甘肃省庆阳市健康体检人群代谢综合征调查分析

Epidemiological Feature of Metabolic Syndrome in Qingyang

目的调查庆阳市健康体检人群代谢综合征（MS）流行状况。方法本次调查采用多级分层整群抽样的方法,选择在庆阳市人民医院进行健康体检的居民共1511人（18-89岁）作为研究对象,采用改良美国国家胆固醇教育计划成人治疗专家组（NCEP-ATPⅢ）以及中国成人血脂异常防治指南（2007）的代谢综合征（MS）诊断标准（GCADP）两种标准进行分析。结果按照ATPⅢ标准,庆阳市健康体检人群MS总体患病率为17.14%,男性高于女性（分别为20.67%、12.81%）,并随年龄的增长而升高。其中最多见的组分组合是高血压＋高TG血症＋低HDL-c血症。按照GCADP标准MS总体患病率为21.24%,其中最多见的组分组合是中心性肥胖＋高TG血症＋低HDL-c血症。吸烟与MS高度相关。结论代谢综合征已成为影响甘肃省五市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 assess the prevalence of residents with metabolic syndrome in Qingyang city,Gansu province. Methods A multistage stratified cluster sampling method was conducted. A total of 1511 adults carried on physical examination（ range 18-89 years old） from Qingyang city in Gansu were included in the analyses.Metabolic syndrome was diagnosed using the modified National Cholesterol Education Program Adult Treatment PanelⅢ（ ATP Ⅲ） guidelines 2001 and the Guidelines for Prevention and Treatment of Hypertension in China（ GCADP） 2007. Results The prevalence of metabolic syndrome diagnosed by using the modified ATP Ⅲcriterion was 17. 14%（ 20. 67% in males and 12. 81% in females,respectively）. The prevalence of metabolic syndrome was increased with age. The most frequent combination was hypertension with high TG hyperlipidemia and low HDL-c hyperlipidemia. The prevalence of metabolic syndrome diagnosed by using the GCADP criterion was 21. 24%,and the most frequent combination was central obesity with high TG hyperlipidemia and low HDL-c hyperlipidemia. The metabolic syndrome was significantly correlated with smoking. Conclusion Metabolic syndrome has become a noteworthy public health problem. The prevention of metabolic syndrome is urgently warranted.