新疆地区汉族、维吾尔族成年人群代谢综合征流行病学调查

The prevalence of metabolic syndrome in Han and Uygur in adults from Xinjiang

目的了解新疆地区汉族、维吾尔族成年人代谢综合征（MS）流行病学特点。方法应用四阶段整群随机抽样法,于2007年6月-2010年3月在新疆抽取乌鲁木齐市、克拉玛依市、阜康市、吐鲁番地区、和田地区、伊犁哈萨克自治州年龄〉35岁的样本,统计汉族和维吾尔族不同民族组、不同年龄组人群的代谢综合征患病率,并进行相关因素分析。结果共调查10 242人,汉族5 573人,维吾尔族4 669人,汉族患代谢综合征1 896人,维吾尔族患代谢综合征1 344人,新疆地区汉族人群和维吾尔族人群的代谢综合征的总患病率为30.7%,年龄构成标化后为28.9%;根据IDF标准,汉族人群在各年龄段的MS患病率均高于维吾尔族人群,并且随着年龄增高逐渐增高,维吾尔族人群患病率在55-64岁组达到最高,以后逐渐下降;汉族男性人群代谢综合征患病率为41.5%,女性人群为21.9%,总患病率为31.3%,经年龄标化患病率为31.1%;维吾尔族男性人群代谢综合征患病率为28.6%,女性人群为27.9%,总患病率为28.2%,经年龄标化患病率为27.8%。结论新疆地区成年人MS患病率高于全国水平,亟需制定面向全国的预防、检测和治疗MS的卫生策略,以降低心血管疾病的社会负担。

Objective To investigate the prevalence and distributing feature of metabolic syndrome in Han and Uygur population in adults from Xinjiang.Methods Multistage cluster sampling method was used and at age of 35 or over were used to analyze the prevalence.The sampled adult population were collected from 6 localities（Urumqi,Kelamayi,Fukang,The Turfan Basin locality,Hotan locality,Yili Hazakh autonomous prefecmre）.The prevalence of metabolic syndrome in different ages and nationalities groups were analyzed by correlation factor analysis.Results 10 242 people were surveyed.The overall prevalence of Han and Uygur in Xinjiang were 30.7%.The age-standardized prevalence of metabolic syndrome was 28.9%.According to IDF criterion,the prevalence rate of metabolic syndrome in Han population was higher than Uygur population at all age-group.The prevalence rate of metabolic syndrome in Uygur 45～54 years group reached their peak values.There was a tendency of decreasing greater than 55 years old.The prevalence rate of metabolic syndrome in men was 41.5% in Han population and 21.9% in women,the overall rates were 32.9%.The age-standardized prevalence of metabolic syndrome was 31.1%.The prevalence rate of metabolic syndrome in men was 28.6% in Uygur population and 27.9% in women,the overall rates were 28.2%.The age-standardized prevalence of metabolic syndrome was 27.9%.Conclusion The prevalence rate of metabolic syndrome is higher in Xinjiang.The prevention and control of overweight and the metabolic syndrome are urgently warranted in order to reduce the societal burden of cardiovascular disease in Xinjiang.