金华市部分机关事业单位中老年人群代谢综合征流行病学调查及影响因素分析

Epidemiological survey and analysis of influencing factors of metabolic syndrome among middle-aged and elderly people in some governmentsponsored institution in Jinhua City

目的探讨金华市部分机关事业单位中老年人群代谢综合征(MS)流行病学情况并分析其影响因素。方法根据本次流行病学调查资料,对金华市1428名机关事业单位中老年人的基线资料、体格检查指标及血生化指标进行统计学分析;计算MS患病率,采用logistics回归分析MS的影响因素。结果实际有效对象1368名,MS患病率为37.94%,其中男性MS患病率为43.72%,女性MS患病率为33.46%,男性高于女性(χ2=15.030,P=0.000);多因素logistics回归分析结果显示,年龄60~76岁、男性、单身、离婚或丧偶、大量饮酒、大量吸烟、经常食用油炸食品是MS发生的危险因素(OR分别为:1.527、1.734、2.212、2.695、2.952、1.628和2.313,P分别为:0.026、0.007、0.000、0.001、0.000、0.004和0.000);锻炼身体、每天食用蔬菜水果是MS的保护因素(OR=0.438、0.652,P=0.006、0.002)。结论金华市部分机关事业单位中老年人群MS患病率较高,生活方式在该人群MS发生中起到重要作用。建议加大对该人群的宣传教育力度,改变不良生活方式,加强锻炼,综合防控该人群MS的发生。

Objective To explore the epidemiology of metabolic syndrome(MS)in middle-aged and elderly people in some government-sponsored institution of Jinhua City and analyze the influencing factors.Methods The baseline data,physical examination indexes and blood biochemical indexes of 1428 middle-aged and old people in government-spon⁃sored institution of Jinhua City were statistically analyzed according to the data of this epidemiological survey.The preva⁃lence of MS was calculated.The influencing factors of MS occurrence were analyzed by logistics regression.Results 1368 cases were actually effective.The prevalence of MS in actual valid objects was 37.94%.The prevalence of MS in male was 43.72%,which was higher than that 33.46%in female(χ2=15.030,P=0.0001).The results of multi-factors logistics regression analysis show that people of 60~76 years old,male,single,divorce or widowed,heavy drinking,heavy smok⁃ing,and eating fried food often were the risk factors of MS(OR was 1.527,1.734,2.212,2.695,2.952,1.628 and 2.313 respectively,P was 0.026,0.007,0.000,0.001,0.000,0.004 and 0.000 respectively).Physical exercise,and eating fruits and vegetables every day were protective factors of MS(OR=0.438,0.652,P=0.006 and 0.002).Conclusion The preva⁃lence of MS is high in the middle-aged and elderly population in some government-sponsored institution of Jinhua City,and lifestyle plays an important role in the occurrence of MS.It is suggested to increase the publicity and education of this pop⁃ulation,change the bad life style,strengthen the exercise to prevent and control the occurrence of MS among this population.