方松街道70岁以上老人代谢异常调查分析

The epidemiological investigation of metabolic disorder of elderly people over 70 years old in Fangsong community

目的:了解上海市松江区方松街道70岁以上老年人代谢异常患病情况,为社区卫生服务提供依据。方法:对方松街道70岁以上老年人进行健康问卷调查和体检,检测身高、体重、血糖、血脂、血压等,对结果进行统计分析。结果:参与体检的老年人代谢性疾病总患病率为79.51%,高血压、血脂异常、高血糖、肥胖患病率分别为64.75%、36.59%、17.56%、24.12%。不同性别的老年人在高血压、高血糖、肥胖患病率方面差异无统计学意义(P>0.05)。女性血脂异常患病率明显大于男性(P<0.01)。随着体质指数的增加,高血压、血脂异常、高血糖患病率呈现上升趋势(P<0.01)。结论:社区老年人群是代谢性疾病的高发人群,其患病率随体质指数的增加而增加。

Objective： To understand the prevalence of metabolic disorder of the elderly people over 70 years old in Fangsong community of Songjiang District of Shanghai in order to provide a foundation for the community service. Methods： The elderly people over 70 years old in Fangsong community were surveyed by a questionnaire and given a physical examination. Height, weight,fasting blood glucose, lipid , blood pressure and other indices were determined. The diseases in community were analyzed by statistical methods. Results： The overall prevalence rate of metabolic disorder of the senior citizens was 79.51%. The rates of hypertension, hyperglycemia, abnormal lipoprotein, obesity disease were 64.75%、36.59%、17.56%、and 24.12%, respectively. The rates of hypertension, hyperglycemia, and obesity disease in male and female in Fangsong community showed no significant difference（P ＆gt; 0.05）, The rate of abnormal lipoprotein disease in female was obviously higher than that in male（P ＆lt; 0.01）. The rates of hypertension, hyperglycemia, and abnormal lipoprotein disease in male and female increased with BMI（P ＆lt; 0.01）. Conclusion： Senior citizens in this community are a high risk group of metabolic disorder. The rate of metabolic disorder disease increases with BMI.