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目的了解广州市钢铁企业从业人员代谢综合征(MS)及相关疾病的患病状况。方法整群随机抽取广州市某钢铁集团16个单位4 241名(20~60岁)员工进行问卷调查和体检。采用国际糖尿病联盟(IDF)的MS诊断标准进行分析。结果 MS的粗患病率为9.70%(男9.80%,女9.40%),经年龄和性别标准化后患病率为7.95%(男8.87%,女6.97%);中心性肥胖、高甘油三脂(TG)血症、低高密度脂蛋白(HDL-C)血症、血压升高、高空腹血糖(FPG)糖尿病的标准患病率分别为15.84%,27.04%,20.46%,17.19%,8.29%;MS的患病率随年龄增长而增高;有1种~MS组分异常的人占55.7%;有高腰臀比、饮酒、缺乏运动、高血压家族史、糖尿病家族史、高尿酸血症、吸烟指数>100等因索的人群MS患病率较高。结论广州市钢铁企业从业人员MS及其相关疾病的患病率在20~29岁处于较高水平,且20~49岁人群患病率高于某些地区;MS代谢异常组分的患病和个体聚集在该人群中较普遍。
Objective To understand the prevalence of metabolic syndrome (MS) and related diseases among practitioners in Guangzhou Iron and Steel Enterprises. Methods A total of 4 241 employees (20-60 years old) from 16 units of an iron and steel company in Guangzhou City were randomly selected for cluster analysis and physical examination. Adopted the International Diabetes Federation (IDF) MS diagnostic criteria for analysis. Results The crude prevalence of MS was 9.70% (9.80% for males and 9.40% for females), and the prevalence was 7.95% (8.87% for males and 6.97% for females) after standardized by age and gender. The prevalence of central obesity, The prevalence rates of TG, HDL-C, BP and FPG were 15.84%, 27.04%, 20.46%, 17.19%, 8.29 %; The prevalence of MS increased with age; one with ~ MS component abnormalities accounted for 55.7%; high waist-hip ratio, alcohol consumption, lack of exercise, family history of hypertension, family history of diabetes, hyperuricemia Symptoms, smoking index> 100 other factors such as cable MS prevalence higher. Conclusions The prevalence of MS and its related diseases among employees in steel enterprises in Guangzhou is relatively high at the age of 20 ~ 29, and the prevalence of MS in 20 ~ 49 years old is higher than that in some areas. The prevalence of MS metabolic abnormalities Individuals are more common in this population.