2016—2017年江苏省7~17岁儿童青少年代谢综合征流行现状分析

Prevalence of metabolic syndrome among children and adolescents aged 7-17 years in Jiangsu Province, 2016-2017

目的 本研究描述了江苏省7~17岁儿童青少年期的代谢综合征流行现状与特征,为改善儿童青少年期的代谢综合征状况提供科学依据。方法 采用多阶段分层整群随机抽样,选取江苏省12个调查点的3 025名7~17岁儿童青少年,通过流行病学调查问卷、体格检查以及实验室检测,收集研究对象的相关信息。采用χ^(2)检验,比较不同性别和年龄分组的代谢综合征及其组分的患病情况。采用多因素logistic回归分析体重分组和年龄分组与代谢综合征的相关性。结果 江苏省儿童青少年代谢综合征患病率为5.1%,男性为6.1%,显著高于女性的4.1%,差异有统计学意义(χ^(2)=6.215,P<0.05),7~12岁组的代谢综合征患病率为4.7%,13~17岁组的患病率为5.9%。13~17岁年龄组患有代谢综合征的可能性比7~12岁年龄组提高1.693倍,超重人群较正常人群,代谢综合征发生率提高8.472倍,肥胖人群则提高了40.194倍。结论 2016—2017年江苏省7~17岁儿童青少年代谢综合征处于较高流行水平。超重、肥胖以及高年龄组更容易患有代谢综合征。

Objective To describe the epidemic status and characteristics of metabolic syndrome in children and adolescents aged 7-17 years in Jiangsu Province, and to provide a scientific basis for improving the status of metabolic syndrome in children and adolescents. Methods A multi-stage stratified cluster random sampling method was used to select 3,025 children and adolescents aged 7-17 years from 12 survey sites in Jiangsu Province. The relevant information of these subjects was collected through epidemiological questionnaire, physical examination and laboratory examination. Chi-square test was used to compare the prevalence of metabolic syndrome and its components in different gender and age groups. Multivariate logistic regression was used to analyze the correlation of weight group and age group with metabolic syndrome. Results The prevalence rate of metabolic syndrome in the children and adolescents in Jiangsu Province was 5.1%, and there was a statistically significant difference between males and females(6.1% vs. 4.1%, χ^(2)=6.215, P<0.05). The prevalence rate of metabolic syndrome in the group aged 7-12 years was 4.7%, and that in the group aged 13-17 years was 5.9%. The possibility of suffering from metabolic syndrome in the group aged 13-17 years was 1.693 times higher than that in the group aged 7-12 years. The incidence rate of metabolic syndrome in overweight subjects was 8.472 times higher than that in normal ones, and that in obese subjects was 40.194 times higher. Conclusion Metabolic syndrome prevailed in the children and adolescents aged 7-17 years in Jiangsu Province in 2016-2017. Overweight, obesity and older age groups are more likely to suffer from metabolic syndrome.