北京某企业人群代谢综合征的流行特征

Prevalence of metabolic syndrome in an enterprise in Beijing

目的描述北京某企业职工代谢综合征(MS)的流行特征。方法以2006年该企业所有在职及离退休职工6 812人为对象,选择资料完整的6 346人,平均年龄(50.6±16.7)岁;年龄范围(18～87岁),进行代谢综合征的不同年龄、性别、异常组分及其聚集情况的流行现状分析。统计分析用SPSS17.0软件。结果调查显示,MS粗患病率11.6%(男性12.8%,女性9.9%),标化患病率8.1%(男性10.2%,女性5.3%);30～49岁男性高于女性(P<0.05)。MS患病率随着年龄增大而增高(P<0.05)。MS患者中,40～岁男性超重率(44.9%)及血脂紊乱率(29.9%)出现高值,其他异常组分阳性率均随年龄增大而增高(P<0.05);男性50岁前各组分异常率均高于女性(P<0.05),女性60岁以上血脂紊乱率高于男性(P<0.05)。代谢综合征的异常组分聚集数(0～4项)的构成比随着年龄的变化而变化。结论预防MS需根据年龄性别采取不同措施;控制40～49岁男性的体重和血脂是预防MS的关键。

Objective To describe the prevalence of metabolic syndrome（MS） among employees in an aerospace enterprise in Beijing.Methods Data from health check-up on 6 346 current and retired employees aged 18-87 years（mean age：50.6＋16.7） in an aerospace enterprise were analyzed.The diagnosis of MS was based on MS diagnosis standard by China Diabetes Society issued in 2004.SPSS 17.0 was used for data cleaning and statistical analysis.Results Among 6 364 participants,the crude prevalence of MS was 11.6%（12.8% for males and 9.9% for females）;the standardized prevalence was 8.1%（10.2% for males and 5.3% for females）.The prevalence of MS increased with age,especially in men age 40-49 and in women age 50-59.Also the prevalence of MS varied according to age,sex,weight and biochemical indices.Conclusions The prevalence of MS is high in adults,which is even higher in males,and increases with age.