Hu Gang, Lindström Jaana, Jousilahti Pekka, Peltonen Markku, Sjöberg Lena, Kaaja Risto, Sundvall Jouko, Tuomilehto Jaakko
Department of Health Promotion and Chronic Diseases Prevention, National Public Health Institute, Mannerheimintie 166, FIN-00300 Helsinki, Finland.
J Clin Endocrinol Metab. 2008 Mar;93(3):832-6. doi: 10.1210/jc.2007-1883. Epub 2007 Dec 11.
Our objective was to assess a 10-yr change in the prevalence of the metabolic syndrome defined by the National Cholesterol Education Program (NCEP) and the International Diabetes Federation (IDF) among Finnish men and women.
Two cross-sectional population surveys were performed in Finland in 1992 and 2002. A total of 3495 participants aged 45-64 yr were included in the analysis.
In both years the metabolic syndrome was more common among men than women. In men the prevalence of the metabolic syndrome tended to increase slightly between 1992 and 2002, from 48.8-52.6% (P=0.139) based on the NCEP definition, and from 51.4-55.6% based on the IDF definition (P=0.102). In women the prevalence of the metabolic syndrome increased significantly from 32.2-39.1% based on the NCEP definition (P=0.003), and from 38.0-45.3% based on the IDF definition (P=0.002). In both sexes the prevalence of high blood pressure decreased, but the abnormalities in glucose metabolism increased between 1992 and 2002. The prevalence of central obesity increased in women between 1992 and 2002.
In Finland the prevalence of the metabolic syndrome, based both on the NCEP and IDF definitions, is higher in men than women. However, the increase in the prevalence of the metabolic syndrome, from 1992-2002, was significant only among women.
我们的目的是评估芬兰男性和女性中，根据美国国家胆固醇教育计划（NCEP）和国际糖尿病联盟（IDF）定义的代谢综合征患病率在10年中的变化。
1992年和2002年在芬兰进行了两项横断面人群调查。共有3495名年龄在45 - 64岁的参与者纳入分析。
在这两年中，代谢综合征在男性中比女性更常见。在男性中，根据NCEP定义，代谢综合征的患病率在1992年至2002年间略有上升趋势，从48.8%升至52.6%（P = 0.139）；根据IDF定义，从51.4%升至55.6%（P = 0.102）。在女性中，根据NCEP定义，代谢综合征的患病率从32.2%显著升至39.1%（P = 0.003）；根据IDF定义，从38.0%升至45.3%（P = 0.002）。在1992年至2002年间，男女高血压患病率均下降，但糖代谢异常情况增加。1992年至2002年间，女性中心性肥胖患病率增加。
在芬兰，根据NCEP和IDF定义，代谢综合征的患病率男性高于女性。然而，1992年至2002年间，代谢综合征患病率的增加仅在女性中显著。
