Abstract
杨舒越,李松涛,应旭华,周文岳,王娜,姜庆五,付朝伟.浙江省海岛农村社区成年人代谢综合征发病率及其危险因素[J].Chinese journal of Epidemiology,2022,43(3):387-391
浙江省海岛农村社区成年人代谢综合征发病率及其危险因素
Incidence and risk factors of metabolic syndrome in rural community population on islands in Zhejiang province
Received:March 05, 2021  
DOI:10.3760/cma.j.cn112338-20210305-00175
KeyWord: 代谢综合征  前瞻性研究  发病  农村社区
English Key Word: Metabolic syndrome  Prospective study  Incidence  Rural community
FundProject:台州市科研计划(1802KY77)
Author NameAffiliationE-mail
Yang Shuyue School of Public Health/Key Laboratory of Public Health Safety, Ministry of Education/Key Laboratory of Health Technology Assessment, National Health and Health Commission, Fudan University, Shanghai 200032, China  
Li Songtao Yuhuan County Center for Disease Control and Prevention, Yuhuan 317600, China  
Ying Xuhua Yuhuan County Center for Disease Control and Prevention, Yuhuan 317600, China  
Zhou Wenyue Yuhuan County Center for Disease Control and Prevention, Yuhuan 317600, China  
Wang Na School of Public Health/Key Laboratory of Public Health Safety, Ministry of Education/Key Laboratory of Health Technology Assessment, National Health and Health Commission, Fudan University, Shanghai 200032, China  
Jiang Qingwu School of Public Health/Key Laboratory of Public Health Safety, Ministry of Education/Key Laboratory of Health Technology Assessment, National Health and Health Commission, Fudan University, Shanghai 200032, China  
Fu Chaowei School of Public Health/Key Laboratory of Public Health Safety, Ministry of Education/Key Laboratory of Health Technology Assessment, National Health and Health Commission, Fudan University, Shanghai 200032, China fcw@fudan.edu.cn 
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Abstract:
      目的 估计浙江省海岛农村社区成年人代谢综合征发病情况,探索该地区代谢综合征发病的相关影响因素。方法 2018年6-12月在浙江省玉环市对2012年开展的代谢综合征基线调查人群中无代谢综合征调查对象进行随访调查,获取相关调查表信息以及实验室数据,描述代谢综合征发病情况,使用logistic回归探索发病危险因素及调整风险比(aRR)和95%CI结果 3 162名随访对象中新发代谢综合征522例,6年累积发病率为16.5%,男女性累积发病率分别为12.3%、20.6%,女性高于男性(P<0.001)。无业、吸烟、饮酒调查对象中代谢综合征发病率较高。女性(aRR=1.96,95%CI:1.50~2.58)和高血压家族史(aRR=1.31,95%CI:1.04~1.63)为代谢综合征发病独立危险因素。结论 海岛农村社区成年人代谢综合征发病率相对较高,其中女性以及有高血压家族史者发病风险更高。
English Abstract:
      Objective To estimate the incidence of metabolic syndrome and explore possible risk factors for metabolic syndrome in adults of rural communities in Yuhuan county, Zhejiang province, China. Methods During June-December, 2018, a follow-up survey was conducted in participants without metabolic syndrome at baseline survey in 2012 to obtain the information collected in questionnaire survey, anthropometric data and laboratory data. The incidence of metabolic syndrome in the participants was estimated, and Logistic regression model was used to explore the risk factors, adjusted risk ratio (aRR) and 95%CI. Results Among 3 162 participants, 522 new metabolic syndrome cases were identified. The 6-year cumulative incidence rate of metabolic syndrome was 16.5%, and the cumulative incidence rate was higher in women (20.6%) than that in men (12.3%, P<0.001). Those incidence rates were higher in those in jobless, smoking or drinking groups. Being women (aRR=1.96, 95%CI:1.50-2.58) and family history of hypertension (aRR=1.31, 95%CI:1.04-1.63) were independent risk factors for metabolic syndrome.Conclusion The follow up indicated that the incidence of metabolic syndrome was relatively high in rural adults on islands in Zhejiang, and women or those with family history of hypertension were more likely to have metabolic syndrome.
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