论文部分内容阅读
目的分析腰围(WC)和血压(BP)对代谢综合征(MS)的预测作用。方法采取横断面研究方法对4 134名长沙市某单位员工进行问卷调查,检测身高、体重、WC、BP、FPG、血脂等。用非条件Logistic回归法分析WC和BP对诊断MS贡献的大小。结果 (1)MS的粗患病率为24.4%(男25.8%,女20.6%),按人口普查结果标准化后患病率为17.3%(男19.2%,女15.8%)。(2)用WC、BMI、SBP、DBP预测该人群MS的一致性为90.2%;若去掉BMI,预测一致性为89.3%。在其他因素不变时,WC每增加5cm、SBP每增加10mmHg、DBP每增加5mmHg,可分别增加MS的患病风险10.84倍、1.20倍及1.27倍。结论联合测量WC和BP对MS有较强的预测作用,可作为一项快速诊断和评估MS的简易指标。
Objective To analyze the predictive value of waist circumference (WC) and blood pressure (BP) on metabolic syndrome (MS). Methods A cross - sectional study was conducted to investigate the prevalence of body height, body weight, WC, BP, FPG, blood lipid and so on in 4 134 Changsha city employees. Non-conditional Logistic regression analysis of WC and BP on the diagnosis of MS contribute to the size. Results (1) The crude prevalence of MS was 24.4% (25.8% for males and 20.6% for females), and the prevalence was 17.3% (19.2% for males and 15.8% for females) after normalization according to the census results. (2) The consistency of MS in this population is 90.2% predicted by WC, BMI, SBP and DBP; if the BMI is removed, the consistency of prediction is 89.3%. When the other factors were unchanged, every increase of 5 cm for WC and 10 mmHg for each SBP increased the risk of MS by 10.84 times, 1.20 times and 1.27 times for every 5 mmHg increase of DBP. Conclusions The combined measurement of WC and BP has strong predictive value for MS and can be used as a simple index for rapid diagnosis and assessment of MS.