天津市警察人群高尿酸血症与代谢综合征的关系及健康教育

The study of relationship between hyperuricemia and metabolic syndrome in policemen in Tianjin

目的:探讨天津市男性警察人群高尿酸血症(HUA)与代谢综合征(MS)的关系,为疾病的预防和控制提供参考。方法:选择健康体检的男性警察2 162例,根据血尿酸检测结果,分为高尿酸血症组和正常尿酸组,检测血清尿酸及相关生化指标,并同时进行物理指标测量。结果:与NUA组比较,HUA组收缩压、舒张压、甘油三酯、低密度脂蛋白、空腹血糖、尿酸均明显增高,而高密度脂蛋白明显低于NUA组。HUA组MS发病率及其各组分的发病率均明显高于NUA组。Logistic逐步回归分析表明,作为代谢综合征组分的体质量指数、甘油三酯、总胆固醇、血压均是HUA的独立危险因素,而高密度脂蛋白是HUA的保护因素。结论:天津市男性警察人群中HUA与MS各组分之间关系密切,应根据两者的病因及其与相关疾病的关系,进行有效的健康教育,达到早期的预防和控制。

Objective：To explore the relationship between hyperuricemia and metabolic syndrome in policemen in Tianjin and to provide a reference for preventing diseases. Methods： 2162 male policemen were divided into two groups by serum uric acid level （NUA group and HUA group）. Physiological and hidchemieal indexes were measured. Results, BMI, SBP, DBP, TG, LDL--C, FBG and UA in HUA group were significant higher than those in NUA group, whereas HDL--C was lower. The incidence of metabolic syndrome （MS） and its components in HUA group was significant higher than those in NUA group. Logistic regression analysis showed that BMI, TG, TC, blood pressure were independent risk factors of hyperuricemia, and high density lipoprotein cholesterol was its protective factor. Conclusion： The study shows that hyperuricemia has close relations with components of metabolic syndrome in male policemen in Tianjin. More effective measures should be taken to achieve early prevention of diseases.