我院40岁及以上体检人群代谢综合征现状调查及影响因素分析

Status survey of metabolic syndrome in physical examination people aged over 40 in our hospital and its influence factor analysis

目的调查中国医科大学附属盛京医院（以下简称＂我院＂）40岁及以上体检人群代谢综合征现状,分析其影响因素,以期为疾病的治疗和预防提供参考。方法选择2015年10~12月于我院体检中心进行健康体检的40岁及以上在职或退休人群596名,采用自制问卷调查其一般情况、既往病史、家族史及生活、饮食习惯等,并检测代谢综合征相关指标,包括身高、体重、腰围、血压、血脂、血糖等。采用非条件Logistic回归分析,确定疾病相关影响因素。结果 596名体检者中代谢综合征患者103例,患病率为17.28%。男性患病率高于女性,随着年龄增长患病率增加。代谢综合征各组成因素中,血脂紊乱及中心性肥胖患病率较高,达22.99%和23.83%。多因素Logistic回归分析结果显示,性别、年龄、BMI、吸烟、饮酒、糖尿病家族史、高脂饮食、高钠饮食为代谢综合征的危险因素（P〈0.05）,而每周运动频率为代谢综合征的保护因素（P〈0.05）。结论代谢综合征与多种因素有关,对高危人群应给予合理的饮食、生活方式指导,提高其疾病认知率,从而降低患病率,提高健康水平。

Objective To investigate the prevalence of metabolic syndrome in physical examination people aged over40 in our hospital, analyze its influence factors, in order to provide reference for disease prevention and treatment.Methods 596 people aged over 40 taken physical examination in our hospital from October 2015 to December 2015 were selected. A self-designed questionnaire was used to investigate items including general condition, medical history,family history and life, eating habits. At the same, time metabolic syndrome related indicators including height, weight,waist circumference, blood pressure, blood fat and blood sugar were detected. Non-conditional Logistic regression analysis was used to determine the influence factors of metabolic syndrome. Results Among 596 physical examination people, 103 suffered with metabolic syndrome, the prevalence rate was 17.28%. The prevalence rate of male was higher than that of female, and increased with age. Among each composition factors of metabolic syndrome, the prevalence of blood lipid disorders and central obesity was higher, accounted for 22.99% and 23.83% respectively. Results of multifactor Logistic regression analysis showed that gender, age, BMI, smoking, drinking, family history of diabetes, high fat diet and high sodium diet were risk factors of metabolic syndrome（P〈0.05）, while weekly exercise frequency was the protective factor（P〈0.05）. Conclusion Metabolic syndrome is associated with many factors. Reasonable diet and lifestyle guidance should be given to the high-risk population, enhance their disease-awareness rate, reduce the disease prevalence, in order to improve people＇s health level.