摘要
目的了解上海保税区企业人群运动生活方式与代谢综合症(MS)的关系,探讨运动生活方式对控制MS的有效性。方法以2006年1月至2007年12月进行健康体检的保税区企业人群作为观察对象,采用分层整群抽样法,选取有效样本526例,根据生活方式、身体活动问卷调查将观察对象分成运动生活方式A组(ALAG)、运动生活方式B组(ALBG)及静坐生活方式组(SLG),分析不同运动生活方式对临床指标及MS组分患病率的影响,以及运动生活方式与MS的相对危险度。结果ALAG、ALBG组的体质指数(BMI)、腰臀比(WHR)、收缩压(SBP)、舒张压(DBP)、空腹血糖(FPG)、甘油三酯(TG)、胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)分别为:(22.83±2.29)kg/m2、0.862±0.037、(119.78±12.78)mmHg、(78.03±9.91)mmHg、(4.82±0.78)mmol/L、(1.11±0.60)mmol/L、(4.44±0.78)mmol/L、(1.41±0.41)mmol/L和(24.43±2.32)kg/m2、0.899±0.039、(127.16±15.64)mmHg、(81.63±9.12)mmHg、(1.51±0.84)mmol/L、(4.70±0.88)mmol/L、(1.35±0.47)mmol/L、(4.96±0.75)mmol/L均低于SLG组,三组间的差别具有统计学意义(P<0.05)。ALAG组的MS各组分的患病率及聚集情况均低于SLG组(P<0.05),超重和肥胖、高血压、高血糖、血脂异常的患病率分别为15.88%,16.47%,2.94%,14.71%,而ALBG组有2个以上组分聚集情况与SLG组比较差别无统计学意义(P>0.05);运动生活方式是MS的保护因素,ALAG和ALBG的OR值分别为0.154(95%CI:0.080～0.298),0.609(95%CI:0.367～0.990)。结论运动生活方式是MS的保护因素,加强保税区人群的健康教育,促进人群科学运动生活方式的形成,在MS的预防和控制中具有重要意义。
Objective To investigate the relationship between active lifestyle and metabolic syndrome （MS） in the population of Shanghai Free Trade Zone companies and explore the effect of active lifestyle on controlling MS. Methods Collecting and analyzing the data of 526 employees in Shanghai Free Trade Zone companies by means of stratified-cluster sampling, who taken health examination from January 2006 to December 2007. All subjects were divided into active lifestyle A group （ALAG）, active lifestyle B group （ALBG） and sedentary lifestyle group （SLG） based on their lifestyle surveys and physical activity questionnaires （PAQ）. A variety of clinical index and the prevalence of metabolic syndrome components were compared among the groups with different active lifestyles, as well as the relative risk of active lifestyle on MS. Results Body mass index （BMI）, Waist-hip-ratio （WHR）, blood pressure （SBP/DBP）, fasting plasma glucose （FPG） and blood lipids （TG, TC, HDL-C） in the two active lifestyle groups （22.83±2.29） kg/m^2, 0.862±0.037, （119.78±12.78）/（78.03±9.91） mm Hg, （4.82±0.78） mmol/L, （1.11±0.60） mmol/L, （4.44±0.78） mmol/L, （1.41±0.41） mmol/L and （24.43±2.32） kg/m^2, 0.899±0.039, （127.16±15.64）/（81.63±9.12） mmHg, （1.51±0.84） mmol/L, （4.70±0.88） mmol/L, （1.35±0.47） mmol/L, （4.96±0.75） mmol/L） were significantly lower than those in SLG （all P〈0.05）. The prevalence and aggregation of metabolic disorders in ALAG were significantly lower than that in SLG （P〈0.05）, while there was no statistical significance between ALBG and SLG （P〉0.05）. Active lifestyle was a protective factor for MS with OR values as 0.154 （95%CI： 0.080±0.298） in ALAG; 0.609 （95%CI： 0.367-0.990） in ALBG, respectively. Conclusion Active lifestyle was a significant protective factor for MS. Health education on the population in Shanghai Free Trade Zone should be strengthening to help people establish scientific active lifestyle for preventing and controlling MS.
出处
《中国慢性病预防与控制》
CAS
北大核心
2009年第2期177-179,共3页
Chinese Journal of Prevention and Control of Chronic Diseases
