北京市职业人群代谢综合症患病率调查

Prevalence of metabolic syndrome in Beijing Institutional Populations

调查北京市政府机关及企、事业单位人员中代谢综合症 (MS)的患病率。共计调查 2 6 797人 (男 1 6 4 6 0人、女1 0 337人 ) ,年龄 2 0～ 80岁。MS诊断采用美国胆固醇教育计划 (NCEP ATPⅢ )防治指南所提出的建议 ,但其中腹部肥胖的指标 (腰围 )采用“中国肥胖问题工作组”建议的划分界限 ,同时也参考世界卫生组织“MS定义”中的意见以体质指数 (BMI)分别统计患病率。MS患病率在中、老年组中 >2 0 % ,青年组 <7%。年龄标化患病率以腰围计男1 5 1 %、女 1 3 0 % ;以BMI≥ 2 5kg m2 计 ,男 1 5 3%、女 9 9%。MS已是中、老年人中最多见的代谢异常 。

To estimate the prevalence of metabolic syndrome (MS) in Beijing institutional populations. 26797 subjects were enrolled in this study (including 16460 males and 10337 females, aged 20～80 years). The diagnostic criteria recommended by US national cholesterol education program Adult Treatment Panel Ш (ATP Ш) were used for the identification of MS. Since the waist circumference (WC) of Chinese was much smaller than those of US subjects, lower cut off point of WC was used according to the suggestion of the “Working group of obesity in China”. Otherwise, body mass index (BMI) was also used in the diagnosis of MS according to WHO recommendation. The prevalence rate of MS was >20% in middle and old age groups,< 7% in the young subjects. However, the age adjusted prevalence rate was 15.1% in males and 13.0% in females (using WC in diagnosis) or 15.3% in males and 9.9% in females (using BMI≥25kg/m 2 in diagnosis). The above data indicated that the MS becomes the most common metabolic disorders in Chinese subjects age above 40 years, especially in the elderly. Intervention to the risk factors of MS would be important in the prevention and management of cardiovascular diseases.