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目的了解唐山地区人群代谢综合征(MS)的患病状况,并对城市和农村居民MS患病率进行比较。方法采用随机整群抽样方法,于2009年3—4月选取唐山地区44～64岁,平均年龄(54.2±6.9)岁城乡居民共6616人(男2286人,女4330人)进行问卷调查、体格检查及相关代谢指标的测定,采用中华医学会糖尿病学分会诊断标准进行MS筛查。结果唐山市44～64岁居民MS粗患病率、男性及女性粗患病率分别为20.9%,19.5%和21.7%,标化患病率分别为20.3%,19.2%和21.1%。女性MS患病率随年龄的增长而升高(P<0.01),从44～49岁的12.4%增加到60～64岁的30.5%,而男性MS患病率在年龄水平上差异无显著性;城市居民MS患病率(27.8%)高于农村(18.3%,P<0.01),农村居民中男性MS患病率(16.7%)低于女性(19.3%,P<0.05)。MS各组分的检出率依次为超重肥胖(61.4%)、高血压(51.3%)、高三酰甘油(36.6%)和空腹血糖升高(29.0%)。结论唐山地区44～64岁城乡居民标化患病率为20.3%,城市居民MS患病率显著高于农村,超重肥胖和高血压是该地区MS最重要的组成成分。
Objective To understand the prevalence of metabolic syndrome (MS) in Tangshan population and to compare the prevalence of MS in urban and rural residents. Methods From March to April 2009, a total of 6616 urban and rural residents (2286 males and 4330 females) aged from 33 to 64 in Tangshan were selected for random sampling. The average age (54.2 ± 6.9) Check and related metabolic indicators measured by the Chinese Medical Association Diabetes credits diagnostic criteria for MS screening. Results The crude prevalence rates of MS among 44-64-year-old residents in Tangshan were 20.9%, 19.5% and 21.7% respectively, and the prevalence rates of MS were 20.3%, 19.2% and 21.1% respectively. The prevalence of MS in women increased with age (P <0.01), from 12.4% in 44 to 49 years to 30.5% in 60 to 64 years, while there was no significant difference in age among men . The prevalence of MS in urban residents was higher than that in rural areas (27.8%, P <0.01). The incidence of MS among rural residents was lower than that of female (16.7%) (19.3%, P <0.05). The detection rates of MS were as follows: overweight and obesity (61.4%), hypertension (51.3%), hypertriglyceride (36.6%) and fasting blood glucose (29.0%). Conclusion The standardized prevalence rate of urban and rural residents aged 44-64 years in Tangshan is 20.3%. The prevalence of MS in urban residents is significantly higher than that in rural areas. Overweight and obesity are the most important components of MS in this area.