新疆维吾尔族和汉族中老年人群代谢综合征的患病率调查

Prevalence Survey of Metabolic Syndrome in Uygur and Han of Xinjiang

目的了解新疆地区维吾尔族和汉族≥50岁人群代谢综合征现况状况,比较两民族间是否存在差异。方法 2004年7月到2007年8月,采用分层随机多级整群抽样方式、以现场问卷调查与入户调查相结合的方法,共调查8 382人,其中汉族3 603人(男性1 590人,女性2 013人)、维吾尔族4 779人(男性2 347人,女性2 432人),进行身高、体重、腹围、血压、血糖、血脂水平等相关指标测定。结果维、汉两民族中老年人群代谢综合征总的患病率为32.85%(男性为25.14%,女性为39.07%,P<0.05);汉族27.70%(男性为22.53%、女性为32.09%,P<0.05);维吾尔族为41.03%(男性为29.60%、女性为50.30%,P<0.05);维吾尔族高于汉族(P<0.05),女性高于男性,其中维吾尔族男性、女性代谢综合征患病率均高于汉族男性、女性(P<0.05),两民族中维吾尔族女性代谢综合征的患病率最高。50～59岁,维吾尔族代谢综合征为33.02%,汉族为23.59%;60～69岁,维吾尔族为36.50%,汉族为34.44%;70岁以上,维吾尔族为27.65%,汉族为28.30%。结论新疆维、汉两民族中老年人群代谢综合征的患病率存在民族间和性别间差异,维吾尔族高于汉族,女性高于男性,其中维吾尔族女性代谢综合征的患病率最高。维、汉两民族中老年人群代谢综合征患病率均有随年龄增加而增加的趋势,60～69岁这个年龄段代谢综合征患病率最高。

Aim To investigate the prevalence of metabolic syndrome（MS） in Uighur and Han nationalities （ ≥ 50 years） in Xinjiang and compare the differences between the two groups of people. Methods From July 2004 to August 2007, using hierarchical stochastic multistage cluster sampling, field survey and some combined investigation methods, a total of 8,382 people were investigated, including 3,603 Han people （male 1590, 2013 women）, 4,779 Uighur people （male 2,347, 2,432 women）, and the height, weight and abdominal circumference, blood pressure, blood sugar, blood lipid levels and other related indexes were tested. Results 32. 85% of Uighur and Han nationality had the prev- alence of metabolic syndrome in the middle-aged （ male 25.14% , female 39.07%, P 〈 0.05 ） ; Han is 27. 7% （ male 22. 53 %, female 32.09%, P 〈 0. 05 ） ; Uighur is 41.03 % （ male 29. 6%, female 50. 30%, P 〈 0.05 ） ; Uighur is higher than Han （P 〈0. 05 ）, and females than males, in which the prevalence of metabolic syndrome in Uighur men and women is higher than that of the Han nationality including both male and female （P 〈 0.05 ）. In two ethnic Uighur woman has the highest prevalence of metabolic syndrome. Prevalence of metabolic syndrome in the different age ： from 50 - 59 ： Ui- ghur 33.02%, Han 23.59% ; from 60 -69： Uighur 36. 5% , Han 34. 44% ; above the age of 70： Uighur 27. 65%, Han 28. 3 %. Conclusions There are inter-ethnic and gender differences between Han and Uighur in the prevalence of the metabolic syndrome in the middle-aged in Xinjiang. The prevalence of MS is higher in Uighur than in Han, especially in Uighur women. The prevalence of MS is the highest from 60 to 69.