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目的了解社区中老年居民慢性病患病状况,筛查代谢综合征人群,为实施干预措施提供依据。方法对杭州市某社区40岁及以上的6 920名居民进行健康体检,并对不同性别、年龄居民的慢性病患病率及相关指标进行比较。结果社区中老年居民收缩压70岁~、80岁~与40岁~组比较,差异均有统计学意义(P<0.05);HDL 50岁~与60岁~组比较,差异均有统计学意义(P<0.05);BMI 80岁~与60岁~组比较,差异有统计学意义(P<0.05);腰围80岁~与50~组比较,差异有统计学意义(P<0.05)。不同年龄组居民肥胖、糖尿病、高血压、血脂异常和代谢综合征患病率差异均有统计学意义(P<0.05)。结论杭州市某社区中老年居民超重和肥胖、糖尿病、高血压、血脂异常发病主要集中在60~80岁人群,需对中老年人群开展健康教育,减少心血管疾病的发病风险。
Objective To understand the prevalence of chronic diseases in elderly residents in the community and screen the population with metabolic syndrome to provide evidence for the implementation of interventions. Methods A total of 6 920 residents aged 40 years and over in a community in Hangzhou were surveyed, and the prevalence of chronic diseases and related indicators among residents of different sexes and ages were compared. Results Compared with 40-year-old group, the systolic blood pressure of middle-aged and elderly residents in community was significantly higher than that of aged 40-year-old group (P <0.05), and the difference was statistically significant (P <0.05). The difference of BMI between 80 years old and 60 years old was statistically significant (P <0.05). The waist circumference 80 years old ~ 50 years old had statistical significance (P <0.05). The prevalence rates of obesity, diabetes, hypertension, dyslipidemia and metabolic syndrome in residents of different age groups were statistically different (P <0.05). Conclusion The prevalence of overweight and obesity, diabetes, hypertension and dyslipidemia among middle-aged and elderly residents in a community in Hangzhou is mainly concentrated in people aged 60-80 years. Health education should be carried out on middle-aged and elderly people to reduce the risk of cardiovascular diseases.