湖南益阳农村老年人糖尿病前期人群代谢综合征及其影响因素分析

Analysis on the metabolic syndrome and the influencing factors in the elderly with prediabetes in rural areas in Yiyang of Hunan

目的了解湖南益阳农村地区老年糖尿病前期人群代谢综合征(metabolic syndrome,MS)的患病率水平和影响因素。方法 2015年4~7月期间,通过问卷调查和实验室检测收集研究对象的社会人口学特征和实验室指标。描述分析老年人糖尿病前期人群MS的患病率;采用二分类非条件Logistic回归模型分析老年人糖尿病前期人群MS的影响因素。结果湖南益阳农村地区老年糖尿病前期人群MS的患病率为31.6%(95%CI:27.2%~36.0%)。二分类非条件Logistic回归模型分析结果显示性别、年龄、身体质量指数(body mass index,BMI)、体力活动水平、是否饮酒是老年糖尿病前期人群MS发生的影响因素(均有P<0.05)。结论湖南益阳老年人糖尿病前期人群MS的患病率较高,应及时给予关注和干预。

Objective To investigate the prevalence and influencing factors of metabolic syndrome （MS） in the elderly with pre-diabetes in rural areas in Yiyang. Methods The background characteristics and laboratory results of the elderly with prediabetes were collected by questionnaire and laboratory testing during April to July 2015. Binary uncondi- tional Logistic regression was used to analyse the influencing factors of metabolic syndrome among the elderly with prediabe- tes. Results The prevalence of metabolic syndrome in the elderly with prediabetes in rural areas was 31.6% （95% CI： 27.2% -36.0% ）. Results from the binary unconditional Logistic regression indicated that gender, age, body mass index （ BMI）, physical activity, drinking were influencing factors of metabolic syndrome in the elderly with pre-diabetes （ all P 〈 0.05）. Conclusions The prevalence of metabolic syndrome in the elderly with pre-diabetes in rural areas in Yiyang is higher than that in general population. We should pay more attention to metabolic syndrome and to improve intervention.