目的 了解太原市成年居民代谢综合征(MS)的患病率及流行特征,探索出相关危险因素.方法 采用分层整群随机抽样的方法 ,对太原市3869名年龄20岁居民进行横断面调查.计算代谢综合征及各组分的患病率,采用多元回归分析代谢综合征的相关危险因素.结果 按照国际糖尿病联盟标准,太原市成年居民代谢综合征的标化患病率为17.8%(男性15.2%,女性20.4%,P0.001),按照美国国家胆固醇教育项目成人治疗组标准,标化患病率为12.2%(男性9.9%,女性14.6%,P0.001),按照中华医学会糖尿病学分会标准,标化患病率为17.5%(男性20.1%,女性14.8%,P0.001).年龄和体质指数增高为男性和女性代谢综合征的危险因素,职业为脑力工作者为男性的危险因素,无业、经常吃腌制食品为女性的危险因素,适量运动(4～5天/周,每天30 min以上)为男性保护因素,适量饮酒(酒精含量30 g/d)为女性的保护因素.结论 代谢综合征已成为影响太原市居民生命和健康的重大公共卫生问题,亟需制定包括控制体重、确保适量的体力活动的综合性防治策略.
Objective The present study was deigned to get an insight into the epidemic characteristics and the risk factors of metabolic syndrome among inhabitants in the city of Taiyuan.Methods The stratified- clustered- random sampling method was used to conduct a cross- sectional survey on 3869 inhabitants aged 20 years or above in the city of from 2005 to 2006. The incidence of the epidemic in the area was worked out, with the risk factors associated with the disease determined using multiple regression analysis. Results Based on the IDF definition, CDS definition and NCEPATPⅢ definition, the standardized prevalence of metabolic syndrome in the area was 17.8%(men15.2%; women 20.4%), 17.5%(men 20.1%; women 14.8%) and 12.2% (men 9.9%; women 14.6%),respectively. According to the IDF definition and NCEP definition, the prevalence of metabolic syndrome was higher in women than in men (P0.001). It was higher in men than in women (P0.001)when the CDS definition was used. Increased age and BMI were risk factors for the disease in bothgenders, with mental laborers more susceptible to metabolic syndrome in men, and unemployment and frequent ingestion of preserved foods be risk factors in women for the disease. Moderate exercises(4- 5day/week and30 minute/day) in men and mild alcohol consumption (30 g/day) in women werefound to be good for the prevention of the disease. Conclusion Metabolic syndrome has become asubstantial public health problem affecting the life and health of inhabitants in the city of Taiyuan.Comprehensive strategies for the prevention and control of the disease, including weight control andadequate physical exercises, are badly needed in the city.