论文部分内容阅读
目的探讨采用国际糖尿病联盟(IDF)定义和中华医学会糖尿病学分会(CDS)标准诊断老年人代谢综合征(MS)的患病率和临床特点。方法对在该院体检的1583人长沙市居民,年龄≥60岁,行体格检查、口服葡萄糖耐量试验(OGTT),测定血糖、血脂。结果①IDF定义的MS患病粗率(47.9%)明显高于CDS标准(39.4%),P<0.001;经年龄标化后,两者患病率(分别为48.1%、39.6%)差异有显著性(P<0.05)。IDF定义的MS男性患病粗率(45.5%)、年龄标化患病率(43.9%)明显低于女性(分别为50.9%、49.0%),差异有显著性(P<0.05);CDS标准诊断的MS患病率无性别差异。②CDS诊断的MS在BMI、WC较IDF定义的MS明显增加,差异有显著性(P<0.05)。③两种诊断标准符合一致率81.2%。结论在老年人群中,IDF定义的MS患病率高于CDS标准,以女性更为明显;CDS标准诊断的MS中心性肥胖更明显;两种诊断标准有相对较好的符合率。
Objective To investigate the prevalence and clinical features of metabolic syndrome (MS) in the elderly using the definition of International Diabetes Federation (IDF) and Chinese Medical Association Diabetes Branch (CDS) criteria. Methods A total of 1583 residents of Changsha City, aged 60 years or older undergoing physical examination in the hospital, were examined by physical examination and oral glucose tolerance test (OGTT). Blood glucose and blood lipids were measured. Results ① The prevalence of MS (47.9%) as defined by IDF was significantly higher than that of CDS (39.4%), P <0.001. The prevalence rates of 48.1% and 39.6% were significantly different after age-standardized (P <0.05). The prevalence of age-standardized disease in MS patients (45.5%) and age-standardized prevalence rate (43.9%) in IDF was significantly lower than that in women (50.9% and 49.0% respectively) (P <0.05) There was no gender difference in MS prevalence. (2) The MS of MS diagnosis in CDS was significantly higher than that of IDF in BMI and WC, the difference was significant (P <0.05). ③ The two diagnostic criteria consistent with the rate of 81.2%. Conclusion In the elderly population, the prevalence of MS defined by IDF is higher than that of CDS, especially in females; CDS standard diagnosis of MS is more obvious in central obesity; and the two diagnostic criteria have a relatively good coincidence rate.