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目的分析哈萨克族受检人群代谢综合征(MS)检出率及性别差异。方法按照随机抽样的方法抽取新疆阿勒泰市人民医院和部分社区哈萨克族人群作为研究对象,采集血样检测生理和生化指标并进行统计分析。结果哈萨克族研究人群总的MS检出率为27.7%,男、女检出率分别为36.1%和16.7%,男性罹患MS的危险是女性的2.162倍,且随着年龄的增加MS的检出率增加,女性升高趋势尤为明显。男性MS各因子肥胖、高血压、高三酰甘油(TG)血症、高总胆固醇(TC)血症、低密度脂蛋白胆固醇(LDL-C)血症、高血糖检出率分别为46.9%、58.3%、25.1%、34.6%、22.6%、15.3%,女性以上MS各因子检出率分别为36.9%、41.4%、7.0%、16.7%、12.6%和6.5%,男性均高于女性,且差异具有统计学意义(P<0.05),而且该民族人群肥胖、高血压的发病率较高,分别占到调查人群的41.6%和51.0%。结论哈萨克族受检人群MS检出率表现出性别差异的特点,尤其肥胖和高血压检出率高于全国其他人群,因此改变这个民族的生活方式和膳食习惯并及早控制肥胖,对减少MS及心脑血管疾病发生和发展具有重要的意义。
Objective To analyze the detection rate and gender difference of metabolic syndrome (MS) in Kazak people. Methods According to the method of random sampling, the population of Altai People’s Hospital in Xinjiang and part of the community in Kazakh community were selected as the research object. The blood samples were collected for the detection of physiological and biochemical indexes and statistical analysis. Results The total detection rate of MS was 27.7% in Kazaks and 36.1% and 16.7% in males and females, respectively. The risk of MS in men was 2.162 times of that in females, and MS was detected with age Increasing the rate of female upward trend is particularly evident. Male MS factors of obesity, hypertension, hypertriglyceridemia, hypercholesterolemia, low density lipoprotein cholesterol (LDL-C) hyperlipidemia, high blood sugar were detected in 46.9% 58.3%, 25.1%, 34.6%, 22.6% and 15.3% respectively. The prevalence of MS among females and males was 36.9%, 41.4%, 7.0%, 16.7%, 12.6% and 6.5% The difference was statistically significant (P <0.05), and the incidence of obesity and hypertension in this ethnic group was higher, accounting for 41.6% and 51.0% of the surveyed population respectively. Conclusion The detection rate of MS in Kazakh subjects shows the characteristics of gender difference. In particular, the detection rate of obesity and hypertension is higher than other groups in the country. Therefore, changing the ethnic lifestyle and dietary habits and controlling obesity as early as possible, Cardiovascular and cerebrovascular disease occurrence and development of great significance.