兰州市健康体检人群代谢综合征及相关因素调查分析

Prevalence and risk factors of metabolic syndrome in physical examination population in Lanzhou

目的调查分析兰州市健康体检人群代谢综合征患病率及相关因素。方法随机抽取2012年4月-2013年5月来甘肃省人民医院体检的1 975名成年人作为调查对象,统计分析不同年龄段、不同性别的MS患病率、发病类型以及MS与血脂各指标相关性。结果兰州市健康体检人群中MS总患病率为29.57%,其中男性患病率（36.47%）高于女性患病率（16.07%）（P〈0.01）。不同年龄段MS患病率差异有统计学意义,60岁~69岁年龄组患病率最高,为42.90%;〈30岁年龄组最低,为10.60%。成年人群中MS发生频率最高的类型为TG、血压、腰围异常组合,患病率为6.94%,占所有患病人数的23.46%。MS患者胆固醇（TC）、甘油三酯（TG）、高密度脂蛋白（HDL-C）以及低密度脂蛋白（LDL-C）异常率明显高于非MS者,但并未发现高胆固醇对MS有明显影响（P〉0.05）。结论兰州市健康体检人群MS患病率较其他地区成年人高。代谢综合征已成为影响兰州居民生命和健康的重大的公共卫生问题,亟需制定相关防控措施。

Objective To investigate and analyze the prevalence and risk factors of metabolic syndrome （MS） for physical ex- amination population in Lanzhou. Methods 1 975 individuals for health physical examination in Gansu provincial people＇ s hospital from April 2012 to May 2013 were randomly enrolled as investigation objects. Morbidity rate of MS from the total popu- lation sex groups and age groups were calculated, and meanwhile the relativity of the indexes. Results The prevalence rate of metabolic syndrome in healthy physical examination poputlation in Lanzhou was 29.57% , among which, that of males and fe- males were 36.47% and 16.07% respectively, the former was higher than the latter（P 〈 0.01 ）. The differences in prevalence rate between age groups were statistically significant. 60 - 69 year age group had the maximum prevalence rate （42.90%）. The minimum prevalence rate was of the age group under 30 year old（ 10.60% ）. The combination of TG, blood pressure and waist circumference was the most frequent combination in the highest prevalence rate of MS in adult （6.94%） and it accounted 23. 46% of all patients. The abnormal rates of TC, TG, HDL - C and LDL - C in the patients with MS were higher than others. But it didn＇ t show TC had a significant effect for MS （P 〉 0.05 ）. Conclusion In Lanzhou adults had higher prevalence of MS than that of other areas. Metabolic syndrome has become a noteworthy public health problem. And it is urgent to establish rela- tive measures to prevent and control.