福建省福州市中心城区居民代谢综合征现况及影响因素分析

Analysis on status and influence factors of metabolic syndrome among urban residents of central district of Fuzhou city,Fujian province

目的了解福建省福州市中心城区居民代谢综合征(MS)现况及影响因素,为MS的防治提供科学依据。方法基于国家心血管疾病高危人群早期筛查与综合干预项目,对2017-2019年福建省福州市中心城区开展MS现况调查,最终有15260人纳入研究对象。收集一般人口学信息(性别、年龄、文化程度、家庭年收入等)、疾病史(高血压、糖尿病等)、行为生活方式(吸烟、饮酒等),测量身高、体质量、腰围,检测血压、血糖、血脂。采用χ^(2)检验比较不同特征人群MS及其组分的患病情况。采用多因素logistic回归模型分析其影响因素。结果福州市中心城区居民MS患病率为33.23%(5071/15260),标化患病率为25.82%(3940/15260)。男性MS的患病率为38.72%(2186/5646),女性为30.01%(2885/9614),男性MS的患病率高于女性(χ^(2)=121.604,P<0.01)。随着年龄增加MS患病率呈现上升趋势(χ^(2)_(趋势)=504.302,P<0.01)。在MS各组分中,标化患病率从高到低依次为高血压(48.44%)、高TG(36.07%)、高血糖(32.84%)、中心性肥胖(30.35%)、低HDL-C(14.66%)。多因素logistic回归分析结果显示,女性(O R=0.827,95%C I:0.761~0.898)、高中及以上文化程度(O R=0.873,95%CI:0.810~0.942)、有医保(O R=0.681,95%CI:0.609~0.763)与MS患病低风险相关(P均<0.01);高年龄(O R=4.169,95%CI:3.365~5.166)、家庭年收入≥5万元(O R=1.211,95%CI:1.120~1.310)、吸烟(O R=1.249,95%CI:1.111~1.404)、饮酒(O R=1.294,95%CI:1.129~1.483)与MS患病高风险相关(P均<0.01)。结论福州市中心城区居民MS患病率较高,男性、高年龄、高家庭年收入、低文化程度、无医保、吸烟、饮酒为MS的高危因素。

Objective To understand the prevalence and influencing factors of metabolic syndrome(MS)in urban residents of central district of Fuzhou city,so as to provide scientific basis for the prevention and treatment of MS.Methods Based on the National Early Screening and Comprehensive Intervention Project for People at High Risk of Cardiovascular Disease,a survey on the current status of MS was conducted in the downtown area of Fuzhou city,Fujian province from 2017 to 2019,eventually 15260 people were included in the study.General demographic information(gender,age,education,annual household income,etc.),disease history(hypertension,diabetes mellitus,etc.),behavioral lifestyle(smoking,alcohol consumption,etc.)were collected,height,body mass,and waist circumference were measured,and blood pressure,blood glucose,and blood lipids were tested.χ^(2)test was used to analyze the prevalence of MS and its components in populations with different characteristics,and multivariate logistic regression model was used to analyze the influencing factors.Results The prevalence of MS was 33.23%(5071/15260)in urban residents of central district of Fuzhou city,and the standardized prevalence was 25.82%(3940/15260).The prevalence of MS was higher in men than in women(χ^(2)=121.604,P<0.01).The prevalence of MS increased with age(χ^(2)_(trend)=504.302,P<0.01),the standardized prevalence from high to low was hypertension(48.44%),high TG(36.07%),high blood glucose(32.84%),central obesity(30.35%)and low HDL-C(14.66%)among the components of MS.The results of multivariate logistic regression analysis showed that,female(OR=0.827,95%CI:0.761-0.898),higher school education(OR=0.873,95%CI:0.810-0.942),health insurance(OR=0.681,95%CI:0.609-0.763)were associated with lower risk of MS(all P<0.01),higher age(OR=4.169,95%CI:3.365-5.166),family income≥50000 yuan(OR=1.211,95%CI:1.120-1.310),smoking(OR=1.249,95%CI:1.111-1.404)and drinking(OR=1.294,95%CI:1.129-1.483)were associated with higher risk of MS(all P<0.01).Conclusion The prevalence of MS among residents in urban residents of central district of Fuzhou city is high,male,higher age,higher annual household income,lower literacy,no health insurance,smoking,and alcohol consumption are risk factors for MS.