| 摘要: |
| 目的 调查上海市杨浦区某社区55岁以上常住居民代谢综合征(metabolic syndrome,MS)患病状况,并分析吸烟、户外运动等日常行为习惯与MS的关系。方法 采用随机整群抽样方法,选择上海市杨浦区某社区中老年常住居民进行问卷调查及体格检查、相关实验室检查,并分析与MS患病相关的影响因素。结果 问卷填写完整并完成相关检查的共1 002人。根据2010年版中国2型糖尿病防治指南中MS的诊断标准,该社区55岁以上常住居民MS的患病率为18.66%(187/1 002),其中女性患病率为17.70%(120/678),男性患病率为20.68 %(67/324)。经单因素和多因素分析显示,超重或肥胖、高血压、糖尿病史、高LDL-C及吸烟是患MS的主要因素(P<0.05)。结论 杨浦社区中老年居民MS患病率高,超重或肥胖、高血压、糖尿病史、高LDL-C及吸烟是该地区中老年居民MS的患病因素,提示积极控制体质量和戒烟可作为预防该地区MS发生的社区早期干预性策略。 |
| 关键词: 代谢综合征 流行病学 运动 吸烟 |
| DOI：10.3724/SP.J.1008.2015.00226 |
| 投稿时间：2014-02-28修订日期：2014-05-18 |
| 基金项目:杨浦区卫生和计划生育委员会青年科研课题(201306).Supported by Youth Foundation of Yangpu Distrct Health＆Family Planning Commission |
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| Current situation of metabolic syndrome in a community of Yangpu District in Shanghai: a survey |
| GU Qing1,2,GE Jun2,MENG Jian2,LI Jing-yi2,XU Ling2,LIU Zhi-min1* |
(1. Department of Endocrinology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China;
2. Department of Endocrinology, Shidong Hospital, Shanghai 200438, China
*Corresponding author) |
| Abstract: |
| Objective To investigate the prevalence of metabolic syndrome (MS) in permanent residents aged 55 or above in a community in Yangpu District, Shanghai, and to analyze its association with smoking, alcohol consumption, and outdoor activities. Methods By cluster random sampling, the residents were selected from one community in Yangpu district between January and December 2013 to answer questionnaire and receive physical examination and relevant laboratory assessment. The factors of MS were also analyzed. Results A total of 1 002 participants finally answered the questionnaire and finished other tests. According to the diagnostic criteria in T2DM Prevention & Treatment Chinese Guideline 2010, the prevalence of MS was 18.66% in this study, with the prevalence being 17.70%(120/678) in female and 20.68%(67/324) in male. Univariate analysis and multivariate analysis suggested that overweight, hypertension, diabetes history, increased LDL-C and smoking history were the associated risk factors of MS (P<0.05). Conclusion The middle and old aged residents have high prevalence of MS in the community population of this study. Overweight, hypertension, diabetes history, high LDL-C and smoking history are the risk factors for MS morbidity, suggesting that weight control and smoking cessation may be early intervention for preventing MS. |
| Key words: metabolic syndrome epidemiology exercise smoking |
