目的探讨膳食因素与常德市城区居民代谢综合征的关系,为降低居民代谢综合征发生提供科学合理的膳食指导。方法采取多阶段分层整群抽样的方法抽取1 190名18岁以上的常德市城区居民,采用自制调查表调查居民膳食状况并测量代谢综合征各组分情况,应用Logistic回归分析影响本地区代谢综合征的主要膳食因素。结果本次调查1 190例城区居民中,有318例诊断为代谢综合征,患病率为26.7%。男性患病率高于女性(P<0.01),不同的年龄组MS患病率差异有统计学意义(P<0.01),30岁以下居民最低,50~岁年龄组居民最高。吃菜口味、吃夜宵、外出就餐、食猪油是患MS的重要危险因素;多食蔬菜是MS患病的保护因素。结论膳食因素与常德城区居民发生MS关系密切,积极倡导低盐和多食蔬菜有利于降低代谢综合征的发生。 Objective To investigate the relationship between dietary factors and metabolic syndrome in urban residents in Changde City and provide scientific and reasonable dietary guidance to reduce the occurrence of metabolic syndrome in residents. Methods A total of 1 190 residents over the age of 18 in Changde City were sampled by multi-stage stratified cluster sampling method. The self-made questionnaires were used to investigate the dietary status of residents and to measure the components of metabolic syndrome. Logistic regression analysis was used to analyze the metabolic effects The main dietary factors of the syndrome. Results Of the 1901 urban residents surveyed, 318 cases were diagnosed with metabolic syndrome with a prevalence of 26.7%. The prevalence of males was higher than that of females (P <0.01). The prevalence of MS in different age groups was significantly different (P <0.01). The residents under 30 years old had the lowest and the residents aged 50 ~ years were the highest. Eat vegetables taste, eat supper, eating out, eating lard is an important risk factor for MS; eat more vegetables are the protective factors of MS. Conclusion The dietary factors are closely related to the occurrence of MS in Changde urban residents. Actively promoting low salt and eating more vegetables will help reduce the occurrence of metabolic syndrome.