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目的:探讨上海市松江区事业单位代谢综合征(MS)的流行特点。方法:采用整群随机抽样方法对上海市松江区事业单位2 662名20岁以上成人进行问卷调查,并测其身高、体重、血压、空腹血糖、血脂、尿酸。MS诊断采用2004年中华医学会糖尿病学分会制定的标准,了解MS的患病率及发病危险因素。结果:MS标化患病率为13.63%,男性患病率明显大于女性(20.59%比9.11%,P<0.01)。且MS中各组分的患病率男性都显著大于女性(P<0.01)。MS的患病率随着年龄和体质量指数(BMI)的增长而增加。多元回归分析结果表明,BMI、血糖、三酰甘油、收缩压、低密度脂蛋白、舒张压、年龄、血尿酸和血总胆固醇含量均为MS的危险因素。结论:上海市松江区事业单位MS患病率达13.63%,肥胖是MS主要危险因素。
Objective: To investigate the prevalence of metabolic syndrome (MS) in institutions in Songjiang District of Shanghai. Methods: A total of 2 662 adults over the age of 20 in Shanghai Songjiang District were surveyed by cluster sampling method. Height, weight, blood pressure, fasting blood glucose, blood lipid and uric acid were measured. MS diagnosis using 2004 Chinese Medical Association Diabetes credits to develop standards to understand the prevalence of MS and risk factors. Results: The prevalence of MS was 13.63%, and the prevalence of men was significantly higher than that of women (20.59% vs. 9.11%, P <0.01). And the prevalence of each component of MS was significantly higher in males than in females (P <0.01). The prevalence of MS increased with age and body mass index (BMI). Multivariate regression analysis showed that BMI, blood glucose, triglyceride, systolic blood pressure, low density lipoprotein, diastolic blood pressure, age, serum uric acid and total cholesterol were the risk factors of MS. Conclusion: The prevalence of MS in institutions in Songjiang District of Shanghai is 13.63%. Obesity is the major risk factor for MS.