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目的了解苏州市70岁以上老年居民代谢综合征(MS)现状与特点。方法抽样调查苏州市20个社区70岁以上常住老年居民2552名,内容涉及人口特征、经济收入、生活习惯、慢性病及医疗状况,检测身高、体重、腰围、血压、FPG、FIns、TG、HDL -C等。使用国际糖尿病联盟MS工作定义诊断代谢综合征。计算MS及各组分的患病率,并分析MS患病的影响因素。结果 MS总患病率为21.8%,男女患病率分别为11.8%、29.2%;向心性肥胖、高TG、低HDL-C、血糖升高、血压升高的患病率分别为48.7%,18.5%,5.6%,28.7%,67.4%;有一项以上代谢异常的比例男女分别高达78.2%、90.1%;随年龄增长,女性MS患病率呈下降趋势;MS患病的影响因素有年龄、性别、BMI、胰岛素抵抗、高血压与糖尿病家族史、体育锻炼和经济收入。结论苏州市老年居民MS患病率较高,尤以低龄老年女性为主。
Objective To understand the status and characteristics of metabolic syndrome (MS) in elderly residents over 70 in Suzhou City. Methods A total of 2552 residents aged 70 years and over were surveyed in 20 communities in Suzhou City, covering population characteristics, economic income, living habits, chronic diseases and medical conditions. The height, weight, waist circumference, blood pressure, FPG, FIns, TG and HDL - C and so on. Use the International Diabetes Federation MS Job Definition to Diagnose Metabolic Syndrome. Calculate the prevalence of MS and each component, and analyze the influencing factors of MS. Results The overall prevalence of MS was 21.8%, and the prevalence rates of male and female were 11.8% and 29.2% respectively. The prevalences of concentric obesity, high TG, low HDL-C, hyperglycemia and high blood pressure were 48.7% 18.5%, 5.6%, 28.7% and 67.4%, respectively. The prevalence of metabolic disorders in one or more men and women was as high as 78.2% and 90.1% respectively. The prevalence of MS in women was decreasing with age. The influencing factors of MS were age, Gender, BMI, insulin resistance, family history of hypertension and diabetes, physical activity and income. Conclusion The prevalence of MS in elderly residents in Suzhou City is high, especially in younger age-old women.