摘要
目的了解海南省居民代谢综合征(MS)流行病学特征及其相关危险因素,为预防和控制MS提供科学依据。方法采用多阶段抽样方法抽取海南省8个市县18岁以上常住居民并进行问卷调查,测量身高、体重、血压,血脂、空腹血糖等生化指标。分析代谢综合征及其危险因素的流行病学分布特点及其相关性。结果共计调查4879人,18岁及以上人群代谢综合征患病率为11.8%(标化率6.0%)。男性(13.1%)高于女性(10.8%)(P<0.05),城市(15.3%)高于农村(9.8%)(P<0.01)。患病率随着年龄增长而升高(P<0.01),不同婚姻状况和职业间MS患病率差异有统计意义(P<0.01)。多因素Logistic回归分析显示,中心性肥胖(OR=11.63.95%CI:8.82～15.34),性别(OR=1.80,95%CI:1.32～2.45),红肉摄入过量(OR=0.71,95%CI:0.57～0.89),饮酒中的有害饮酒行为(OR=1.81,95%CI:1.19～2.73)和年龄均与MS密切相关。受检者中患有1种组分占28.3%,以高血糖最高(34.8%);2种组分占18.6%,以高血压+高血糖和高血糖+血脂异常最高(21.8%);3种以上组分占10.9%,以"超重/肥胖+高血糖+血脂异常"比例最高(30.2%)。因子分析显示中心性肥胖、超重/肥胖;血脂异常(LDL-C和TC);高血压和高血糖4个因子对MS的累计方差贡献率为76.2%,其中肥胖属于首要因素(22.08%)。结论海南省居民MS是以肥胖为首要因子的多种组分综合作用结果,应加强对肥胖症,尤其是中心性肥胖为主的综合性慢性危险因素的筛查和干预。
Objective To investigate the epidemiological characteristics and risk factors of metabolic syndrome（MS） of residents in Hainan Province, and provide evidence for the prevention and control of MS. Methods Permanent residents aged above 18 years old in 8 regions were extracted by a multi-stage stratified cluster sampling method. A questionnaire investigation was conducted. And height, weight and blood pressure of residents were measured, and the blood samples were collected for biochemical indicator detection, such as blood fat and fast plasma glucose. Metabolic syndrome was diagnosed to calculate the prevalence and age-standardized prevalence of MS. Logistic regression was used to analyze relevant risk factors. Results There were 4879 residents were surveyed, the crude and standardized prevalence rate of MS were 11.8%and 6. 0%, respectively. The chi-square test impacted statistically significant for MS prevalence in gender（13. 1% for male and 10. 8% for female, P〈0. 05）, region（ 15. 3% for urban residents and 9. 8% for rural, P〈0. 01）. The prevalence of MS increased with age（P〈0. 01）. Different marital status and occupation were statistically significant else（P〈0. 01）.Logistic regression analysis showed that central obesity（ OR = 11. 63, 95% CI： 8. 82-15. 34）, gender（ OR = 1. 80,95% CI： 1.32-2.45）, eating too much red meat（OR=0. 71, 95% CI： 0.57-0.89）, the harmful drinking behavior of drinking（ OR = 1.81, 95% CI： 1. 19-2. 73） and age. 28. 3% of them had only 1 abnormal component with the highest hyperglycemia（34. 8%）. 18. 6% of them had 2 abnormal components with hypertension ＋ hyperglycemia and hyperglycemia ＋ hyperglycemia（21. 8%）. 10. 9% of them had 3 and above abnormal components with the highest proportion of ＂overweight/obesity ＋ hyperglycemia ＋ dyslipidemia＂（30.2%）. 4 risk factors included central obesity, overweight/obesity,dyslipidemia（LDL-C and TC）, hypertension and hyperglycemia accounted for 76. 2% of the total variance. The obesity was the important factor（22. 08%）. Conclusion MS was the result of combined effect from 4 risk factors and obesity was the primary one in Hainan. It is necessary to strengthen the screening and intervention of comprehensive chronic risk factors, especially obesity.
作者
符艳
刘璞瑜
王小焕
胡锡敏
马传仕
陈言
FU Yan;LIU Pu-yu;WANG Xiao-huan;HU Xi-min;MA Chuan-shi;CHEN Yan(Hainan Provincial Center for Disease Control and Prevention,Haikou 570203, Chin)
出处
《中国健康教育》
北大核心
2018年第5期424-427,431,共5页
Chinese Journal of Health Education
基金
2014年海南省自然科学基金立项课题(814341)
海南省医学科研重点课题(琼卫2013重点-10号)
关键词
患病率
代谢综合征
危险因素
因子分析
Prevalence
Metabolic syndrome
Risk factors
Factor analysis
作者简介
符艳（1973-）,女,海南文昌人,大学本科,主任医师,主要从事慢性病防控工作.;【通信作者】陈言,男,主任医师,研究方向：疾病防控.E-mail：jkban702@163.com
