长沙驻军中老年干部代谢综合征患病率和危险因素调查分析

Survey on the Prevalence and Risk Factors of Metabolic Syndrome Among Middle-aged and Elderly Military Cadres in Changsha

【目的】了解长沙驻军中、老年人代谢综合征（MS）患病率及其危险因素。【方法】对2009年1～6月在湖南省长沙市163医院体检或住院的军队中老年（40岁以上）干部462例采用问卷调查的同时，进行体检及采集空腹血样检测血糖、血脂、C反应蛋白（CRP）等相关指标，分析MS的发生情况；采用非条件Logistic回归进行相关危险因素分析。【结果】长沙驻军中、老年干部MS患病率为20．1％，MS的相关危险因素为女性（OR=1．897）、高龄（OR=1．120）、肥胖（OR=1．506）、吸烟（OR=2．859）、有糖尿病家族史（OR=2．163）和高CRP（0R=1．834）。【结论】长沙驻军中、老年干部MS患病率水平较高，女性、高龄、肥胖、吸烟、糖尿病家族史和高CRP是中老年军队干部MS的危险因素。

[Objective] To understand the prevalence and risk factors of metabolic syndrome（MS） among middle aged and elderly military cadres in Changsha. [Methods] A total of 462 middle-aged and elderly （aged over 40 years old） military cadres in No. 163 hospital in Changsha from January 2009 to June 2009 were surveyed by using clustered sampling method. Meanwhile the physical examination was carried out. Fasting blood samples were collected to determine blood glucose, blood lipids, C reactive protein（CRP） and other related indicators. The preva lence of MS was analyzed. The risk factors of MS were analyzed by Logistic regression. [Results] The prevalence of MS among middle-aged and elderly military cadres in Changsha was 20.1%. Relevant risk factors of MS included female（OR= 1. 897）, advanced age（OR= 1. 120）, obesity（OR= 1. 506）, smoking（OR=2. 859） , diabetes family history（OR= 2.163） and high level of CRP （OR=1. 834）. [Conclusion]The prevalence of MS among middleaged and elderly military cadres in Changsha is higher. Female, advanced age, obesity, smoking, diabetes family history and high level of CRP are the risk factors of MS in middle-aged and elderly military cadres.