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目的了解目前北京市房山区居民代谢综合征患病情况及分布特征。方法采用多阶段分层随机抽样的方法,对4249名20岁以上房山区居民进行调查。按2004年中华医学会糖尿病学分会的诊断标准对代谢综合征的患病情况及其分布进行分析描述。结果该人群代谢综合征患病率为20.38%。随着年龄的增长,代谢综合征患病率有明显的上升趋势(χ2=252.34,P<0.001),60岁患病率达到高峰。男性患病率为20.44%,女性为20.32%,男性与女性患病率差异无统计学意义(χ2=0.018,P>0.05)。在40岁前,男性患病率高于女性,50岁后女性患病率高于男性。结论代谢综合征患病率在房山区呈现明显上升趋势,已经成为房山区居民的主要健康问题,开展代谢综合征的社区综合防治刻不容缓。
Objective To understand the prevalence and distribution of metabolic syndrome in Fangshan District, Beijing. Methods A multi-stage stratified random sampling method was used to investigate 4249 residents in Fangshan District over the age of 20 years. According to 2004 Chinese Medical Association Diabetes Branch diagnostic criteria for the prevalence of the metabolic syndrome and its distribution analysis described. Results The prevalence of metabolic syndrome in this population was 20.38%. With age, the prevalence of metabolic syndrome increased significantly (χ2 = 252.34, P <0.001), and the prevalence rate reached the peak at 60 years old. The prevalence of males was 20.44% and females was 20.32%. There was no significant difference between males and females (χ2 = 0.018, P> 0.05). Before the age of 40, the prevalence of males is higher than that of females, and the prevalence of females after the age of 50 is higher than that of males. Conclusion The prevalence of metabolic syndrome in Fangshan District showed a clear upward trend, which has become the main health problems of residents in Fangshan District. It is imperative to carry out community comprehensive prevention and treatment of metabolic syndrome.