3种代谢综合征诊断标准在海宁市农村居民中的应用比较

Applicability of three different criteria for metabolic syndrome in a rural residents

目的研究3种代谢综合征(MS)诊断标准下海宁市农村居民MS的患病率,比较各诊断标准的一致性。方法通过多阶段分层整群抽样的方法,随机抽取海宁市4个镇18岁及以上居民1475人进行问卷调查、体格检查及实验室检测。按照中华医学会糖尿病学分会诊断标准(CDS)、国际糖尿病联盟诊断标准(IDF)和2005年美国心脏病学会(AHA)修订版的美国国家胆固醇教育计划(NCEP)专家组诊断标准(ATPⅢ)分别计算MS的患病率。并对结果进行比较及一致性检验。结果按照CDS、IDF和ATPⅢ标准,海宁市农村居民MS的息病率分别为8.41%、17.97%和23.59%;IDF和ATPⅢ、IDF和CDS、ATPⅢ和CDS标准间两两一致性分别为93.47%、86.24%和83.32%,Kappa值分别为0.83、0.41和0.41。结论在实际运用中,3种诊断标准可以结合不同的要求进行选择。

Objective To compare the applicability of three different diagnosing criteria for metabolic syndrome （MS） in rural residents. Methods Total 1 475 residents aged over 18 from 4 towns of Haining City were selected by multi- stage stratified random sampling method. A survey on prevalence of metabolic syndrome was conducted, which included questionnaire survey, physical examination and blood biochemical tests. The prevalence of metabolic syndrome was calculated according to the defi-nitions proposed by ATPⅢ, IDF and CDS, respectively. The results were compared and the consistency was tested. Results The prevalence rates of MS were 8.41%, 17.97%and 23.59%based on CDS, IDF and ATPIII diagnostic criteria respectively. The agreement rates between IDF and ATPIII, IDF and CDS, ATPIII and CDS were 93.47%, 86.24%and 83.32%, respectively, and the Kappa indices were 0.83, 0.41 and 0.41. Conclusion Al the three definitions may apply to rural residents depending on different needs. Each need to be further evaluated and studied.