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[新疆哈萨克族人群代谢综合征患病率的研究]

[Study on the prevalence of metabolic syndrome among the Kazakh population in Xinjiang].

作者信息

Guo Heng, Guo Shu-xia, Zhang Jing-yu, Ma Ru-lin, Rui Dong-sheng, Xu Shang-zhi, Sun Feng, Hu Ao-rong, Yang Zhi-ming

机构信息

Department of Preventive Medicine, School of Medicine, Shihezi University, Shihezi 832002, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2010 Jul;31(7):747-50.

PMID:21162835
Abstract

OBJECTIVE

To analyze the prevalence of metabolic syndrome (MS) in Kazakh population, using the NCEP-ATPIII, CDS, IDF MS standards.

METHODS

Questionnaire-based survey, physical examination and blood testing were conducted according to cluster random samplings in Kazakh residents in Xinjiang. 2745 samples were collected and diagnosed by NCEP-ATPIII, CDS, IDF standards to analyze the prevalence, with the distribution of its main components of MS, among the Kazakhs population.

RESULTS

The prevalence rates of MS diagnosed by NCEP-ATPIII, CDS, IDF standards were 18.5%, 14.2% and 26.6%, while they became 14.2%, 10.9% and 20.1% after standardized by age. The prevalence of MS diagnosed by NCEP-ATPIII and IDF standard in males were higher than in females, while CDS was in the opposite situation. The prevalence of MS by these three standards increased with age. Among all the main components of MS diagnosed after these three standardization process, the prevalence of obesity, blood pressure rising and the abnormity of HDL-C were rather high. The prevalence of MS main components ≥ 1, ≥ 2, ≥ 3, ≥ 4, 5 ranked the highest compared to the lowest as to the IDF, ATPIII' and CDS diagnostic. standards

CONCLUSION

The prevalence rates and gender distribution of MS diagnosed by different standards among Kazakhs were different. The prevalence of IDF standard was the highest, with the IDF standard better than the others in early identifying the risk factors of cardiovascular disease.

摘要

目的

采用美国国家胆固醇教育计划成人治疗组第三次报告(NCEP-ATPIII)、中国糖尿病学会(CDS)、国际糖尿病联盟(IDF)代谢综合征(MS)标准,分析哈萨克族人群中MS的患病率。

方法

对新疆哈萨克族居民进行整群随机抽样,开展问卷调查、体格检查及血液检测。共收集2745份样本,依据NCEP-ATPIII、CDS、IDF标准进行诊断,以分析哈萨克族人群中MS的患病率及其主要组分的分布情况。

结果

依据NCEP-ATPIII、CDS、IDF标准诊断的MS患病率分别为18.5%、14.2%和26.6%,经年龄标准化后分别为14.2%、10.9%和20.1%。依据NCEP-ATPIII和IDF标准诊断的男性MS患病率高于女性,而CDS标准则相反。这三种标准诊断的MS患病率均随年龄增长而升高。在这三种标准化诊断流程后诊断出的MS所有主要组分中,肥胖、血压升高及高密度脂蛋白胆固醇(HDL-C)异常的患病率较高。依据IDF、ATPIII和CDS诊断标准,MS主要组分≥1、≥2、≥3、≥4、5的患病率从高到低排序。

结论

不同标准诊断的哈萨克族MS患病率及性别分布存在差异。IDF标准的患病率最高,在早期识别心血管疾病危险因素方面,IDF标准优于其他标准。

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