大连市1150名公务员代谢综合征的流行病学特征研究

Study on the epidemiological characteristics of metabolic syndrome among 1,150 civil servants in Dalian City

目的对大连市1 150名公务员代谢综合征的流行病学特征及相关危险因素进行研究,为制定大连市公务员代谢综合征防控措施提供科学依据。方法 2012-2013年于大连大学附属中山医院体检中心体检的大连市政府机关在职公务员为研究对象,检测分析体重指数、血压、空腹血糖、血脂等指标。结果总体代谢综合征患病率为26.61%,男性高于女性(33.42%比11.11%,P<0.01);患病率随年龄增长而增加,50岁以上女性患病率显著上升(P<0.01)。人群中有3种指标代谢异常的比例高达17.21%,各种危险因素的组合形式中以"中心性肥胖+高TG血症+高血压"的3项组合的比例最多。结论大连市公务员人群代谢综合征患病率较高,患病人群主要为男性以及50岁以上女性,针对危险因素应采取综合有效的干预措施。

Objective To study the epidemiological features and relevant risk factors of metabolic syndrome（ MS） among 1,150 civil servants in Dalian City so as to provide scientific evidence for formulating MS prevention and control measures. Methods We selected 1,150 civil servants who worked in government offices in Dalian City and received physical examination in Medical Examination Center,the Affiliated Zhongshan Hospital of Dalian University as the study subjects,and the indicators such as body mass index（ BMI）,blood pressure,fasting plasma glucose（ FPG） and serum lipid were detected and analyzed. Results The total prevalence of MS was 26. 61%,and the prevalence was higher in males than in females（ 33. 42% vs 11. 11%,P〈0. 01）.The prevalence of MS increased with age in both males and females,especially in females aged above 50 years（ P〈0. 01）. The proportion of the subjects with 3 abnormal indicators reached 17. 21%,and the most common risk factor combination in MS was the combination of central obesity,high triglyceridemia and hypertension. Conclusions The prevalence of MS is high among the civil servants in Dalian City,especially in males and in females aged above 50 years. Effective measures against MS should be taken in the high-risk population.