8省市儿童青少年代谢综合征流行现况及其主要影响因素

Prevalence of the metabolic syndrome and its main influencing factors in 7-17 years old children and adolescents in 8 provinces

目的了解8省市7～17岁儿童青少年代谢综合征的流行现况及其影响因素。方法采用分层多阶段整群随机抽样方法,对8省市7～17岁儿童青少年2752人进行调查分析。采用非条件Logistic回归进行多因素分析。结果研究人群代谢综合征患病率为3.2%,其中男性3.4%,女性3.0%;城市3.1%,农村3.3%;7～12岁者和13～17岁者患病率分别为2.9%和4.9%,而13岁、14岁患病率最高;在体重正常、超重、肥胖的儿童青少年中,代谢综合征患病率分别为0.7%、8.0%和23.9%。排除了其他因素的影响后显示,13～17岁儿童青少年发生代谢综合征是7～12岁者的2.48倍(OR=2.49,95%CI=1.41-4.39);超重和肥胖儿童青少年患代谢综合征的危险分别是体重正常者的12.82倍(OR=12.82,95%CI=6.57-25.01)和51.38倍(OR=51.38,95%CI=28.42-92.91)。结论儿童青少年中代谢综合征患病情况不容忽视,建议加快研究制定适合中国儿童青少年的代谢综合征定义及标准。

Objective To study the prevalence of the metabolic syndrome（MS） in 7-17 years old children and adolescents in 8 provinces.Methods The method of stratified multistage cluster random sampling was adopted,2752 children and adolescents were analyzed.Non condition logistic regression was used for multiple factors analysis.Results The prevalence of the metabolic syndrome in all teens was 3.2%.The prevalence of MS were 3.4% in boys,3.0% in girls,3.1% in urban and 3.3% in rural,respectively.And the rates were 2.9% in 7-12 years old while 4.9% in 13-17 teens.It was highest in group aged 13-14 years old.The prevalence of MS among normal weight,overweight,and obesity groups were 0.7%,8.0% and 23.9%,respectively.Considering other influencing factors,the results suggested that the teens aged 13-17 years old（OR=2.49,95%CI=1.41-4.39） had more higher risk in MS than other children aged 7-12 years old.Compared to normal weight group,the overweight group（OR=12.82,95%CI=6.57-25.01） and obesity group（OR=51.38,95%CI=28.42-92.91）had more higher risk in MS.Conclusion The prevalence of metabolic syndrome is serious.It is need to establish standardized criteria and definition targeted Chinese children and adolescents.