3种代谢综合征诊断标准在兰州某社区人群中应用的比较

Comparison of the applications of three agnostic criteria for metabolic syndrome in a Lanzhou community

目的比较国际糖尿病联盟(IDF)、美国国家胆固醇教育计划成人治疗组第3次报告(NCEP)和2007年《中国成人血脂异常防治指南》在2004年中华医学会糖尿病分会建议基础上修订后的代谢综合征诊断标准(CDS)在兰州某社区人群中应用的异同。方法采用整群随机抽样方法抽取社区15岁以上人群3465例进行流行病调查,分别应用IDF、NCEP和CDS标准,比较代谢综合征的检出率及诊断的一致性。结果 IDF、NCEP和CDS标准诊断代谢综合征的检出率分别为16.31%、24.65%和12.38%。以NCEP标准诊断的代谢综合征检出率最高(P<0.01);NCEP与IDF、IDF与CDS、NCEP与CDS两两间的一致检出率分别是94.7%、85.6%和83.5%,NCEP与IDF标准的一致检出率最高。结论 3种诊断标准在代谢综合征的诊断结果上存在差异,以NCEP标准诊断的检出率最高。

Objective To compare different applications of the International Diabetes Federation （IDF）, third report of the National Cholesterol Education Program expert panel on detection, evaluation, and treatment of high blood cholesterol in adults （NCEP） and Chinese Diabetes Society （CDS） in a Lanzhou community using the diagnostic criteria for metabolic syndrome according to three criteria respectively. Methods An epidemic survey and physical examination were conducted for 3 465 randomly-selected subjects （above 15 years old） by cluster sampling to compare these three definitions of the prevalence and diagnosis consistency of metabolic syndrome. Results The prevalence of metabolic syndrome was 16.31%, 24.65% and 12.38% respectively according to the IDF, NCEP and CDS. Among all participants, the consistency in diagnosis of metabolic syndrome was 94.7% by the NCEP and IDF, 85.6% by IDF and CDS, and 83.5% byNCEP and CDS. The consistency between NCEP and IDF criteria was the highest. Conclusion There were significant differences from these three criteria to diagnose metabolic syndrome in Lanzhou population, and the prevalence diagnosed with NCEP is the highest.