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目的了解重庆市居民代谢综合征(MS)患病率及影响因素,为开展MS防治工作提供依据。方法数据来源于2013年11月至2014年5月重庆市9个区县开展的全国慢性病及危险因素监测,数据采用SPSS 19.0进行统计分析。MS采用中华医学会糖尿病学分会2004年MS诊断标准判断,MS影响因素采用χ2检验与多因素logistic回归分析进行统计学分析。结果共计5 394人,平均年龄(57.8±13.2)岁。MS粗患病率为18.04%,标化患病率为12.65%。多因素回归分析结果显示:年龄(OR=1.12,95%CI:1.01~1.25)、城市或农村居民(OR=1.79,95%CI:1.32~2.43)、过去12个月有有害饮酒史(OR=1.65,95%CI:1.21~2.23)、休闲性身体活动(OR=1.43,95%CI:1.01~2.03)、一周内总的身体活动水平(OR=1.19,95%CI:0.98~1.46)、食用油摄入过多(OR=1.54,95%CI:0.96~2.48)是MS的独立影响因素。结论重庆市MS患病率较高,应针对高危因素与重点人群开展干预。
Objective To understand the prevalence and influencing factors of metabolic syndrome (MS) in Chongqing residents and provide the basis for prevention and treatment of MS. Methods Data were collected from national chronic diseases and risk factors monitored in 9 districts and counties in Chongqing from November 2013 to May 2014. The data were analyzed by SPSS 19.0. MS was judged by MS diagnostic criteria of 2004 Diabetes Branch of Chinese Medical Association. The influencing factors of MS were analyzed by χ2 test and multivariate logistic regression analysis. A total of 5 394 people, the average age (57.8 ± 13.2) years old. The crude prevalence of MS was 18.04% and the standardized prevalence was 12.65%. Multivariate regression analysis showed that age (OR = 1.12, 95% CI: 1.01-1.25), urban or rural residents (OR = 1.79, 95% CI: 1.32-2.43), history of harmful alcohol consumption in the past 12 months = 1.65, 95% CI: 1.21-2.23), recreational physical activities (OR = 1.43, 95% CI: 1.01-2.03), total physical activity in one week (OR = 1.19, 95% CI: , Too much edible oil intake (OR = 1.54, 95% CI: 0.96 ~ 2.48) is an independent factor of MS. Conclusion There is a high prevalence of MS in Chongqing. Intervention should be directed at high risk factors and key population.