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目的探讨社区中老年男性下尿路症状与代谢综合征的相关性。方法随机选择50岁以上北京多个社区男性人群作为研究对象。下尿路症状的评估包括国际前列腺症状评分(IPSS)、生活质量(QOL)评分、腹部超声测量前列腺体积、最大尿流率测定。代谢综合征的调查包括高血压、糖尿病诊治病史的确认,以及体重指数(BMI)的算定。结果本研究共调查社区中老年男性人群1656人,符合本研究要求的共计1639人。平均年龄(64.4±9.6)岁。具有高血压、糖尿病或肥胖(BMI>25kg/m2)一项的人群分别为519人(31.67%)、199人(12.14%)和462人(28.19%)。同时具有上述三项诊断的代谢综合征组人群为40人(2.44%),不具备任何一项诊断的非代谢综合征组人群为762人(46.49%)。研究结果显示代谢综合征组人群的IPSS评分以及QOL评分显著高于非代谢综合征组人群(P<0.05)。代谢综合征单一危险因素高血压、糖尿病或肥胖主要影响70～79岁高龄男性人群的下尿路症状。结论本研究提示代谢综合征明显影响社区中老年男性人群的下尿路症状和生活质量。
Objective To investigate the relationship between lower urinary tract symptoms and metabolic syndrome in middle-aged and elderly men in community. Methods Randomly select male population over 50 years old in Beijing community as the research object. Assessment of lower urinary tract symptoms includes International Prostate Symptom Score (IPSS), Quality of Life (QOL) score, Abdominal Ultrasound Prostate Volume, and Maximal Urine Flow Rate. Metabolic syndrome investigations include the diagnosis of hypertension, the history of diabetes mellitus, and the calculation of body mass index (BMI). Results A total of 1656 middle-aged and elderly male population were surveyed in this study. A total of 1639 people met the requirements of this study. The average age (64.4 ± 9.6) years old. The population with hypertension, diabetes or obesity (BMI> 25 kg / m2) was 519 (31.67%), 199 (12.14%) and 462 (28.19%) respectively. In the meantime, there were 40 people (2.44%) in the metabolic syndrome group with the above three diagnoses and 762 (46.49%) in the non-metabolic syndrome group without any one diagnosis. The results showed that the IPSS scores and QOL scores of patients with metabolic syndrome were significantly higher than those of non-metabolic syndrome patients (P <0.05). A Single Risk Factor for Metabolic Syndrome Hypertension, diabetes, or obesity primarily affects lower urinary tract symptoms in older men ages 70-79. Conclusions This study suggests that metabolic syndrome significantly affects the lower urinary tract symptoms and quality of life in the elderly population in the community.