广东省阳江市健康体检人群代谢综合征患病现状调查

Prevalence of Metabolic Syndrome in Crowd undergoing Medical Examination in Yangjiang,Guangdong Province

目的调查广东省阳江市健康体检人群代谢综合征(MS)患病现状。方法采用随机分层抽样方法于2013年12月—2015年9月抽取广东省阳江市30岁以上的健康体检者981例作为调查对象,采用自制问卷采集调查对象的相关信息;所有调查对象进行体格检查、实验室检查,分析MS患病情况。结果共发放问卷981份,回收有效问卷966份,有效率为98.5%。966例健康体检人群中185例诊断为MS,MS患病率为19.2%,其中男性MS患病率为21.6%(100/464),女性MS患病率为16.9%(85/502),男性与女性MS患病率比较,差异无统计学意义(P>0.05)。青年组男性MS患病率高于女性(P<0.05),而中年组、老年组男性与女性MS患病率比较,差异无统计学意义(P>0.05)。966例健康体检者中检出腹型肥胖330例(34.2%),血糖升高160例(16.6%),血压(BP)升高475例(49.2%),高水平三酰甘油(TG)290例(30.0%),低水平高密度脂蛋白胆固醇(HDL-C)125例(12.9%)。不同性别健康体检者腹型肥胖、高水平TG检出率比较,差异无统计学意义(P>0.05);不同性别健康体检者血糖升高、BP升高、低水平HDL-C检出率比较,差异有统计学意义(P<0.05)。不同性别健康体检者0项MS指标异常检出率比较,差异有统计学意义(P<0.05);不同性别健康体检者1项MS指标异常、2项MS指标异常、3项MS指标异常、4项MS指标异常和5项MS指标异常检出率比较,差异无统计学意义(P>0.05)。结论广东省阳江市健康体检者MS患病率较高,且不同性别、年龄健康体检者MS表现不同,需进行有针对性的干预。

Objective To investigate the prevalence of metabolic syndrome in crowd undergoing medical examination in Yangjiang,Guangdong province. Methods A total of 981 medical examination people over 30 years old were enrolled in this study by random stratified sampling method from December 2013 to September 2015,all of them received physical examination and laboratory examination,and the prevalence of metabolic syndrome was analyzed;self - made questionnaire was used to collect relate information. Results A total of 966 effective questionnaires were recycled,the effective recycle rate was 98. 5%(966 / 981). The prevalence rate of metabolic syndrome was 19. 2% ( 185 / 966 ),thereinto prevalence rate of metabolic syndrome of male was 21. 6% ( 100 / 464 ),that of female was 16. 9% ( 85 / 502 ),the difference was not statistically significantly different(P > 0. 05). The prevalence rate of metabolic syndrome of young male was statistically significantly higher than that of young female(P < 0. 05),while no statistically significant differences of prevalence rate of metabolic syndrome was found between middle - age male and middle - age female,or between old - age male and old - age female(P > 0. 05). Of the 966 people undergoing medical examination,330 cases found abdominal obesity( accounting for 34. 2% ),160 cases found elevation of blood glucose( accounting for 16. 6% ),475 cases found elevation of BP( accounting for 49. 2% ),290 cases found elevation of TG(accounting for 30. 0% ),125 cases found reduction of HDL-C(accounting for 12. 9% ). No statistically significant differences of detection rate of abdominal obesity or elevation of TG was found in people with different gender(P >0. 05),while there were statistically significant differences of detection rates of elevation of blood glucose,elevation of BP and reduction of HDL-C in people with different gender(P < 0. 05). There was statistically significant difference of detection rate of zero - indicator abnormity of metabolic syndrome in people with different gender( P < 0. 05),while no statistically significant differences of detection rate of one - indicator abnormity of metabolic syndrome,two - indicator abnormity of metabolic syndrome, three - indicator abnormity of metabolic syndrome,four - indicator abnormity of metabolic syndrome or five - indicator abnormity of metabolic syndrome in people with different gender(P > 0. 05). Conclusion The prevalence rate of metabolic syndrome is relatively high in crowd undergoing medical examination in Yangjiang,Guangdong province,and the features of metabolic syndrome is changeful in people with different age and gender,and targeted intervention measures should be taken.