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目的了解河北省承德市兴隆县山区城镇代谢综合征(MS)的患病率及分布特点。方法采用分层随机整群抽样方法,横断面调查兴隆县城政府机关、事业单位及周边村民20～69岁人群共2012例;采取问卷调查、体格检查、检测生化指标等方法获取数据,按国际糖尿病联盟(IDF)全球共识定义判断诊断MS及各组分异常。结果调查对象的MS年龄标化患病率为38.5%,男性为46.8%,女性为29.7%。腹型肥胖、高三酰甘油血症、超重、血压升高、空腹血糖升高、高密度脂蛋白胆固醇(HDL-C)的标化患病率分别为55.8%、39.9%、39.6%、35.4%、19.4%、15.6%。随着年龄增加,MS的患病率逐渐增高,其中高三酰甘油血症及MS在50岁前男性患病率显著高于女性。本组中有不同代谢异常者为79.0%,1项、2项、3项、4项代谢异常者的标化患病率分别为13.8%、21.1%、27.0%、16.1%;结论兴隆县山区城镇MS的患病率较高,应引起重视并干预。
Objective To understand the prevalence and distribution of metabolic syndrome (MS) in mountainous areas of Xinglong County, Chengde City, Hebei Province. Methods A stratified random cluster sampling method was used to survey the population of 20 ~ 69-year-olds in Xinglong county government agencies, institutions and surrounding villagers in 2012. The questionnaires, physical examinations and biochemical indexes were used to obtain the data. According to the international diabetes mellitus Alliance (IDF) global consensus to determine the diagnosis of MS and each component abnormalities. Results The age-standardized prevalence of MS in the surveyed subjects was 38.5%, 46.8% in males and 29.7% in females. Abdominal obesity, hypertriglyceridemia, overweight, high blood pressure, fasting blood glucose and the standardized prevalence of HDL-C were 55.8%, 39.9%, 39.6%, 35.4% , 19.4%, 15.6%. With the increase of age, the prevalence of MS gradually increased, of which the prevalence of hypertriglyceridemia and MS in men before 50 was significantly higher than that in women. The group of patients with different metabolic abnormalities were 79.0%, 1, 2, 3, 4 metabolic abnormalities were standardized prevalence rates of 13.8%, 21.1%, 27.0%, 16.1%; Conclusion Xinglong County The prevalence of MS in urban areas is higher, which should be emphasized and intervened.