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[目的]了解青岛市中老年人代谢综合征(MS)患病情况及其危险因素,为制订防治对策提供科学依据。[方法]利用2009～2010年青岛市糖尿病预防项目办公室在青岛市进行的大规模人群流行病学调查资料,分析城乡35岁以上人群代谢综合征及其各组分的分布特点,并采用非条件Logistic回归分析其影响因素。[结果]调查5 002人,MS患病率为26.97%,标化率为25.31%。其中,高血压患病率为44.62%,高血糖患病率为44.86%,超重或肥胖罹患率为47.36%,血脂紊乱罹患率为28.73%。MS患病率,男性为25.37%,女性为28.00%(P<0.05);35～44岁为15.94%,45～54岁为24.50%,55～64岁为33.72%,65～74岁为40.19%(P<0.01);城区居民为32.35%,农村居民为24.91%(P<0.01)。非条件Logistic回归分析结果,痛风家族史、糖尿病家族史、年龄、不合理饮食、最高体重时年龄为影响罹患MS的因素,OR值分别为1.468、2.469、1.277、1.201、1.042。[结论]青岛市中老年人MS患病率较高,且与多种因素有关。
[Objective] To understand the prevalence and risk factors of metabolic syndrome (MS) in middle-aged and elderly people in Qingdao and provide a scientific basis for formulating prevention and control measures. [Methods] According to the epidemiological survey data of large-scale population in Qingdao City from 2009 to 2010, the diabetes prevention project office in Qingdao analyzed the distribution characteristics of metabolic syndrome and its components in urban and rural areas over 35 years old and adopted non-condition Logistic regression analysis of its influencing factors. [Results] The survey of 5 002 people, the prevalence of MS was 26.97%, the standardization rate was 25.31%. Among them, the prevalence of hypertension was 44.62%, the prevalence of hyperglycemia was 44.86%, the prevalence of overweight or obesity was 47.36%, and the incidence of dyslipidemia was 28.73%. The prevalence of MS was 25.37% in males and 28.00% in females (P <0.05), 15.94% in 35-44 years, 24.50% in 45-54 years, 33.72% in 55-64 years and 40.19 in 65-74 years % (P <0.01). The urban resident was 32.35% and the rural resident was 24.91% (P <0.01). The results of non-conditional Logistic regression analysis, family history of gout, family history of diabetes, age, unreasonable diet and age at the highest weight were the factors influencing MS. The OR values were 1.468,2.469,1.277,1.201,1.042 respectively. [Conclusion] The prevalence of MS in middle-aged and elderly people in Qingdao is high, and it is related to many factors.