摘要
目的了解历城区城乡居民代谢综合征(MS)流行现状及与慢性疾病的病因联系。方法根据济南市历城区2005年居民疾病负担调查资料,在参加调查的居民中选取血糖、血脂、血压及体检资料完整的15岁及以上的调查对象2136人,其中男性为892人,女性为1244人。MS诊断标准采用2005年国际糖尿病联盟标准。将本次调查是否确诊为MS作为暴露和非暴露因素,进行病例-对照分析。结果济南市历城区城乡15岁及以上居民MS患病率为15.11%,标化患病率为10.83%;15～44岁组男性高于女性,45岁以后女性高于男性;MS患病率随着年龄增长而升高(χ2=64.21,P<0.01);城市高于农村(χ2=7.76,P<0.01)。病例-对照研究结果表明,患MS者较正常者患冠心病、脑卒中、骨关节病、糖尿病、高血压的危险性增加,OR值分别为2.04,2.29,1.47,14.44,4.90。结论济南市历城区城乡居民MS流行较为严重,且与慢性疾病有密切的病因联系,已成为严重危害居民健康的重要的公共卫生问题。
Objective To describe the prevalent characteristics of metabolic syndrome （MS） of urban and rural residents in Licheng district of Jinan and etiological association between MS and chronic diseases. Methods Data were selected from the burden survey of residents＇diseases in Licheng district of Jinan in 2005, which had the completed information on plasma glucose, lipid profile, and blood pressure. Totally 2 136 subjects （892 men, 1 244 women） were analyzed with IDF（2005） criteria of MS. A case control study was conducted, in which both cases and controls were chosen from identical investigated population. Results The prevalence of MS was 15.11% among residents older than 15 years old in Lichen district of Jinan, and the adjusted prevalence of MS was 10.83%; when the age ranged from 15 to 44, the prevalence of MS was higher in male; when the age was older than 45, the prevalence of MS was higher in female; the prevalence of MS increased with age （Х^2=64.21, P〈0.01）. People from urban had a higher prevalence than from the rural （Х^2=7.76, P〈0.01）; the results of case control study showed that the risk of coronary heart disease, acute stroke, osteoarthritis, diabetes mellitus, and hypertension increased among patients of metabolic syndrome, when compared to normal controls （OR was 2.04, 2.29, 1.47, 14.44 and 4.90, respectively）. Conclusion The prevalence of MS of urban and rural residents in Licheng district of Jinan was higher. There was a close relationship between the prevalence of MS and chronic diseases. The prevalence of metabolic syndrome becomes a severe problem of public health, which endangers the health of residents badly.
出处
《中国慢性病预防与控制》
CAS
2007年第4期354-356,共3页
Chinese Journal of Prevention and Control of Chronic Diseases
