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目的了解岱山县渔农村居民代谢综合征(MS)发病状况及流行特征,探讨防治对策。方法采用分层整群抽样的方法,对1149名18～90岁渔农村居民进行横断面调查,用中华医学会糖尿病学会诊断标准的MS定义对资料进行分析。结果居民的MS患病率为9.31%,女性(10.80%)显著高于男性(7.39%)(χ2=3.91,P<0.05)。具有1个或2个MS组分异常的人群比例为47.43%;血脂异常、高血压、超重或肥胖是MS的主要组分。有高血压、糖尿病家族史人群的MS患病率明显高于无家族史者(χ2高血压=7.22,χ2糖尿病=5.61,P<0.05)。结论岱山县渔农村居民具有1个或2个MS组分异常的比例较高,MS的潜在威胁不容忽视,应采取膳食和行为综合干预措施,防止和减少MS的发生。
Objective To understand the morbidity and epidemic characteristics of metabolic syndrome (MS) in rural and fishing population in Daishan County and to explore the control strategies. Methods A stratified cluster sampling method was used to investigate 1149 rural residents from 18 to 90 years of age in rural and urban areas. The data were analyzed by the MS definition of diagnostic criteria of Chinese Medical Association Diabetes Association. Results The prevalence of MS was 9.31% in residents and 10.80% in women (7.39%) (χ2 = 3.91, P <0.05). The proportion of people with one or two MS abnormalities was 47.43%. Dyslipidemia, hypertension, overweight or obesity were the major components of MS. The prevalence of MS with hypertension and family history of diabetes was significantly higher than that without family history (χ2 hypertension = 7.22, χ2 diabetes = 5.61, P <0.05). Conclusion Residents in fishery and rural areas in Daishan County have a higher proportion of one or two MS components. The potential threat of MS should not be neglected. Comprehensive interventions should be taken to prevent and reduce the occurrence of MS.