Ramírez-Vargas Estanislao, Arnaud-Viñas María Del Rosario, Delisle Hélène
Zone 1 General Hospital, Mexican Institute of Social Security, Oaxaca, Mexico.
Salud Publica Mex. 2007 Mar-Apr;49(2):94-102. doi: 10.1590/s0036-36342007000200004.
To determine the associations of metabolic syndrome (MS) with residential area and lifestyle in men from Oaxaca, Mexico.
A cross-sectional study was conducted in 1998 in 325 apparently healthy men 35 to 65 years of age in four residential areas: rural, urban poor, urban middle, and urban rich. MS was defined according to International Diabetes Federation (IDF) guidelines. Information on physical activity and diet was collected by questionnaire. Based on two 24-hour recalls, a diet quality index (DQI) using eight WHO recommendations to prevent chronic diseases was constructed.
The MS rate was 41.2%; twice as high in urban (45.4%) than rural (27.6%) subjects. A significantly higher risk of MS was associated with low DQI in urban poor (OR 2.5; CI: 1.0-6.3) and rich (OR 3.2; CI: 1.5-8.6), compared to rural subjects. Physical activity was an independent protective factor.
MS is highly prevalent in apparently healthy men in urban areas, illustrating the role of diet and lifestyle transition.
确定墨西哥瓦哈卡州男性代谢综合征（MS）与居住地区及生活方式之间的关联。
1998年对四个居住地区（农村、城市贫困区、城市中等区和城市富裕区）325名35至65岁的明显健康男性进行了一项横断面研究。MS根据国际糖尿病联盟（IDF）指南定义。通过问卷调查收集有关身体活动和饮食的信息。基于两次24小时饮食回忆，构建了一个使用世界卫生组织八项预防慢性病建议的饮食质量指数（DQI）。
MS患病率为41.2%；城市（45.4%）人群的患病率是农村（27.6%）人群的两倍。与农村受试者相比，城市贫困人群（比值比2.5；可信区间：1.0 - 6.3）和富裕人群（比值比3.2；可信区间：1.5 - 8.6）中，DQI低与MS风险显著升高相关。身体活动是一个独立的保护因素。
MS在城市明显健康男性中高度流行，说明了饮食和生活方式转变的作用。
