温州城区18岁以上居民代谢综合征影响因素分析

Analysis on influence factors of metabolic syndrome in population over 18 years old in Wenzhou city

目的探讨温州市≥18岁居民代谢综合征（MS）影响因素,为防治代谢综合征提供依据。方法采用多阶段随机整群抽样方法,随机抽取温州市鹿城、瓯海、龙湾3城区10 293人,对以上18岁居民MS的影响因素进行多因素Logistic回归分析。结果年龄（OR=4.303,95%CI：3.337-5.549）,性别（OR=2.731,95%CI：2.318-3.217）,吸烟（OR=1.275,95%CI：1.034-1.573）,体重指数（OR=2.665,95%CI：2.158-3.292）,糖尿病家族史（OR=1.716,95%CI：1.346-2.189）,冠心病家族史（OR=1.716,95%CI：1.008-2.920）,生活和工作紧张（OR=9.034,95%CI：1.389-5.874）是MS发病的影响因素。结论适度的生活和工作压力能有效降低MS患病风险,年龄、性别、吸烟、体重指数超标、糖尿病家族史和冠心病家族史可能是代谢综合征的影响因素。

Objective To research effective factors of metabolic syndrome（MS） and to provide clue to prevent MS. Methods Through multi-stage random cluster sampling, 10 293 residents aged over 18 were selected among Lucheng, Ouhai and Longwan district of Wenzhou. The risk factors of MS were analyzed by multivariant conditional Logistic regression.Results Age（OR =4.303, 95%CI：3.337-5.549）; sex（OR=2.731, 95%CI：2.318-3.217）; smoking（OR=1.275, 95%CI：1.034-1.573）; body mass index（BMI）（OR=2.665, 95%CI：2.158-3.292）; family history of diabetes（OR=1.716, 95%CI：1.346-2.189）; familial history of coronary artery disease（OR=1.716, 95%CI：1.008-2.920）;the life and work of tension（OR=9.034, 95%CI：1.389-5.874）. Conclusion Moderate living and working pressure can reduce the risk of MS. The influence factors of metabolic syndrome were age, sex, smoking, body mass index, family history of diabetes and family history of coronary artery disease.