广州市部分行业男性工人代谢综合征影响因素分析

Influencing factors of metabolic syndrome among male workers in several industries in Guangzhou City

目的探讨广州市部分行业男性工人代谢综合征(MetS)的患病情况及其影响因素。方法采用方便抽样方法,以2 987名男性一线生产工人为调查对象,收集其2012—2015年的职业健康检查资料,根据中华医学会糖尿病学分会提出的诊断标准判断MetS,采用广义估计方程方法进行MetS影响因素分析。结果 2012—2015年间,调查对象舒张压呈逐年升高的趋势(P<0.01),高密度脂蛋白胆固醇(HDL-C)水平呈逐年降低的趋势(P<0.01);但体质指数、收缩压和空腹血糖、甘油三酯、高密度脂蛋白胆固醇水平的改变均不随时间的增加而增加或下降。2012—2015年间,调查对象的高血压、高血糖、TG偏高、HDL-C偏低和MetS的检出率均呈逐年升高的趋势(P<0.01)。广义估计方程分析结果显示,在调整了年龄的混杂影响后,工龄、有高血压和(或)糖尿病家族史、经常饮酒、经常吸烟、饮食偏油和以荤食为主均是导致发生MetS的危险因素(P<0.05)。结论广州市男性工人的MetS检出率呈逐年增高趋势;工龄、有高血压和(或)糖尿病家族史、经常饮酒、经常吸烟、饮食偏油、以荤食为主均与该人群的MetS患病有关联。

Objective To investigate the prevalence of metabolic syndrome （MetS） and its related influencing factors among male workers in several industries in Guangzhou City. Methods A total of 2 987 male workers were selected by convenience sampling method and the occupational health physical exam data from 2012 to 2015 was collected. The MetS was diagnosed according to the diagnostic criteria proposed by the Chinese Medical Association Diabetes Association. The analysis of correlation factors was conducted by the generalized estimating equation method. Results The diastolic blood pressure of subjects increased year by year （P 〈 0. 01 ） and high-density lipoprotein cholesterol （HDL-C） decreased year by year （P 〈 0. 01 ） from 2012 to 2015, but the changes of body mass index, systolic blood pressure and levels of fasting plasma glucose, triglyceride didn＇ t increase or decrease over time. The prevalence of high blood pressure, high glycemia, high TG, low HDL-C and MetS were found to increase year by year （P 〈 0. 01 ） from 2012 to 2015. The generalized estimating equation analysis results showed service length, family history （hypertension and/or diabetes ） , regular alcohol consumption, frequent smoking, oily diet and meat-rich diet were the risk factors of MetS （P 〈 0. 05 ） after adjusting the confounding factors of age. Conclusion The incidence of MetS in male workers in Guangzhou City is increasing year by year. The service lengh, family history （hypertension and/or diabetes ） , regular alcohol consumption, regular smoking, oily diet and meat-rich diet are associated with the prevalence of MetS in this population.