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目的了解成都地区老年人代谢综合征(MS)及其代谢异常组分的流行情况。方法利用成都市慢性病防治项目的现况调查资料,分别根据中华医学会糖尿病分会(CDS)和2007年最新颁布的《中国成人血脂异常防治指南》中MS的诊断标准,分析60岁及以上老年人MS患病情况。结果依据CDS诊断标准,成都地区老年人MS的患病率为33.16%,其中男性26.22%,女性35.28%,59.71%的老年人同时有2种或2种以上代谢异常;依据《中国成人血脂异常防治指南》诊断标准,MS的患病率为35.64%,其中男性29.17%,女性40.84%,65.07%的老年人同时有2种或2种以上代谢异常。各代谢异常组分中,高血压和高血糖发生率最高,均超过一半以上。老年女性MS患病率明显高于男性,但MS患病率未随年龄增加而升高。结论成都地区老年人群MS及其相关代谢异常患病率高,制定基于社区老年人MS的干预策略,以降低心血管事件的发生非常必要。
Objective To understand the prevalence of metabolic syndrome (MS) and its metabolic abnormalities in the elderly in Chengdu area. Methods According to the survey data of chronic disease prevention and treatment project in Chengdu, the diagnostic criteria of MS in the Guideline for Prevention and Treatment of Dyslipidemia in Chinese Adults, which was promulgated in 2007 by the Chinese Medical Association Diabetes Branch (CDS) and the diagnostic criteria of MS in 60 years old and above, respectively MS prevalence. Results According to the diagnostic criteria of CDS, the prevalence of MS in the elderly in Chengdu was 33.16%, of which 26.22% were male and 35.28% were female. 59.71% of the elderly had two or more metabolic abnormalities at the same time. According to the Chinese adult dyslipidemia Prevention and treatment guidelines "diagnostic criteria, the prevalence of MS was 35.64%, 29.17% of males and 40.84% of females, 65.07% of the elderly with two or more than two kinds of metabolic abnormalities. Abnormal metabolic components, the highest incidence of hypertension and hyperglycemia, were more than half. The prevalence of MS was significantly higher in older women than in men, but the prevalence of MS did not increase with age. Conclusion There is a high prevalence of MS and related metabolic abnormalities in elderly population in Chengdu. It is necessary to develop an intervention strategy based on community-based MS among elderly people in order to reduce the occurrence of cardiovascular events.