Schumacher Catherine, Ferucci Elizabeth D, Lanier Anne P, Slattery Martha L, Schraer Cynthia D, Raymer Terry W, Dillard Denise, Murtaugh Maureen A, Tom-Orme Lillian
Office of Alaska Native Health Research, Community Health Services, Alaska Native Tribal Health Consortium, Anchorage, Alaska 99508, USA.
Metab Syndr Relat Disord. 2008 Dec;6(4):267-73. doi: 10.1089/met.2008.0021.
Metabolic syndrome occurs commonly in the United States. The purpose of this study was to measure the prevalence of metabolic syndrome among American Indian and Alaska Native people.
We measured the prevalence rates of metabolic syndrome, as defined by the National Cholesterol Education Program, among four groups of American Indian and Alaska Native people aged 20 years and older. One group was from the southwestern United States (Navajo Nation), and three groups resided within Alaska. Prevalence rates were age-adjusted to the U.S. adult 2000 population and compared to rates for U.S. whites (National Health and Nutrition Examination Survey [NHANES] 1988-1994).
Among participants from the southwestern United States, metabolic syndrome was found among 43.2% of men and 47.3% of women. Among Alaska Native people, metabolic syndrome was found among 26.5% of men and 31.2% of women. In Alaska, the prevalence rate varied by region, ranging among men from 18.9% (western Alaska) to 35.1% (southeast), and among women from 22.0% (western Alaska) to 38.4 % (southeast). Compared to U.S. whites, American Indian/Alaska Native men and women from all regions except western Alaska were more likely to have metabolic syndrome; men in western Alaska were less likely to have metabolic syndrome than U.S. whites, and the prevalence among women in western Alaska was similar to that of U.S. whites.
The prevalence rate of metabolic syndrome varies widely among different American Indian and Alaska Native populations. Differences paralleled differences in the prevalence rates of diabetes.
代谢综合征在美国很常见。本研究的目的是测量美国印第安人和阿拉斯加原住民中代谢综合征的患病率。
我们测量了四组年龄在20岁及以上的美国印第安人和阿拉斯加原住民中符合国家胆固醇教育计划定义的代谢综合征患病率。一组来自美国西南部（纳瓦霍族），三组居住在阿拉斯加。患病率按年龄调整至2000年美国成年人口，并与美国白人的患病率（1988 - 1994年国家健康和营养检查调查[NHANES]）进行比较。
在美国西南部的参与者中，43.2%的男性和47.3%的女性患有代谢综合征。在阿拉斯加原住民中，26.5%的男性和31.2%的女性患有代谢综合征。在阿拉斯加，患病率因地区而异，男性患病率从18.9%（阿拉斯加西部）到35.1%（东南部）不等，女性患病率从22.0%（阿拉斯加西部）到38.4%（东南部）不等。与美国白人相比，除阿拉斯加西部外，所有地区的美国印第安/阿拉斯加原住民男性和女性患代谢综合征的可能性更高；阿拉斯加西部的男性患代谢综合征的可能性低于美国白人，阿拉斯加西部女性的患病率与美国白人相似。
代谢综合征的患病率在不同的美国印第安人和阿拉斯加原住民人群中差异很大。这些差异与糖尿病患病率的差异相似。
