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目的了解金昌队列人群代谢综合征的患病状况,探讨代谢综合征各组分的特点及病种组合构成,为预防代谢综合征的发病提供科学依据。方法采用中华医学会糖尿病学分会代谢综合征的诊断标准(CDS2004),对2011-2014年进入金昌队列的45 410例具有完整资料的队列人群进行分析。结果金昌队列人群代谢综合征患病率为15.5%,其中男性为18.6%,女性为10.7%,标化患病率分别为14.3%、16.9%和10.8%。代谢综合征相关疾病单病种患病率为14.1%~45.5%,标化患病率为13.0%~43.8%,从大到小依次为血脂异常、超重或肥胖、高血压、高血糖。高血压+超重或肥胖+血脂异常组合是代谢综合征最常见的组合,占代谢综合征的45.6%。结论中年人群具有较高的患病风险,应作为监控和干预的重点。血脂异常以及超重或肥胖的防治是预防代谢综合征发病的重要环节。
Objective To understand the prevalence of metabolic syndrome in the cohort of Jinchang and explore the characteristics of the components of the metabolic syndrome and the composition of disease combinations to provide a scientific basis for preventing the onset of metabolic syndrome. Methods According to the Diagnostic Criteria of Metabolic Syndrome (CDS2004) of Diabetes Branch of Chinese Medical Association, 45 410 cohorts with complete data from 2011 to 2014 in Jinchang cohort were analyzed. Results The prevalence of metabolic syndrome in Jinchang cohort was 15.5%, of which 18.6% in males and 10.7% in females. The standardized prevalence rates were 14.3%, 16.9% and 10.8% respectively. The prevalence of single disease associated with metabolic syndrome was 14.1% -45.5%, and the standardized prevalence was 13.0% -43.8%. The descending order was dyslipidemia, overweight or obesity, hypertension and hyperglycemia. Hypertension + overweight or obesity + dyslipidemia is the most common combination of metabolic syndrome, accounting for 45.6% of metabolic syndrome. Conclusion Middle-aged people have a higher risk of illness and should be the focus of monitoring and intervention. Dyslipidemia and prevention of overweight or obesity is an important part of the prevention of metabolic syndrome.