体检人群中代谢综合征相关因素分析

Analysis of Factors Associated with Metabolic Syndrome in the Population Underwent Physical Examination

目的分析体检人群中代谢综合征（MS）患病情况，探讨其与年龄、性别、BMI问的关系。方法体检人群45235例，询问病史，测定身高、体重、腹围、血压，检验生化指标；按是否患有MS分为MS组和对照组，分析代谢状态与相关疾病的关系。结果MS总患病率为31．86％，男性MS的患病率在青、中年高于女性，青年男性约为女性的5倍，而老年女性患病率大于男性；随年龄增加MS患病率呈明显上升趋势，男性缓慢增加，而女性快速上升。MS组青中老年BMI均值均高于对照组（P〈0．05），而两个组内不同年龄段BMI均值无明显差异；MS组内男性和女性患者以超重比例最高，而对照组均以正常体重者比例最高。结论MS患病率与性别、年龄和BMI密切相关，为加强干预MS人群提供参考依据。

Objective To analyze the prevalence of metabolic syndrome （MS） in population underwent physical examina- tions and explore the relationship between age, gender, BMI and MS. Methods 45235 participants performing physical examina- tions were divided into the MS group and the control group. Medical history, height, weight, waist circumference, blood pressure and the biochemical indexes were measured. Results The prevalence rate of MS was 31.86%. It was higher in young and middle - aged men than that in young and middle - aged women. It was about 5 times higher in young men than women, while it was higher in elderly women than that in elderly men. It significantly increased with age, especially for woman. BMIs in young, middle and older - aged people of MS group were higher than those in the control group respectively （ P 〈 0. 05 ）, while there was no significant differ- ence among the different ages in the same group. The proportion of overweight is higher in the MS group than that in the control group. Conclusion The prevalence rate of MS is closely related to gender, age and BMI.