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2010 - 2013年南京市成年居民代谢综合征的患病率及流行特征

[Prevalence and epidemic characteristics of metabolic syndrome among adult residents in Nanjing City in 2010-2013].

作者信息

Sun Ruixuan, Guo Baofu, Xie Guoxiang, Li Xiaocheng, Jin Di, Zhu Baichun, Jiang Yun, Wang Yanli, Chen Yang, Ma Liankai, Sun Guiju

机构信息

Key Laboratory of Environmental Medicine of Ministry of Education, School of Public Health, Southeast University/Department of Nutrition and Food Hygiene, Nanjing 210009, China.

Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210009, China.

出版信息

Wei Sheng Yan Jiu. 2019 Jan;48(1):61-75.

Abstract

OBJECTIVE

To understand the prevalence and epidemic characteristics of metabolic syndrome(MS) among adult residents in Nanjing City.

METHODS

In 2010-2013, a total of 4918 adult residents in Nanjing City were surveyed using a multi-stage stratification and population proportional clustering random sampling method. Questionnaires, physical examinations and laboratory examinations were conducted to collect the basic conditions, health history of the subjects and related indicators including height, weight, waist circumference, blood pressure, fasting blood glucose, total cholesterol, triglycerides, high-density lipoprotein cholesterol, etc. The 2009 International Joint Interim Statement(JIS) was used to filter patients with metabolic syndrome.

RESULTS

Among the 4918 surveyed subjects, 1627 were MS, with a crude prevalence rate of 33. 1% and an age-standardized prevalence rate of 26. 3%, the standardized prevalence rate of MS was 29. 0% in males and 24. 8% in females. Age-standardized prevalence rates between different genders had no significant statistical difference(χ2=1. 352, P=0. 245). There were significant statistical differences between the crude prevalence rate of MS among subjects of different ages(χ2=132. 557, P<0. 001), occupations(χ2=87. 572, P<0. 001)and educational level(χ2=26. 077, P<0. 001). Patients with a family history of hypertension(χ2=26. 582, P<0. 001) and a family history of diabetes(χ2=16. 013, P<0. 001)had a higher prevalence of MS.

CONCLUSION

The prevalence of metabolic syndrome in adult residents in Nanjing City in 2010-2013 was relatively high.

摘要

目的

了解南京市成年居民代谢综合征(MS)的患病率及流行特征。

方法

2010 - 2013年,采用多阶段分层、人口比例整群随机抽样方法对南京市4918名成年居民进行调查。通过问卷调查、体格检查和实验室检查收集受试者的基本情况、健康史以及身高、体重、腰围、血压、空腹血糖、总胆固醇、甘油三酯、高密度脂蛋白胆固醇等相关指标。采用2009年国际联合临时声明(JIS)筛选代谢综合征患者。

结果

在4918名被调查对象中,代谢综合征患者1627例,粗患病率为33.1%,年龄标准化患病率为26.3%,男性代谢综合征标准化患病率为29.0%,女性为24.8%。不同性别间年龄标准化患病率无显著统计学差异(χ² = 1.352,P = 0.245)。不同年龄组(χ² = 132.557,P < 0.001)、职业组(χ² = 87.572,P < 0.001)和文化程度组(χ² = 26.077,P < 0.001)代谢综合征粗患病率有显著统计学差异。有高血压家族史(χ² = 26.582,P < 0.001)和糖尿病家族史(χ² = 16.013,P < 0.001)的患者代谢综合征患病率较高。

结论

2010 - 2013年南京市成年居民代谢综合征患病率较高。

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