4782例老年体检者代谢综合征调查分析

Epidemiological survey of metabolic syndrome and its related factors in elder people in Changshan Area

目的分析常山县老年人群代谢综合征(MS)流行病学调查及相关因素分析。方法总结4782例老年人的体检资料,测量其身高、体重、腰围、血脂、血糖和血压指标。分析MS与非MS人群上述指标的差别,并采用logistic多因素回归分析MS的高危因素。结果本组共诊断为MS1057例,本地区MS发生率为22.10%。MS组的肥胖、高血压、高血糖和高血脂的发病率要明显高于非MS组,有显著性差异(P<0.05)。MS组BMI、WC、SBP、DBP、TC、TG、HDL-C、LDL-C、FPG和2hPG各指标水平与非MS组比较均有显著性差异(P<0.05)。logistic多因素回归显示WC、SBP、DBP、TG、HDL-C、FPG和2hPG为MS高发的独立危险因素(P<0.05)。结论本地区老年MS发病率较高,应针对MS发病的高危因素进行合理的治疗和预防,有效降低MS的发生。

Objective To analyze the epidemiological features of metabolic syndrome （MS） and its related factors in elder people in Changshan area,and to provide the basis for the future clinical work.Methods The data of elder 4782 people during 2007～2009 years were reviewed.The height,weight,TC,TG,HDL-C,LDL-C,FPG,2hPG,SBP,and DBP were checked or examined by health professionals.The data were compared between people with and without MS,and the related factors to MS were analyzed by logistic regression analysis.Results The incidence of MS was 22.10% （1057/4782） in this area.There was no significant difference in the incidence of MS in gender,education level,original ethnical group,residential years in this area.While the incidences of MS was obviously higher in people who were obse,with hypertension,hyperglycemia,and hyperlipidemia （P0.05）.Height,weight,TC,TG,HDL-C,LDL-C,FPG,2hPG,SBP,and DBP all contributed to the development MA and significantly different between people with and without MS （P0.05）.WC,SBP,DBP,TG,HDL-C,FPG,and 2hPG were independent risk factors of MS by logistic regression analysis（P0.05）.Conclusion The incidence of MS is high in this area.We should take some measures based on the related risk factors to lower the incidences of MS.