| 赵燚,刘秀英,金晶,杨建军,张毓洪.宁夏农村地区回汉族成年人群代谢综合征流行病学调查[J].Chinese journal of Epidemiology,2010,31(3):245-250 |
| 宁夏农村地区回汉族成年人群代谢综合征流行病学调查 |
| Prevalence of metabolic syndrome among rural adult residents in Ningxia |
| Received:September 13, 2009 |
| DOI： |
| KeyWord: 代谢综合征 肥胖 回族 流行病学 |
| English Key Word: Metabolic syndrome: Central obesity Hui ethnic group: Epidemiology |
| FundProject:国家自然科学基金(30760215) |
| Author Name | Affiliation | E-mail | | ZHAO Yi | Public Health School, Ningxia Medical University, Yinchuan 750004, China | | | LIU Xiu-ying | Public Health School, Ningxia Medical University, Yinchuan 750004, China | | | JIN Jing | Public Health School, Ningxia Medical University, Yinchuan 750004, China | | | YANG Jian-jun | Public Health School, Ningxia Medical University, Yinchuan 750004, China | | | ZHANG Yu-hong | Public Health School, Ningxia Medical University, Yinchuan 750004, China | zhabour@gmail.com |
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| Abstract: |
| 目的 调查宁夏农村地区回汉族成年人群代谢综合征(MS)的流行现况,评估不同MS诊断标准在宁夏农村地区成年人群中的运用价值.方法 采用分层整群抽样的方法,进行问卷调查,共调查1612人.对全部样本测定空腹血糖、血脂、BMI、血压等;用国际糖尿病联盟(IDF2005)和美国国家胆固醇教育计划成人治疗指南Ⅲ(ATPⅢ2005 AHA 修订)以及中国糖尿病联盟(CDs2004)诊断标准的MS定义对资料进行分析.结果宁夏农村地区回汉族成年人群三种标准MS标化患病率分别为15.00%(ATPⅢ2005 AHA 修订)、11.80%(IDF2005)和6.71%(CDs2004).按照IDF2005、ATPⅢ2005 AHA 修订的定义标准,回汉族成年人群MS标化患病率女性显著高于男性(16.3%vs.5.4%、18.9%vs.8.9%,P<0.01);但按照CDs2004标准研究发现男女性别间差异没有统计学意义(P>0.05);回族MS患病率均高于汉族(P<0.05).两民族MS患病率均随着年龄的增加而升高,而且回族在35岁后MS患病率均高于汉族.男性MS患病率两民族比较差异无统计学意义(P>0.05);女性MS患病率,回族显著高于汉族(P<0.05).结论 宁夏农村地区成年人群具有较高的MS患病率,不同民族的MS组分特点有较大差异,选择合适的MS诊断标准有利于该地区MS及心血管疾病的防治. |
| English Abstract: |
| Objective To describe the prevalence of metabolic syndrome(MS) among rural adult residents in Ningxia, under IDF2005 ATP Ⅲ 2005 AHA and CDs2004 definition. Methods Stratified cluster sampling methods was used and the participants were interviewed by trained health workers under a structured questionnaire. The number of research subjects was 1612. Fasting plasma glucose (FPG), blood lipids, body mass index (BMI) and blood pressure (BP) of all samples (1612 subjects) were measured, and related data was analysed by IDF2005, ATP Ⅲ 2005 AHA, as well as CDs2004 definition of MS. Results The age-standardized prevalence of MS was 15.00% by ATP Ⅲ 2005 AHA definition and 11.80%by IDF 2005 definition and 6.71% by CDs 2004 definition, respectively. Based on IDF 2005 and ATP Ⅲ 2005 AHA definition, women had higher prevalence than men (16.3% vs. 5.4%, 18.9% vs. 8.9%, P<0.01), but there was no significant difference (P>0.05) between them according to the CDs definition. MS prevalence among Hui (Muslim) ethnic group was higher than Han ethnic group(P<0.05). The prevalence of MS increased with age in all samples and the prevalence of MS started at age of 35 in Hui ethnic group, higher than in Han ethnic group. There was no significant difference in the prevalence rates of MS between male Hui ethnic group and male Han ethnic group (P>0.05). The prevalence of MS in female Hui ethnic group was higher than Han ethnic group females (P<0.05). Conclusion The prevalence of MS was high in the rural adult residents, in Ningxia. Clusters of MS components were commonly seen, and the main disorder appeared in lipid abnormalities and abnormal glucose metabolism. It is necessary to discuss that the cut off point of central obesity for the waist circumference diagnostic criteria of MS in different ethnic groups in China. Big differences on the components of MS were seen in different ethnic groups. It is important to choose suitable MS definition for prevention of MS and to reduce the incidence of cardiovascular disease. |
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