天津市塘沽社区老年人代谢综合征及其组分患病情况调查

Prevalence survey of metabolic syndrome and its components in the elderly at Tanggu Community in Tianjin

目的 了解天津市塘沽社区老年人代谢综合征（Metabolic Syndrome,MS）及其组分的患病情况.方法 随机抽取塘沽社区某居民小区的常住老年人进行MS相关项目的检查,其中有完整资料者623例,平均年龄（67.4±6.0）岁,男性261例,平均年龄（68.3±6.1）岁,女性362例,平均年龄（66.9±6.0）岁.MS诊断根据2004年中华医学会糖尿病学会建议的诊断标准.结果 该社区老年人MS的标化患病率为18.5%,以60～69岁年龄段患病率最高,高血压、高三酰甘油、高血糖、超体质量、肥胖、低HDL-C血症的标化患病率依次为49.5%、38.8%、25.3%、42.0%、4.2%、3.0%.结论 天津市塘沽社区老年人MS的患病率低于上海、广东佛山和山东青岛等沿海城市和北京市等城市老年人,老年女性患病率高于男性,患病率最高是高血压,其次是超体质量、高三酰甘油和高血糖,而肥胖和低HDL-C血症患病率较低.

Objective To investigate the prevalence of metabolic syndrome （MS） and its components among the elderly at Tanggu community in Tainjin. Methods The elderly inhabitants were drawn out randomly from one community at Tanggu in Tianjin to examine the MS-related indexes. There were 623 samples with complete data aged （67.4±6.0） years, including 261 males with mean age of （68.3±6.1） years and 362 females with mean age of （66.9±6.0） years. Diagnosis of MS was done by criteria of Chinese Medical Association Diabetes Branch in 2004. Results The standardized prevalence of MS for the elderly in the community was 18.5% with the highest risk group aged 60～69 years. Standardized prevalences of hypertension, high triglycerides, high blood sugar, overweight, obesity, low HDL-C were 49.5%, 38.8%, 25.3%, 42.0%, 4.2%, 3.0% in the elderly. Conclusions The prevalence of MS in the elderly is lower in Tanggu community in Tianjin than in Shanghai, Foshan in Guangdong, Qingdao in Shandong and Beijing city. The condition in female is more severe than in male, the highest prevalence occurs in hypertension, and overweight, high triglycerides and high blood sugar follow it, but few of them are obesity, low HDL-C is fewer too.