业人员MS及其相关疾病的患病率在20~29岁处于较高水平,且20~49岁人群患病率高于某些地区;MS代谢异常组分的患病和个体聚集在该人群中较普遍。

Objective To assess the prevalence of metabolic syndrome（MS） among steel industry employees in Guang-zhou city.Methods A cross-sectional study was conducted among 4 241 employees aged 20-60 years in an iron-steel company.All subjects took questionnaire investigation and physical examination.Metabolic syndrome was diagnosed according to the definition of International Diabetes Federation（IDF） 2005.Results The crude prevalence of MS in the subjects was 9.70%（9.81% in men,9.40% in women） and the adjusted prevalence was 7.95%（8.87% in men,6.97% in wonen）.The adjusted prevalence of central obesity,hypertriglyceridemia,lower high-density lipoprotein-cholesterol,high blood pressure and high fasting blood glucose/diabetes were 15.85%,27.05%,20.46%,17.20%,and 8.29%,respectively.About 55.70% of the subjects had one or more of metabolic components.The prevalence of MS increased with age.Alcohol drinking,family history of hypertension,family history of diabetes,waist-hip ratio,cigarette smoking index,and hyperuricemia were related with the prevalence of MS.Conclusion The prevalence of MS and related diseases are high among steel industry employees aged 20-49 years in Guangzhou city.The prevalence of MS in the employees aged 20-49 years is higher than that of in population of other areas.Clustering of MS components is common.