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[目的]探讨武汉市社区人群代谢综合征(MS)的流行病学特征。[方法]由2006年武汉市成人慢性病及相关危险因素调查资料中,取有完整血糖、血脂、血压等资料的20岁以上社区居民共1979例(男性792例,女1187例)列入本次分析。计算MS患者各种因素的均值±标准差和标化患病率,运用单因素和多因素非条件Logistic回归分析,探讨影响其发生的危险因素。[结果](1)代谢综合征患病率以武汉市2006年人口标化,为18.37%(男16.25%,女20.26%),且随年龄的增加而增长;(3)多元Logistic分析结果表明,年龄、吸烟、饮酒、甘油三酯、收缩压、舒张压、血糖、BMI、腰围是代谢综合征的主要危险因素。[结论]代谢综合征发病与不良生活方式有密切关系,高TG、高腰围和高血糖是代谢综合征强的影响因素,40岁以后发病增加更明显,提示这是一个危险年龄段。其他较强的影响因素还有吸烟、心血管疾病与糖尿病家族史等。
[Objective] To investigate the epidemiological characteristics of metabolic syndrome (MS) in community population in Wuhan. [Methods] According to the survey data of adult chronic diseases and related risk factors of adults in Wuhan in 2006, a total of 1979 community residents (792 males and 1187 females) over 20 years old with complete blood glucose, blood lipids and blood pressure were included in this study analysis. The mean ± standard deviation and normalized prevalence of various factors in patients with MS were calculated. Univariate and multivariate non-conditional Logistic regression analysis was used to explore the risk factors affecting their occurrence. [Results] (1) The prevalence of metabolic syndrome was 18.37% (16.25% for males and 20.26% for females) in Wuhan population in 2006, and increased with age; (3) Multivariate logistic analysis showed that Age, smoking, drinking, triglycerides, systolic blood pressure, diastolic blood pressure, blood glucose, BMI and waist circumference are the main risk factors of metabolic syndrome. [Conclusion] The incidence of metabolic syndrome is closely related to the unhealthy lifestyle. High TG, high waist circumference and hyperglycemia are the strong influencing factors of metabolic syndrome. The incidence of metabolic syndrome is more obvious after the age of 40, suggesting that it is a dangerous age. Other strong factors include smoking, cardiovascular disease and family history of diabetes.