临夏地区不同民族代谢综合征患病率及其危险因素分析

The prevalence and risk factors of metabolic syndrome in different nationalities in Linxia

采用多级分层整群抽样的方法,选择临夏市健康体检的居民1357人作为研究对象；采用美国国家胆固醇教育计划成人治疗专家组第三次报告修订后的标准（ ATPⅢ）、中华医学会糖尿病学分会（ CDS）标准及糖尿病联盟（ IDF）标准,调查临夏地区不同民族代谢综合征（ MS）患病率,分析其危险因素。采用ATPⅢ标准,临夏市MS总患病率为26.01%,并随年龄的增长而升高。采用CDS标准,临夏市总MS患病率为12.97%,MS的患病率随年龄增长而波动。采用IDF标准：临夏市MS总患病率为12.45%,具有随年龄的增长而升高的趋势。无论采用哪类标准,男性MS患病率高于女性。在ATPⅢ标准下,汉族和回族的MS患病率较高为28.11%、27.53%,东乡族最低为8.54%；CDS 标准下回族的患病率较高为16.23%、藏族的患病率最低为5.45%；在IDF标准下,汉族的MS患病率较高为13.83%、藏族的患病率最低为3.64%。各民族之间无论采用哪种标准,MS患病率皆有显著性差异（P〈0.05）。所有MS的异常指标中男性高三酰甘油血症异常率最高,女性低高密度脂蛋白胆固醇、高血糖异常率最高。

[Summary] A multi-stratified cluster sampling method was used in this study. A total of 1 357 residents who underwent physical examinations in Linxia were included. The prevalence and risk factors of metabolic syndrome （ MS） in Lixia was investigated and analyzed according to the modified 2005 National Cholesterol Education Program Adult Treatment Panel Ⅲ（ ATP Ⅲ） standard, the 2004 Chinese Diabetes Society （ CDS ） standard, and the International Diabetes Federation（ IDF） Standard. Using the ATPⅢcriterion for diagnosis, the total prevalence of MS was 26. 01%, and increased with the age. Using the standard CDS, the total prevalence of MS was 12. 97%, and fluctuated with aging. Besides, the total prevalence of MS was 12. 45% according to IDF standard, and increased with age. Regardless of standard types, the prevalence of MS in males was higher than that in females. Under ATP Ⅲstandards, the prevalences of MS in Han and Hui population were 28. 11% and 27. 53%, respectively. Dongxiang population had the lowest prevalence of 8. 54%. Under CDS standard, the highest prevalence of MS was among Hui population（16. 23%）, and Tibetan population had the lowest prevalence（5. 45%）. Furthermore, the prevalence of MS in Han population was the highest of 13. 83% and Tibetan people was the lowest of 3. 64% when based on the IDF standard. Regardless of standards types, the prevalences of MS in various nationalities were significantly different（ P〈0. 05）. Among all the components of MS, hypertriglyceridemia was the highest in male and lower high density lipoprotein-cholesterol, as well as higher rate of elevated blood glucose levels in females.