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目的比较重庆市城乡居民代谢综合征(MS)患病现状及特征的差异,为开展有针对性的MS防控工作提供建议。方法于2013年11月至2014年5月采用分层多阶段随机抽样的原则在重庆市9个区县抽样调查18岁及以上的常住居民,现场调查包括问卷调查、身体测量和实验室检查。MS采用中华医学会糖尿病学分会2004年MS诊断标准判断。数据采用SPSS 19.0软件进行统计分析,率的比较采用χ~2检验。结果城市居民2 500人,平均年龄(55.6±14.2)岁;农村居民2 894人,平均年龄(59.6±11.9)岁。城市居民MS患病率(21.24%)高于农村居民(15.27%),差异有统计学意义(χ~2=32.30,P<0.01)。城市居民超重或肥胖与血脂紊乱检出率(分别为38.52%和26.88%)均高于农村居民(分别为29.89%和16.59%),高血压患病率(41.28%)低于农村居民(46.20%),差异均有统计学意义(χ~2值分别为44.59、84.62和13.18,P<0.01)。城市居民MS 3项组分异常或4项异常的比例(分别为15.08%和6.16%)高于农村(分别为11.44%和3.84%),差异有统计学意义(χ~2=35.97,P<0.01)。城市居民MS患病率与年龄、职业、有害饮酒、食用油摄入过多、职业性身体活动水平等因素有关,而农村居民MS患病率与年龄、性别、民族、是否吸烟、职业性身体活动、休闲性身体活动以及身体活动水平等因素有关。结论重庆市城市居民MS患病率高于农村,应根据城乡MS患病率的不同危险因素开展干预工作。
Objective To compare the prevalence and characteristics of metabolic syndrome (MS) between urban and rural residents in Chongqing, and to provide suggestions for carrying out targeted MS prevention and control work. METHODS: From November 2013 to May 2014, stratified multistage random sampling was used to sample residents aged 18 years and older in 9 districts and counties in Chongqing. Field surveys included questionnaires, physical measurements and laboratory tests. MS using Chinese Medical Association Diabetes credits 2004 MS diagnostic criteria to judge. The data were analyzed by SPSS 19.0 software, and the rates were compared using χ ~ 2 test. Results There were 2 500 urban residents with the average age of 55.6 ± 14.2 years old and 2,894 rural residents with the average age of 59.6 ± 11.9 years. The prevalence of MS was higher in urban residents (21.24%) than in rural residents (15.27%) (χ ~ 2 = 32.30, P <0.01). The prevalence of overweight or obesity and dyslipidemia in urban residents was higher than that in rural residents (38.52% and 26.88% respectively) (29.89% and 16.59% respectively), and the prevalence of hypertension was lower than that of rural residents (41.28%) %), The differences were statistically significant (χ ~ 2 values were 44.59,84.62 and 13.18, P <0.01). The proportions of MS 3 component anomalies or 4 anomalies in urban residents were 15.08% and 6.16%, respectively, higher than those in rural areas (11.44% and 3.84% respectively) (χ ~ 2 = 35.97, P < 0.01). MS prevalence of urban residents and age, occupation, harmful drinking, excessive consumption of edible oil, occupational physical activity levels and other factors, and MS prevalence of rural residents and age, gender, ethnicity, smoking, occupational body Activities, recreational physical activity and physical activity level and other factors. Conclusion The prevalence of MS in urban residents in Chongqing is higher than that in rural areas. Intervention should be based on different risk factors of MS in urban and rural areas.