内蒙古蒙古族人群代谢综合征患病率调查

Study on the prevalence of metabolic syndrome among the Mongolian population in Inner Mongolia Autonomous Region

目的调查内蒙古地区蒙古族人群代谢综合征（MetS）患病情况，探讨MetS患病率与性别、年龄的相关性，为蒙古族MetS的控制和防治提供科学依据。方法分别采用2004年中华医学会糖尿病学分会（CDS）、2005年美国胆固醇教育计划成人治疗方案第三次报告（NCEP—ATPm）、2005年国际糖尿病联盟（IDF）诊断标准，2013～2015年对内蒙古锡林郭勒盟镶黄旗常住蒙古族和汉族居民进行问卷调查、体格检查和血生化检测，共收集资料完整者569例。分别应用上述3种标准诊断MetS及其组分，分析蒙古族和汉族患病率的区别，及其与性别和年龄的相关性，同时观察蒙古族MetS患病率及组分分布特点。结果①CDS标准检出蒙古族患病率为17．16％，汉族为12．24％；NCEP—ATPⅢ标准检出蒙古族患病率为16．09％，汉族为18．88％；IDF标准检出蒙古族患病率为27．35％，汉族为22．45％。统计结果显示，3种诊断标准检出的蒙古族和汉族MetS粗患病率差异无统计学意义（P〉0．05），IDF标准检出率均最高。②蒙古族男性CDS、NCEP—ATPm和IDF标准依次患病率分别为15．9％、19．0％、33．3％，女性患病率分别为9-3％、14．2％、23．5％；汉族男性3种标准依次患病率分别为27．2％、21．6％、19．3％，女性患病率分别为10．6％、16．7％、25．0％。统计结果显示，IDF标准测得的蒙古族男性MetS患病率明显高于蒙古族女性，CDS标准测得的汉族男性MetS患病率明显高于汉族女性，差异有统计学意义（P〈0．05）。③采用年龄分层后，3种标准的MetS患病率都随年龄增加而上升，差异有统计学意义（P〈0．05）。结论蒙古族MetS患病率与汉族区别不大，蒙古族和汉族MetS患病率均与年龄和性别相关，IDF标准患病率最高，提示IDF标准对早期发现蒙古族心血管病风险优于其他两种标准。

Objective To explore the prevalence of metabolic syndrome （MetS） in the Mongolian population in Inner Mongolia Autonomous Region, analyze the association of MetS prevalence with the gender and the age, in order to pro- vide scientific basis for the control and prevention of Mongolian MetS. Methods Diagnostic criteria of MetS was adopt- ed from the Chinese Medical Association Diabetes Branch （CDS） in 2004, Adult Treatment Panel III of National Cholesterol Education Program （NCEP-ATPⅢ） in 2005, International Diabetes Federation （IDF） in 2005. A total of 569 cases of inhabitants of Mongolian and HaM nationality in Xianghuang Banner of Xilingol League, Inner Mongolia Autonomous Region were investigated by questionnaires, physical examination and blood biochemical tests, from 2013 to 2015. These dignostic criterias were used to analyze the difference of the prevalence rate of MetS and its components between Mongolian and HaM nationality, and the correlation between them the age and gender. The prevalence of MetS and distribution in Mongolian were also observed. Results （2）The prevalence of Mongolian and HaM were 17.16% and 12.24% by using CDS standard; 16.09% and 18.88% by using NCEP-ATPm; 27.35% and 22.45% by using IDF stan- dard. The results showed that there was no significant difference in the prevalence of MetS between the Mongolian and the Han nationality （P 〉 0.05）. The detection rate of IDF was the highest among the three diagnostic crite- ria. （2）The prevalence rates of MetS for male of Mon- golian nationality by using CDS, NCEP-ATP Ⅲ and tDF were 15.9%, 19.0%, 33.3%, for female of Mon- golian nationality were 9.3%, 14.2%, 23.5%; for male of Han nationality were 27.2%, 21.6%, 19.3%, for female of Han nationality were 10.6%, 16.7%, 25.0%. The results showed that the prevalence of MetS in Mongolian male was significantly higher than that in Mongolian female by IDF standard, and the prevalence of MetS in Han male was significantly higher than that in Han female by CDS standard, with statistically significant differences （P 〈 0.05）. （3）After age stratification, the prevalence of MetS increased with age, with statistically significant difference （P 〈 0.05）. Conclusion There is no difference in the prevalence of MetS between Mongolian and Han nationality. The prevalence is associated with the gender and the ages. The prevalence of MetS di- agnosed by IDF standard is the highest. Therefore, the IDF standard is better than the other two standards in early i- dentifying the risk factors of cardiovascular diseases.