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伊朗青少年的代谢综合征:农村和城市地区初中生和高中生的一项基于人群的研究。

Metabolic syndrome in Iranian youths: a population-based study on junior and high schools students in rural and urban areas.

机构信息

Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Diabetes Res. 2013;2013:738485. doi: 10.1155/2013/738485. Epub 2013 May 30.

DOI:10.1155/2013/738485
PMID:23819128
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3683475/
Abstract

AIM

The present population-based study aimed to assess prevalence of metabolic syndrome and its related components in Iranian youth in the different sex, age, and residential subgroups.

METHOD

Overall, 1039 junior high school and 953 high school students were selected using multistage random sampling. Fasting blood sugar, total cholesterol, triglyceride, high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) levels were determined. Trained individuals measured waist circumference and blood pressure. Subjects with MetS were selected according to two definitions provided by the IDF and de Ferranti.

RESULTS

Among girls in intervention area, hypertriglyceridemia was more prevalent in rural than in urban areas using IDF definition. Significant differences were observed between boys in rural and urban areas regarding some components of metabolic syndrome including hypertriglyceridemia and high waist circumference. Besides, boys who are residents in urban areas had higher blood pressure, as well as higher waist circumference, than boys in rural areas.

CONCLUSION

Our youth population is at significant risk of developing metabolic syndrome, and the pattern of this phenomenon seems to be discrepant in boys as well as in rural and urban areas probably due to the different lifestyle aspects, genetic factors, and racial differences.

摘要

目的

本基于人群的研究旨在评估伊朗青年中代谢综合征及其相关成分在不同性别、年龄和居住亚组中的流行情况。

方法

采用多阶段随机抽样法,共选取了 1039 名初中和 953 名高中生。测定空腹血糖、总胆固醇、甘油三酯、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)水平。经过培训的人员测量了腰围和血压。根据 IDF 和 de Ferranti 提供的两种定义,选择患有代谢综合征的患者。

结果

在干预地区的女孩中,根据 IDF 定义,农村地区的高甘油三酯血症比城市地区更为普遍。农村和城市地区的男孩在代谢综合征的一些成分方面存在显著差异,包括高甘油三酯血症和高腰围。此外,城市地区的男孩的血压和腰围均高于农村地区的男孩。

结论

我们的青年人群存在发生代谢综合征的巨大风险,而且这种现象的模式在男孩以及农村和城市地区似乎存在差异,这可能是由于不同的生活方式、遗传因素和种族差异等原因。

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