Department of Geriatrics, 401st Hospital of the People's Liberation Army, Qingdao, Shandong Province, 266071, China.
Chin J Integr Med. 2012 Jul;18(7):485-9. doi: 10.1007/s11655-011-0948-z. Epub 2012 Jan 12.
To investigate the incidence of metabolic syndrome (MS) and the distribution of constitutional pattern in elderly retired personnel of the People's Liberation Army.
Adopting the method of cross-sectional field investigation, from June to December in 2008, the investigation questionnaires were completed by the aged over 60 and collected from 69 military retired residences in the 4 cities of Shanghai, Nanjing, Hangzhou and Qingdao. Other data, including demographic characteristics, physiological characteristics, life style and former medical history, were collected and analyzed. The statistical analysis for the database was drawn up by the software Epidata 3.0.
A total of 4,502 people were included in this study, and 35.3% of them were diagnosed with MS. There was no obvious difference in mobility among ages (60 to 69, 70 to 79 and over 80, P>0.05). Referring to the MS patients in the 70s age group, both the phlegm-dampness and dampness-heat constitutional types were evidently higher than those in the 60s age group (P=0.019, P=0.008); while MS patients in 80s and older showed a significantly lower incidence of dampness-heat constitution than those in the 60s (P=0.00); and ql-deficiency constitution was obviously higher in the 80s age group than those in the other two groups (P=0.00). The top 3 constitutions in MS people were, respectively, phlegm-dampness, dampness-heat and qi-deficiency constitution; while in non-MS people, the top 3 constitutions were gentleness, qi-deficiency and phlegm-dampness. When the patient's body mass index (BMI) was more than 25 kg/m(2), the rate of phlegm-dampness and dampness-heat constitution significantly increased, while the rate of qi-deficiency constitution declined; the discrepancy was significant (P=0.00).
The prevalence rate of MS in military senior people was 35.3%, which did not vary among the three age groups. Phlegm-dampness, dampness-heat and qi-deficiency constitution were the three dominant constitutional types seen in the MS patients. The distribution of constitution formation was different in MS people and non-MS people. For different dimensions of BMI, the proportion of each kind of constitutions was varied.
探讨军队离退休老年人代谢综合征（MS）的发生率和体质类型分布。
采用横断面现场调查方法，于 2008 年 6 月至 12 月，对上海、南京、杭州、青岛 4 个城市 69 个军队干休所的 60 岁以上老年人进行问卷调查并采集资料，内容包括人口学特征、生理特征、生活方式和既往病史等。数据库的统计分析采用 Epidata 3.0 软件完成。
共纳入 4502 人，MS 患者占 35.3%。不同年龄段（6069 岁、7079 岁、≥80 岁）老年人活动度比较，差异无统计学意义（P＞0.05）。与 70 岁年龄组 MS 患者相比，60 岁年龄组痰湿质和湿热质明显较高（P=0.019，P=0.008）；80 岁及以上年龄组湿热质患者明显低于 60 岁年龄组（P=0.00）；80 岁年龄组虚损质明显高于其他两组（P=0.00）。MS 患者体质类型前 3 位分别为痰湿质、湿热质和虚损质；非 MS 患者体质类型前 3 位分别为平和质、虚损质和痰湿质。当患者的体质指数（BMI）＞25 kg/m²时，痰湿质和湿热质比例明显增高，虚损质比例降低，差异有统计学意义（P=0.00）。
军队离退休老年人 MS 的患病率为 35.3%，在 3 个年龄组间差异无统计学意义。MS 患者以痰湿质、湿热质和虚损质为主。MS 患者与非 MS 患者体质类型构成比不同。不同 BMI 维度，各种体质类型的构成比不同。
