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目的调查北京地区糖尿病高风险居民代谢综合征的患病情况及特点。方法对1995~1996年北京地区年龄≥25岁城市农村各半的20682名居民进行标准馒头餐试验。对馒头餐后2h血糖≥120mg/dl者行OGTT检查,并行血胆固醇、三酰甘油、血胰岛素、尿白蛋白、心电图、血压检查。结果(1)糖尿病高风险人群中根据CDS诊断标准诊断为代谢综合征(MS)者554人,占37.41%,北京地区MS患病率为3.13%;(2)大兴县MS患病占49.86%,各地区各检测指标间差异有显著性意义;(3)年龄、BMI、血压、血糖、胆固醇、三酰甘油是MS的独立影响因素;(4)MS的代谢异常存在增龄效应,年龄≥50岁者MS相关的代谢异常显著增加。结论北京地区的代谢综合征存在郊县患病率高于城市的地区性特点。当地MS的代谢异常存在增龄效应,对年龄≥50岁人群应加强MS的防治。
Objective To investigate the prevalence and characteristics of metabolic syndrome in residents with high risk of diabetes in Beijing. Methods A total of 20682 residents in rural areas of 25 years or older in urban areas in Beijing from 1995 to 1996 were tested for standard steamed bread meal. Steamed bread 2h postprandial blood glucose ≥ 120mg / dl line OGTT examination, parallel blood cholesterol, triglyceride, insulin, urinary albumin, ECG, blood pressure check. Results (1) 554 people diagnosed with metabolic syndrome (MS) according to the diagnostic criteria of CDS in high-risk population of diabetes mellitus, accounting for 37.41%, the prevalence of MS in Beijing was 3.13%; (2) The prevalence of MS in Daxing County was 49.86% (3) Age, BMI, blood pressure, blood sugar, cholesterol and triglyceride were the independent influential factors of MS; (4) The metabolic abnormalities of MS had the effect of increasing age, and the age≥ Metabolic abnormalities associated with MS were significantly increased in 50-year-olds. Conclusion The metabolic syndrome in Beijing has the characteristics of higher prevalence in suburban areas than in urban areas. There is an aging effect on the metabolic abnormalities in the local MS, and the prevention and treatment of MS should be strengthened in the population over 50 years of age.