宁波市新农合体检人群代谢综合征检出率分析

Prevalence of metabolism syndrome among physical examination individuals covered by the new rural cooperative medical insurance in Ningbo

目的了解宁波市新农合体检人群代谢综合征及其组分的分布特征。方法采用整群抽样方法,抽取宁波市鄞州区某乡镇20岁及以上本地常住居民,进行新农合体检和糖耐量检测。检出率根据性别、年龄按全国第六次人口普查数据标化。结果本研究有效人数2 399人,按中华医学会糖尿病学分会标准(CDS 2004)检出代谢综合征562人,粗检出率为23.43%(其中男性20.58%,女性25.45%),标化率为15.08%(其中男性15.49%,女性14.95%),各年龄组波动为3.21%~23.43%。各组分的检出率以高血压和血脂代谢异常为高。采用近似多组织联合声明(JIS 2009)标准检出代谢综合征1 003人,粗检出率为41.81%,标化检出率为29.81%。结论宁波市新农合体检人群代谢综合征检出情况不容乐观。相对于CDS 2004标准,JIS 2009标准能较多地发现代谢综合征人群。建议将腰围纳入常规体检项目,有助于发现中心性肥胖。

Objective To understand the prevalence of metabolism syndrome and it＇s components among physical checkup individuals covered by the new rural cooperative medical insurance in Ningbo. Methods A cluster sampling method was used to randomly select total 2 399 local residents aged 20 and above for the study, physical examination and the glucose tolerance test were performed for each subject. The detection rate was standardized by gender and age based on the 6th National Population Censusr data. Results Out of 2 399 valid subjects, 562 were found of having metabolism syndrome according to the CDS 2004 of Chinese diabetes society with the rude detection rate of 23.43% （20.58% for men and 25.45% for women） and the adjusted detection rate of 15.08% （15.49% for men and 14.95% for women）. The rude detection rates ranged from 3.21 % to 23.43 % in age based groups. The detection rates of high blood pressure and dyslipidemia were high- er than that of other two components. According to the similar joint interim statement of 2009, 1 003 out of 399 subjects were found to have metabolic syndrome with the rude detection rate of 41.81% and adjusted rate of 29.81%. Conclusions The detection rate of metabolism syndrome among the healthy physical exami- nation population in Ningbo is relatively high, especially by the criteria of the joint interim statement of 2009, which tends to pick up more metabolism syndrome cases compared with the criteria of the Chinese diabetes so- ciety in 2004. It is suggested that the waist circumstance should be included in the routine examination in order to find individuals with central obesity.