论文部分内容阅读
目的了解海南省DSP点居民代谢综合征(MS)患病率及其相关危险因素,为预防和控制MS提供科学依据。方法抽取海口市美兰区和定安县人群中各600例进行问卷调查,测量身高、体重、血压,血脂、空腹血糖等生化指标。分析代谢综合征及其危险因素的流行病学分布特点及其相关性。结果 18岁及以上人群代谢综合征患病率为10.6%,标化率为8.8%,高血压、超重、肥胖、高血糖、血脂紊乱的患病率及标化率分别25.4%(21.1%)、13.2%(10.9%)、6.6%(5.5%)、35.6%(29.5%)、23.8%(19.7%)。经卡方检验,不同性别、年龄、文化程度、超重/肥胖和静态生活方式的MS患病率差异有统计学意义(P<0.05)。Logistic回归分析显示,糖尿病史、年龄、肥胖、静态生活方式均与代谢综合征密切相关。结论海南省MS防治重点人群以高血压、高血糖和血脂异常为主,应及早开展综合干预,降低心脑血管疾病发病和死亡风险。
Objective To understand the prevalence and related risk factors of metabolic syndrome (MS) in DSP population of Hainan Province and provide scientific basis for the prevention and control of MS. Methods Six hundred and sixty-six out of 600 people in Meilan District and Ding’an County of Haikou City were selected for questionnaire survey. The biochemical indexes such as height, weight, blood pressure, blood lipid and fasting blood glucose were measured. Analysis of the epidemiological characteristics of metabolic syndrome and its risk factors and their correlation. Results The prevalence rate of metabolic syndrome was 10.6% in 18 years old and above, and the standardization rate was 8.8%. The prevalence and standardization rate of hypertension, overweight, obesity, hyperglycemia and dyslipidemia were 25.4% (21.1%), , 13.2% (10.9%), 6.6% (5.5%), 35.6% (29.5%), 23.8% (19.7%). By chi-square test, the prevalence of MS among different genders, ages, educational level, overweight / obesity and static lifestyle was statistically significant (P <0.05). Logistic regression analysis showed that history of diabetes, age, obesity and static lifestyle were closely related to metabolic syndrome. Conclusion Key MS prevention and treatment population in Hainan Province are mainly hypertension, hyperglycemia and dyslipidemia. Integrated intervention should be carried out as soon as possible to reduce the risk of cardiovascular and cerebrovascular diseases.