Zhao Yi, Liu Xiu-ying, Jin Jing, Yang Jian-jun, Zhang Yu-hong
Public Health School, Ningxia Medical University, Yinchuan 750004, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2010 Mar;31(3):245-50.
To describe the prevalence of metabolic syndrome (MS) among rural adult residents in Ningxia, under IDF2005 ATP III 2005 AHA and CDs2004 definition.
Stratified cluster sampling methods was used and the participants were interviewed by trained health workers under a structured questionnaire. The number of research subjects was 1612. Fasting plasma glucose (FPG), blood lipids, body mass index (BMI) and blood pressure (BP) of all samples (1612 subjects) were measured. and related data was analysed by IDF2005, ATP III 2005 AHA, as well as CDs2004 definition of MS.
The age-standardized prevalence of MS was 15.00% by ATP III 2005 AHA definition and 11.80% by IDF 2005 definition and 6.71% by CDs 2004 definition, respectively. Based on IDF 2005 and ATP III 2005 AHA definition, women had higher prevalence than men (16.3% vs. 5.4%, 18.9% vs. 8.9%, P < 0.01), but there was no significant difference (P > 0.05) between them according to the CDs definition. MS prevalence among Hui (Muslim) ethnic group was higher than Han ethnic group (P < 0.05). The prevalence of MS increased with age in all samples and the prevalence of MS started at age of 35 in Hui ethnic group, higher than in Han ethnic group. There was no significant difference in the prevalence rates of MS between male Hui ethnic group and male Han ethnic group (P > 0.05). The prevalence of MS in female Hui ethnic group was higher than Han ethnic group females (P < 0.05).
The prevalence of MS was high in the rural adult residents, in Ningxia. Clusters of MS components were commonly seen, and the main disorder appeared in lipid abnormalities and abnormal glucose metabolism. It is necessary to discuss that the cut off point of central obesity for the waist circumference diagnostic criteria of MS in different ethnic groups in China. Big differences on the components of MS were seen in different ethnic groups. It is important to choose suitable MS definition for prevention of MS and to reduce the incidence of cardiovascular disease.
按照国际糖尿病联盟（IDF）2005年标准、美国国家胆固醇教育计划成人治疗组第三次报告（ATP III）2005年标准、美国心脏协会（AHA）2005年标准以及中华医学会糖尿病学分会（CDS）2004年标准，描述宁夏农村成年居民中代谢综合征（MS）的患病率。
采用分层整群抽样方法，由经过培训的卫生工作者根据结构化问卷对参与者进行访谈。研究对象共1612人。测量了所有样本（1612名受试者）的空腹血糖（FPG）、血脂、体重指数（BMI）和血压（BP），并按照IDF2005年标准、ATP III 2005年AHA标准以及CDS2004年MS标准对相关数据进行分析。
按照ATP III 2005年AHA标准，MS的年龄标准化患病率为15.00%；按照IDF 2005年标准为11.80%；按照CDS 2004年标准为6.71%。基于IDF 2005年标准和ATP III 2005年AHA标准，女性患病率高于男性（分别为16.3%对5.4%，18.9%对8.9%，P<0.01），但按照CDS标准两者无显著差异（P>0.05）。回族人群中MS患病率高于汉族人群（P<0.05）。所有样本中MS患病率均随年龄增加而上升，回族人群中MS患病率在35岁开始上升，高于汉族人群。回族男性与汉族男性的MS患病率无显著差异（P>0.05）。回族女性MS患病率高于汉族女性（P<0.05）。
宁夏农村成年居民中MS患病率较高。MS各组分聚集常见，主要异常表现为脂质异常和糖代谢异常。有必要探讨我国不同民族MS腰围诊断标准中腹型肥胖的切点。不同民族MS各组分存在较大差异。选择合适的MS定义对于预防MS和降低心血管疾病发病率具有重要意义。
