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目的探讨社区居民代谢综合征患病情况及膳食相关影响因素,为疾病防治提供依据。方法采用多级分层抽样方法,通过问卷调查、体格检查及实验室检查,对江苏省徐州市社区成人代谢综合征患病情况进行分析,并采用Logistic回归模型分析相关影响因素。结果共调查徐州市社区居民2 947人,其中男性1 674人,女性1 273人,代谢综合征患病率为10.32%,随着年龄增长患病率呈上升趋势;患者既往高血压和糖尿病患病率分别为55.6%和20.7%;多因素Logistic回归分析表明,代谢综合征的危险因素为年龄>60岁(OR=1.280,95%CI=1.059~1.548)、男性(OR=1.769,95%CI=1.237~2.528)、每周饮用白酒>200 mL(OR=1.961,95%CI=1.288~2.985)、每月盐摄入>300 g(OR=1.990,95%CI=1.365~2.901)、有既往高血压史(OR=6.868,95%CI=5.056~9.328)和糖尿病史(OR=7.506,95%CI=4.665~12.079);保护因素为食用营养补充剂(OR=0.685,95%CI=0.476~0.986);多因素模型的预测概率为90.9%。结论控制酒、盐的摄入量,适当食用营养补充剂对代谢综合征有一定预防作用。
Objective To investigate the prevalence of metabolic syndrome in community residents and diet-related influencing factors to provide basis for disease prevention and treatment. Methods The multi-level stratified sampling method was used to analyze the prevalence of adult metabolic syndrome in Xuzhou City, Jiangsu Province through questionnaire, physical examination and laboratory tests. Logistic regression analysis was used to analyze the related factors. Results A total of 2 947 community residents were surveyed in Xuzhou, including 1 674 males and 1 273 females, and the prevalence of metabolic syndrome was 10.32%. The prevalence was on the rise with advancing age. Patients with previous hypertension and diabetes Multivariate logistic regression analysis showed that the risk factors of metabolic syndrome were age> 60 years (OR = 1.280, 95% CI = 1.059-1.548), male (OR = 1.769, 95% (OR = 1.961, 95% CI = 1.288-2.985), monthly salt intake> 300 g (OR = 1.990, 95% CI = 1.365-2.901) (OR = 6.868,95% CI = 5.056 ~ 9.328) and history of diabetes mellitus (OR = 7.506,95% CI = 4.665 ~ 12.079). The protective factors were edible nutritional supplements (OR = 0.685, 95% CI = 0.476 ~ 0.986). The predictive probability of multivariate model was 90.9%. Conclusion The control of alcohol, salt intake, proper consumption of nutritional supplements on the metabolic syndrome have a preventive effect.