發(fā)布時(shí)間：2018-07-24 20:48

【摘要】： 第一部分北京和南京代謝綜合征流行情況 目的本研究旨在通過(guò)對(duì)比北京和南京兩地代謝綜合征(MS)的流行情況,進(jìn)一步了解MS流行特點(diǎn),為預(yù)防和控制提供可靠依據(jù)。 方法我們于2005～2006年采用整群抽樣的方法,在北京和南京兩地35～70歲人群中選擇有代表性的城市社區(qū)和農(nóng)村自然村進(jìn)行橫斷面調(diào)查,共調(diào)查了8042個(gè)家庭。代謝綜合癥的診斷標(biāo)準(zhǔn)依據(jù)2005年國(guó)際糖尿病聯(lián)盟推薦的適合中國(guó)人群部分,進(jìn)行診斷和組分分類。 結(jié)果在入選的6123人中,MS患病粗率為29.6%。年齡標(biāo)化后的MS患病率北京和南京地區(qū)分別為32.6%和21.9%,男女分別為19.5%和33.6%,城市和農(nóng)村地區(qū)分別為28.4%和27.0%。從結(jié)果可以看出,MS患病率隨年齡的增加而逐漸增高(P＜0.0001),北京居民的MS患病率高于南京居民(P＜0.0001),城市居民高于農(nóng)村居民(P=0.0040),女性高于男性(P＜0.0001)。 結(jié)論本結(jié)果從一定程度上反映我國(guó)成年人MS患病率有逐年升高的趨勢(shì),地區(qū)間和城鄉(xiāng)間差異顯著。因此制定預(yù)防、控制和治療的衛(wèi)生策略迫在眉睫。同時(shí)應(yīng)建立規(guī)范的適合中國(guó)人群的診斷標(biāo)準(zhǔn)。 第二部分:北京和南京兩地代謝綜合征危險(xiǎn)因素分析 目的:分析北京和南京兩地人群代謝綜合征的危險(xiǎn)因素。 方法:采用整群抽樣的方法對(duì)北京和南京的6123人進(jìn)行流行病學(xué)調(diào)查,應(yīng)用IDF(2005)定義。采用多因素logistic回歸的方法分析可能存在的危險(xiǎn)因素。 結(jié)果:男性和女性的年齡標(biāo)化患病率分別為19.5%和33.6%。多因素條件logistic回歸結(jié)果表明,女性(OR=4.8298;95%CI[1.8958,12.3042])、年齡增長(zhǎng)(OR=1.0596;95%CI[1.0505,1.0689])、過(guò)去吸煙(OR=1.3472;95%CI[1.0606,1.7113])、糖尿病家族史(OR=1.4021;95%CI[1.1377,1.7279])、高血壓家族史(OR=1.4377;95%CI[1.2528,1.6498])、年齡性別交互作用(OR=0.9482:95%CI[0.9316,0.9650])、居住在北京(OR=1.7304;95%CI[1.5013,1.9946])和性別城鄉(xiāng)交互作用(OR=2.5215;95%CI[1.7508,3.6314])均是MS的危險(xiǎn)因素。 結(jié)論:代謝綜合征是多重危險(xiǎn)因素共同作用的結(jié)果,其中女性、慢病家族史是其重要的危險(xiǎn)因素。
[Abstract]:The first part is the prevalence of metabolic syndrome in Beijing and Nanjing. Objective the purpose of this study was to compare the prevalence of metabolic syndrome (MS) between Beijing and Nanjing in order to further understand the epidemic characteristics of MS. To provide reliable basis for prevention and control. Methods from 2005 to 2006, a cluster sampling method was used to investigate 8042 families in representative urban communities and rural natural villages among 3570 year old people in Beijing and Nanjing. The diagnostic criteria for metabolic syndrome are based on the Chinese population section recommended by the International Diabetes Federation in 2005. Results the gross rate of MS was 29.6in 6123 selected persons. The prevalence of MS in Beijing and Nanjing was 32.6% and 21.9%, 19.5% and 33.6% in male and female, 28.4% and 27.0% in urban and rural areas, respectively. The results showed that the prevalence rate of MS increased with the increase of age (P < 0.0001). The prevalence rate of MS in Beijing residents was higher than that in Nanjing residents (P < 0.0001), in urban residents was higher than that in rural residents (P0. 0040), and in women was higher than that in males (P < 0.0001). Conclusion to some extent, the prevalence rate of MS in Chinese adults is increasing year by year, and there are significant differences between different regions and between urban and rural areas. Therefore, it is urgent to formulate health strategies for prevention, control and treatment. At the same time, a standard diagnostic standard for Chinese population should be established. Part two: analysis of risk factors of metabolic syndrome in Beijing and Nanjing objective: to analyze the risk factors of metabolic syndrome in Beijing and Nanjing. Methods: 6123 people in Beijing and Nanjing were investigated by cluster sampling and defined by IDF (2005). Multivariate logistic regression was used to analyze the possible risk factors. Results: the age-standardized prevalence rates of males and females were 19. 5% and 33. 6%, respectively. 澶氬洜绱犳潯浠秎ogistic鍥炲綊緇撴灉琛ㄦ槑,濂蟲，

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