三种适合中国人群代谢综合征诊断标准在江苏省社区人群中应用的比较

周慧; 胡晓抒; 郭志荣; 史祖民; 武鸣; 张均; 孙国祥; 周正元; 姚才良

Abstract

周慧,胡晓抒,郭志荣,史祖民,武鸣,张均,孙国祥,周正元,姚才良.三种适合中国人群代谢综合征诊断标准在江苏省社区人群中应用的比较[J].Chinese journal of Epidemiology,2006,27(12):1043-1047

三种适合中国人群代谢综合征诊断标准在江苏省社区人群中应用的比较

Study on the comparison of three diagnostic criteria of metabolic syndrome in Jiangsu population

Received:June 02, 2006

DOI：

KeyWord: 代谢综合征腰围诊断

English Key Word: Metabolic syndrome Waist circumference Diagnostic

FundProject:卫生部科学研究基金资助项目(WKJ2004-2-014)

Author Name	Affiliation	E-mail
Zhou Hui	School of Radiological Medicine and Public Health, Soochow University, Suzhou 215123, China
Hu Xiao-shu	江苏省疾病预防控制中心
Guo Zhi-rong	School of Radiological Medicine and Public Health, Soochow University, Suzhou 215123, China	guozhirong28@163.com
Shi Zu-min	江苏省疾病预防控制中心
Wu Ming	江苏省疾病预防控制中心
Zhang Jun	苏州市疾病预防控制中心
Sun Guo-xiang	常熟市疾病预防控制中心
Zhou Zheng-yuan	常熟市疾病预防控制中心
Yao Cai-liang	南京医科大学公共卫生学院

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Abstract:

目的比较IDF(2005)、ATPⅢ(2005)和CDS(2004)三个既便于操作又有中国人肥胖指标的代谢综合征(MS)诊断标准在江苏省社区人群中应用的异同。方法采用“江苏省多代谢异常和MS综合防治研究”资料,对具有MS组分测量值的社区人群(5888人),分别采用IDF(2005)、ATPⅢ(2005)和CDS(2004)诊断MS,并比较MS的患病率及诊断的一致性。结果IDF(2005)、ATPⅢ(2005)和CDS(2004)诊断出的MS患病率分别为17．48％、21．95％和9．59％。ATPⅢ(2005)与CDS(2004)、IDF(2005)与CDS(2004)和IDF(2005)与ATPⅢ(2005)标准分别同时诊断85．11％、87．35％和95．14％的个体为MS或非MS者。IDF(2005)与ATPⅢ(2005)标准诊断MS相比,仍有4．5％仅被ATPⅢ(2005)诊断为MS。ATPⅢ(2005)标准诊断出的MS是IDF标准的1．26倍。女性与男性高腰围(男≥90 cm,女≥80 cm)、MS_IDF(2005)和MS_ATPⅢ(2005)患病率比值分别为2．17、1．99和1．54。结论IDF(2005)与ATPⅢ(2005)标准的诊断一致性高于IDF(2005)、ATPⅢ(2005)与CDS(2004)的一致性,但前两者之间仍存在不一致。IDF(2005)和ATPⅢ(2005)标准对中国人群腰围的取值可能不恰当。

English Abstract:

Objective To compare the significance of the application in Jiangsu population using the diagnostic criteria for metabolic syndrome( MS) proposed by the IDF in 2005，ATPⅢ in 2005 and CDS in 2004.Methods Based on the populations in Jiangsu province from a project of Multiple Metabolic Disorders and MS, the study was conducted including 5888 cases, with data of plasma glucose, lipid profile, blood pressure, serum insulin etc.MS was diagnosed and compared according to these three definitions respectively.Results The age-adjusted MS prevalence rates were 17.48%, 21.95% and 9.59% according to the IDF(2005)，ATPⅢ(2005) and CDS(2004) respectively.The agreement in the diagnosis of MS using ATPⅢ(2005) and CDS(2004) definitions was 85.11%，and the agreement in the diagnosis of MS using IDF(2005)and CDS definitions was 87.35%.The agreement in the diagnosis of MS using IDF(2005) and ATPⅢ(2005) definitions was 95.14%.The MS subjects diagnosed by the ATPⅢ (2005) was 1.26 higher than subjects diagnosed by the IDF(2005) definition.The ratios of prevalence rates of high waist circumference(WC)，MS_IDF(2005) and MS_ATPⅢ(2005) was 2.17, 1.99 and 1.54 in sex ratio(woman to man).Conclusion The agreement in the diagnosis of MS using the IDF(2005) and ATPⅢ(2005) definition was higher than using CDS(2004) and other two definitions.For diagnosing MS, the cut off of WC in IDF(2005) and ATPⅢ(2005) seemed not appropriate and the diagnostic criteria used for ATPⅢ(2005)(waist circumference of man 85 cm, woman 80 cm) could identify more MS.

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