中国18～45岁男性人群行为习惯与代谢综合征的关系

Relations between smoking, alcohol intake, physical activity, sleeping hours and the metabolic syndrome in Chinese male aged 18-45 years old

目的 分析吸烟、饮酒、睡眠及体力活动等行为习惯因素与中国18～45岁男性代谢综合征（MS）的关系.方法 资料来源于＂2002年中国居民营养与健康状况调查＂（在31个省、自治区、直辖市采用多阶段分层整群随机抽样方法,调查内容包括询问调查、医学体检、实验室检查和膳食调查）.结果 MS各项指标及行为习惯资料填写完整的共4937人.MS患病率为6.9%（329/4937）;目前饮酒率为49.4%、吸烟率为54.4%,70.5%的被研究对象平均每天睡眠时间为7～8 h,41.9%的被研究对象每周体力活动时间超过7 h.单因素分析结果,吸烟量＞600包以及饮酒与MS危险性增加有关,每天平均睡眠时间及每周体力活动时间与MS无显著联系.多因素分析结果,与不吸烟者相比,吸烟量＞600包者的MS危险性增加;吸烟量为600～899包,RR=1.443,95%CI：1.044～1.993;吸烟量≥900包,RR=1.765,95%CI：1.150～2.708.与不饮酒者相比,每周饮酒1～2次,RR=1.525,95%CI：1.135～2.048;每周饮酒3～4次,RR=2.322,95%CI：1.671～3.255;几乎每天饮酒,RR=2.033,95%CI：1.478～2.796.结论 吸烟、饮酒与MS危险增加有关.

Objective To analyze the relationship between prevalence of metabolic syndrome （MS） and behavior habits such as smoking,alcohol intake,physical activity,sleeping hours.Methods A multi-stage stratified cluster sampling was conducted in 31 provinces,autonomous regions,and municipalities in China according to the program of National Nutrition and Health Survey.Questionnaire survey,interview,physical examination,measurement of biochemical indices,and dietary investigation were done.In total,4937 men aged 18 to 45 years old were selected.Results The MS prevalence was 6.9%（329/4937）.The rate of drinking was 49.4% and smoking rate was 54.4%.The percentage of sleeping was hours from 7 to 8 was 70.5%.The percentage of spending time on physical activity over 420 minutes/week was as high as 41.9%.Data from single logistic regression showed volume of smoking more than 600 packs and alcohol intake were associated with high risk of MS and no significantly associations were found between MS and the duration of physical activity and the sleeping time.Multivariate logistic regression showed that the risk of MS in smokers with the volume more than 600 packs age increased significantly as compared to nonsmokers with the odds ratio as 1.443 （95%CI：1.044-1.993 ） and 1.765 （95%CI：1.150-2.708） in smokers with volume from 600 to 899 packs age,and more than 900 packs age respectively.Compared to the nondrinkers,the odds ratios were 1.525 （95%CI：1.135-2.048）,2.322（95%CI：1.671-3.255） and 2.033 （95%CI：1.478-2.796） in subjects volume of alcohol dranking as 1 to 2 times per week,3 to 4 times per week and more than 5 times per week respectively.Conclusion Tobacco and alcohol were associated with high risks of MS.