新疆哈萨克族人群代谢综合征患病率调查

郭恒; 郭淑霞; 张景玉; 马儒林; 芮东升; 徐上知; 孙凤; 胡傲容; 杨志明

Abstract

郭恒,郭淑霞,张景玉,马儒林,芮东升,徐上知,孙凤,胡傲容,杨志明.新疆哈萨克族人群代谢综合征患病率调查[J].Chinese journal of Epidemiology,2010,31(7):747-750

新疆哈萨克族人群代谢综合征患病率调查

Study on the prevalence of metabolic syndrome among the Kazakh population in Xinjiang

Received:October 20, 2010

DOI：

KeyWord: 代谢综合征哈萨克族患病率诊断标准

English Key Word: Metabolic syndrome Kazakh Prevalence Diagnosis standard

FundProject:国家科技支撵计划(2009BAl82804)；新疆生产建设兵团国际科技合作项目(2009YD33)

Author Name	Affiliation	E-mail
GUO Heng	Department of Preventive Medicine, School of Medicine, Shihezi University, Shihezi 832002, China
GUO Shu-xia	Department of Preventive Medicine, School of Medicine, Shihezi University, Shihezi 832002, China	pge888@sina.com
ZHANG Jing-yu	Department of Preventive Medicine, School of Medicine, Shihezi University, Shihezi 832002, China
MA Ru-lin	Department of Preventive Medicine, School of Medicine, Shihezi University, Shihezi 832002, China
RUI Dong-sheng	Department of Preventive Medicine, School of Medicine, Shihezi University, Shihezi 832002, China
XU Shang-zhi	Department of Preventive Medicine, School of Medicine, Shihezi University, Shihezi 832002, China
SUN Feng	Department of Preventive Medicine, School of Medicine, Shihezi University, Shihezi 832002, China
HU Ao-rong	Suizhou Center for Disease Control and Prevention
YANG Zhi-ming	Outpatient Department of International Relationship College of the PLA

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Abstract:

目的调查新疆哈萨克族人群代谢综合征(MS)患病状况,并应用美国国家胆固醇教育成人治疗组(NCEP-ATP Ⅲ)、中华医学会糖尿病学会分会(CDS)、国际糖尿病联盟(IDF)诊断标准对哈萨克族MS患病率进行对比分析.方法采用整群随机抽样的方法,对新疆部分地区常住哈萨克族居民进行问卷调查、体格检查和血生化检测,共收集资料完整者2745例;分别应用NCEP-ATP Ⅲ、CDS、IDF标准诊断MS及组分,分析哈萨克族MS患病率及组分分布特点.结果 NCEP-ATP Ⅲ、CDS、IDF标准诊断MS粗患病率分别为18.5%、14.2%和26.6%;年龄标化后患病率依次是14.2%、10.9%和20.1%.NCEP-ATPⅢ和IDF标准男性MS患病率高于女性,CDS标准则相反,3种标准的MS患病率都随年龄增加而上升.3种标准诊断的MS组分中肥胖、血压升高和HDL-C异常检出率较高;≥1、≥2、≥3、≥4、5个MS组分检出率由高到低依次是IDF标准、ATP Ⅲ标准、CDS标准.结论 3种诊断标准的哈萨克族MS患病率和性别分布有差异,IDF标准患病率最高,IDF标准对早期发现哈萨克族心血管病风险优于其他两种标准.

English Abstract:

Objective To analyze the prevalence of metabolic syndrome (MS) in Kazakh population, using the NCEP-ATP Ⅲ, CDS, IDF MS standards.Methods Questionnaire-based survey,physical examination and blood testing were conducted according to cluster random samplings in Kazakh residents in Xinjiang. 2745 samples were collected and diagnosed by NCEP-ATP Ⅲ, CDS,IDF standards to analyze the prevalence, with the distribution of its main components of MS, among the Kazakhs population. Results The prevalence rates of MS diagnosed by NCEP-ATP Ⅲ, CDS,IDF standards were 18.5%, 14.2% and 26.6%, while they became 14.2%, 10.9% and 20.1% after standardized by age. The prevalence of MS diagnosed by NCEP-ATP Ⅲ and IDF standard in males were higher than in females, while CDS was in the opposite situtation. The prevalence of MS by these three standards increased with age. Among all the main components of MS diagnosed after these three standardization process, the prevalence of obesity, blood pressure rising and the abnormity of HDL-C were rather high. The prevalence of MS main components ≥1, ≥2, ≥3, ≥4, 5 ranked the highest compared to the lowest as to the IDF, ATP Ⅲ ' and CDS diagnostic. standards Conclusion The prevalence rates and gender distribution of MS diagnosed by different standards among Kazakhs were different. The prevalence of IDF standard was the highest, with the IDF standard better than the others in early identifying the risk factors of cardiovascular disease.

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