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目的 旨在了解青岛市中心社区成人代谢综合征 (MS)及其相关疾病的患病情况。 方法 采用分层随机整群抽样方法 ,横断面调查青岛市湛山社区 2 0～ 74岁居民 2 6 34人 ,全部进行75 g无水葡萄糖耐量实验 (OGTT) ,空腹血脂、血尿酸等测定。 结果 调查对象MS的标化患病率为 11 6 % ,而中心性肥胖、肥胖、糖尿病 (DM )、糖调节受损 (IGR)、高血压、高甘油三酯 (TG)和低高密度脂蛋白胆固醇 (HDL C)的标化患病率分别为 32 1%、11 3%、10 0 %、12 0 %、2 8 4 %、2 4 3%和3 9%。随着年龄的增加 ,MS各年龄组分的患病率逐渐增高 ,其中 4 5岁以下人群 ,男性MS患病率显著高于女性 ,5 5岁以下男性腹型肥胖、高血压和高TG血症患病率均高于女性 ,而在 5 5岁以上人群中男女性别之间无显著差异。在 2 0～ 74岁人群中 2 / 3有不同程度的代谢异常 ,合并 2种或 2种以上代谢异常者约 1/ 3,合并 3种以上代谢异常者占 1/ 5。 结论 青岛市中心社区MS的患病率较高 ,表现为代谢异常者以中老年人群为主
The purpose is to understand the prevalence of adult metabolic syndrome (MS) and related diseases in downtown Qingdao. Methods Stratified stratified random cluster sampling method was used to survey 2 6 34 residents aged 20 ~ 74 years in Zhanshan Community of Qingdao City. All of them were measured by 75 g anhydrous glucose tolerance test (OGTT), fasting blood lipid and serum uric acid. Results The standardized prevalence of MS was 116%, while central obesity, obesity, diabetes mellitus (DM), impaired glucose regulation (IGR), high blood pressure, high triglyceride (TG) and low HDL The standardized prevalence of HDL C was 32 1%, 113%, 100%, 120%, 284%, 24%, and 39%, respectively. With the increase of age, the prevalence of MS in all age groups gradually increased, among which, the prevalence of MS in men under 4 5 years old was significantly higher than that in females, and the abdominal obesity in men under 5 5 years old, high blood pressure and high TG blood The prevalence of illness was higher than that of women, but there was no significant difference between men and women in people over 5 years old. Two thirds of the population aged 20-74 had varying degrees of metabolic abnormalities, about one third had two or more metabolic abnormalities, and one-fifth had three or more metabolic abnormalities. Conclusion The prevalence of MS in the downtown area of Qingdao is higher than that of middle-aged and elderly people