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目的对天津市某郊县健康体检人群的代谢综合征(metabolic syndrome,MS)患病情况及其危险因素进行研究,为制定农村居民MS防治措施提供科学依据。方法以天津某郊县医院健康体检人群为基础,采用病例对照研究方法,共收集病例278例,对照1843例,分析研究对象MS的发生情况,并采用非条件logistic回归进行相关危险因素的分析。结果天津市某郊县健康体检人群MS患病率为13.11%(按全国人口年龄构成标化患病率为13.01%,按天津市人口年龄构成标化患病率为13.04%),男性和女性患病率分别为13.96%和12.40%(按全国人口年龄构成标化患病率为13.70%和12.51%);文化程度(OR=0.687,95%CI:0.561～0.840)、体力劳动程度(OR=0.552,95%CI:0.473～0.644)、体育锻炼(OR=0.517,95%CI:0.404～0.662)是MS的保护因素,高腰臀比(OR=2.246,95%CI:1.699～2.969)、饮食偏甜或偏咸(OR=16.936,95%CI:7.477～38.360)、食用畜肉多(OR=1.692,95%CI:1.319～2.169)、高血压家族史(OR=1.817,95%CI:1.330～2.481)、糖尿病家族史(OR=1.756,95%CI:1.235～2.495)是MS的危险因素。结论 MS是一种与环境和生活方式相关的异常健康状态,应尽早针对相关危险因素采取预防控制措施。
Objective To study the prevalence of metabolic syndrome (MS) and its risk factors in a healthy physical examination population in a suburb of Tianjin, and to provide a scientific basis for formulating MS prevention and treatment measures for rural residents. METHODS: A case-control study was conducted based on the health examination population in a suburban hospital in Tianjin. A total of 278 cases were collected and 1843 cases were controlled. The incidence of MS in the study subjects was analyzed. Non-conditional logistic regression was used to analyze the relevant risk factors. Results The prevalence of MS in a healthy physical examination population in a suburban area of Tianjin was 13.11% (the standardized prevalence rate was 13.01% according to the age of the population in the country), and the standardized prevalence was 13.04% according to the population age of Tianjin. Male and female (OR = 0.687, 95% CI: 0.561 ~ 0.840), manual labor (OR = 0.687, 95% CI: 0.561 ~ 0.840) = 0.552, 95% CI: 0.473 ~ 0.644). Physical exercise (OR = 0.517, 95% CI: 0.404-0.662) (OR = 16.936, 95% CI: 7.477-38.360), high meat consumption (OR = 1.692, 95% CI: 1.319-2.169), family history of hypertension (OR = 1.817, 95% CI : 1.330 ~ 2.481). The family history of diabetes (OR = 1.756, 95% CI: 1.235-2.495) was a risk factor for MS. Conclusion MS is an abnormal state of health related to the environment and life style. As soon as possible, prevention and control measures should be taken for the relevant risk factors.