Wang Z H, Zou Z Y, Wang S, Dong Y H, Yang Z G, Yang Z P, Wang X J, Ma J
School of Public Health & Institute of Child and Adolescent Health, Peking University, Beijing 100191, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2017 Apr 6;51(4):295-299. doi: 10.3760/cma.j.issn.0253-9624.2017.04.004.
To investigate the prevalence of metabolic syndrome (MS) among children and adolescents aged 10-16 years old in 7 provinces in China. Using the method of stratified cluster random sampling, 93 primary and secondary schools were selected from Guangdong, Hunan, Liaoning, Shanghai, Chongqing, Tianjin, and Ningxia provinces in China. A total of 9 296 students aged 10-16 years old with complete physical and biochemical parameters were selected as the subjects of the present study from above 93 primary and secondary schools. MS was determined using the definition of 'guideline of 2010 Chinese children and adolescents MS definition and treatment'. The standardized age-sex composition of the 2010 census was used to standardize the MS detection rate of every province. Chi-square test was used to compare the difference of MS prevalence among participants with different characteristics. The prevalence of MS was 4.1% (384/9 296) among children and adolescents aged 10-16 years old in 7 provinces in China. The prevalence of MS among males was 5.0% (237/4 754), which was significantly higher than females (3.2%) (147/4 542) (0.05). Stratified by nutrition conditions, the prevalence of MS was 0, 0.6% (39/6 733), 8.9% (104/1 170), 30.0% (241/803) for thin, normal weight, overweight, and obese population, respectively. The MS prevalence increased with the increase of body mass index (BMI) (0.001). Stratified by provinces, the prevalence of MS was the highest in Tianjin (9.2%) and the lowest in Hunan province (0.8%). The prevalence of MS was high among children and adolescents aged 10-16 years old in 7 provinces in China. MS prevalence among males was higher than females; MS prevalence among overweight/obese population was higher than normal weight population. The detection rate of metabolic syndrome was different in different provinces.
为调查中国7个省份10 - 16岁儿童及青少年代谢综合征（MS）的患病率。采用分层整群随机抽样方法，从中国广东、湖南、辽宁、上海、重庆、天津和宁夏7个省份选取93所中小学。从上述93所中小学中选取9296名年龄在10 - 16岁且身体和生化参数完整的学生作为本研究对象。采用《2010年中国儿童青少年代谢综合征定义及治疗指南》的定义来判定代谢综合征。利用2010年人口普查的标准化年龄 - 性别构成对每个省份的代谢综合征检出率进行标准化。采用卡方检验比较不同特征参与者的代谢综合征患病率差异。中国7个省份10 - 16岁儿童及青少年的代谢综合征患病率为4.1%（384/9296）。男性代谢综合征患病率为5.0%（237/4754），显著高于女性（3.2%）（147/4542）（P<0.05）。按营养状况分层，消瘦、正常体重、超重和肥胖人群的代谢综合征患病率分别为0、0.6%（39/6733）、8.9%（1〇4/117〇）、3〇.〇%（241/8〇3）。代谢综合征患病率随体重指数（BMI）升高而增加（P<0.001）。按省份分层，代谢综合征患病率最高的是天津（9.2%），最低的是湖南省（0.8%）。中国7个省份10 - 16岁儿童及青少年的代谢综合征患病率较高。男性代谢综合征患病率高于女性；超重/肥胖人群的代谢综合征患病率高于正常体重人群。不同省份的代谢综合征检出率存在差异。
