北京某医院健康体检人群社会经济状况及行为因素与代谢综合征的关联性分析

Association of socioeconomic and behavioral factors with metabolic syndrome among healthy check-up adults in Beijing

目的调查北京某三级医院健康体检人群代谢综合征及组分在人群中的阳性率,探讨社会经济状况、行为因素与代谢综合征的相关关系。方法对2013年4~5月到北京某三级医院健康体检中心体检的20~75岁受检者进行问卷调查与体格检查,共发放问卷412份,回收有效问卷407份,回收问卷有效率为98.79%。问卷内容包括社会经济状况、行为方式、疾病史、用药史及家族史;同时进行体格检查和测定生化指标。采用多因素logistic回归进行影响因素分析。结果受检者平均年龄（34.42±8.93）岁,代谢综合征检出率24.32%（99/407）;学历、月收入、吸烟、饮酒、运动对应OR（95%CI）分别为0.556（0.286~0.981）,1.015（1.003~1.485）,1.060（1.042~1.241）,1.443（0.990~2.105）,1.758（1.558~2.029）。饮食习惯无统计学意义。结论本次调查人群的代谢综合征患病率较高（24.32%）;多因素logistic回归分析发现该人群中吸烟是除饮酒、高收入外最大的危险因素;高学历与运动为患病保护因素。

Objective To explore the association of socioeconomic and behavioral factors with metabolic syndrome（MS）among healthy check-up residents in Beijing. Methods A questionnaire survey was conducted among 407subjects aged 20-75years collected from a hospital check-up center in Beijing during April to May2013,including their socioeconomic status,life style,medical and family history.Physical examination and biochemical testing were also performed.Multiple logistic regression was used to analyze the influencing factors. Results The average age of participants was 34.42±8.93years old and the overall prevalence of MS was found to be 24.3%（99/407）.The OR values（95%CI）of education,income,smoking,drinking and exercise were 0.556（0.286-0.981.）,1.015（1.003-1.458）,1.060（1.042-1.241）,1.443（0.990-2.105）,1.758（1.558-2.029）,respectively.However,the dietary habit was not closely related to MS. Conclusions The prevalence of MS among healthy check-up adults in Beijing is relatively high（24.3%）.Smoking is one of the most important risk factors,while higher education and exercise are the protective factors associated with MS.