广东清远地区体检人群代谢综合征患病率现况调查

Prevalence of Metabolic Syndrome among Physical Examination Population in Qingyuan, Guangdong Province

目的:调查广东清远地区体检人群代谢综合征(MS)患病率现况。方法:回顾性分析2019年1-12月2 454例在清远市人民医院体检中心参加健康体检人群的资料,依据2009年国际多学会联合声明(JIS)标准,比较不同年龄、性别、体重指数人群中MS粗患病率及标化患病率。结果:MS粗患病率为27.75%,标化患病率为30.10%,女性MS的粗患病率为16.81%,标化患病率为22.92%,男性MS粗患病率为31.93%,标化患病率为37.55%。男性MS粗患病率高于女性,差异有统计学意义(P<0.05)。MS粗患病率及男性、女性MS粗患病率都随年龄增加而升高。在50~59岁和≥60岁,不同性别MS粗患病率比较,差异均无统计学意义(P>0.05);而18~29岁、30~39岁和40~49岁,不同性别MS粗患病率比较,差异均有统计学意义(P<0.05)。男性腹型肥胖、高血糖、高血压和高TG粗患病率均高于女性,差异均有统计学意义(P<0.05),女性低HDL-C粗患病率高于男性,差异有统计学意义(P<0.05)。以"腹型肥胖、高血压、高TG"的人群最多见,粗患病率为5.05%。随着BMI的增加,MS粗患病率也随之增高。尤其BMI>24 kg/m^(2)后,MS粗患病率显著升高,BMI>30 kg/m^(2)的MS粗患病率高达78.13%。结论:清远地区健康体检人群MS患病率较高,应有针对性的加强防治工作。

Objective:To investigate the prevalence of metabolic syndrome among physical examination population in Qingyuan,Guangdong Province.Method:The data of 2 454 patients who participated in physical examination in the Physical Examination Center of Qingyuan People’s Hospital from January to December 2019 were retrospectively analyzed.The crude prevalence and standardized prevalence of MS among people of different ages,genders and body mass index were compared according to the 2009 Joint Declaration of International Multi-Institutes Standards (JIS) were compared.Result:The crude and standardized prevalence rates of MS were 27.75% and 30.10%,16.81% and 22.92% for female MS,31.93% and 37.55% for male MS.The crude prevalence of MS in males was higher than that in females,and the difference was statistically significant (P<0.05).The prevalence of MS crude and the prevalence of MS crude in males and females increased with age.In 50-59 years old and ≥60 years old,there were no significant differences in the crude prevalence of MS among different genders (P>0.05).In 18-29 years old,30-39 years old and 40-49 years old,there were statistically significant differences in the crude prevalence of MS among different genders (P<0.05).The crude prevalence of abdominal obesity,hyperglycemia,hypertension and high TG in males were higher than those in females,and the differences were statistically significant (P<0.05).The crude prevalence of low HDL-C in females was higher than that in males,and the difference was statistically significant (P<0.05).The most common group was "abdominal obesity,hypertension,high TG",and the crude prevalence was 5.05%.The prevalence of MS crude increased with the increase of BMI.Especially after BMI>24 kg/m^(2),the prevalence of MS crude was significantly increased,and the prevalence of MS crude was as high as 78.13% in BMI>30 kg/m^(2).Conclusion:The prevalence of MS among physical examination population in Qingyuan is higher,so it requires urgent attention for prevention and treatment.