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目的调查上海市部分社区中老年人群中代谢综合征(MS)及其各危险因子的现患情况。方法于2007-2008年随机抽取社区40岁~常住居民619人进行调查,以中华医学会糖尿学分会的建议为诊断标准,对社区中老年居民的MS患病率进行分析。结果人群中超重/肥胖、高血压、糖尿病、血脂异常及MS的患病率分别为57.7%,43.5%,16.6%,53.3%及12.0%;其中老年组的患病率高于中年组和高龄组,而中年组高血压患病率高于老年组;体质指数(MBI)、收缩压(SBP)、舒张压(DBP)、血清总胆固醇(TC)、血清甘油三酯(TG)、血清高密度脂蛋白-胆固醇(HDL-C)及空腹血糖(FBG)水平随代谢异常组合数目的增加而升高;BMI值与SBP、DBP、TG及HDL-C水平呈明显相关性。结论BMI异常人群是MS高危人群,应加强对体重及肥胖的控制及心脑血管疾病防治。
Objective To investigate the prevalence of metabolic syndrome (MS) and its risk factors among middle-aged and elderly people in some communities in Shanghai. Methods From 2007 to 2008, 619 community residents aged 6 years to 6 years were randomly selected for investigation. Based on the recommendations of the Chinese Medical Association Diabetes Branch, the prevalence of MS in community residents was analyzed. Results The prevalence rates of overweight / obesity, hypertension, diabetes, dyslipidemia and MS in the population were 57.7%, 43.5%, 16.6%, 53.3% and 12.0% respectively. The prevalence of the elderly group was higher than that of middle age group and The prevalence of hypertension in the elderly group and the middle-aged group was higher than that in the elderly group. MBI, SBP, DBP, TC, TG, Serum high density lipoprotein-cholesterol (HDL-C) and fasting blood glucose (FBG) levels increased with the increase of the number of metabolic abnormalities; BMI values were significantly correlated with SBP, DBP, TG and HDL-C levels. Conclusion The abnormal population of BMI is a high risk population of MS. The control of body weight and obesity and the prevention and treatment of cardiovascular and cerebrovascular diseases should be strengthened.