摘要
目的 了解深圳市成年人代谢综合征(MS)流行现状及影响因素,为制定MS防控策略提供科学依据.方法 采用多阶段分层随机抽样方法,于2021年4-12月对深圳市10个区18岁及以上常住居民进行问卷调查、体格检查和实验室检测.采用多因素logistic回归分析MS影响因素.结果 本研究共纳入6256名成年人,平均年龄(40.28±14.23)岁,男女性别比为0.99∶1.MS患者1 107例,患病率为17.70％(标化率19.63％).深圳市成年居民最常见的MS组合为"中心性肥胖+血压异常+高甘油三酯",占比28.18％(312例).多因素分析结果显示,女性(OR=0.589)、中学文化程度(OR=0.720)、大专及以上文化程度(OR=0.531)、体重过低(OR=0.160)是成年人MS的保护因素;35～64 岁(OR=2.379)、65～94 岁(OR=7.242)、超重(OR=6.292)、肥胖(OR=19.355)、现在吸烟(OR=1.316)和高尿酸(OR=2.040)是成年人MS的危险因素.结论 深圳市成年人MS患病率较高,需加强对大龄、男性、超重肥胖、吸烟及高尿酸等高危人群体重、血压、血糖、血脂的监测和干预,从而预防MS的发生.
Abstract
Objective To investigate the epidemiological status and influencing factors of adult metabolic syn-drome(MS)in Shenzhen,and to provide the scientific basis for the prevention and control strategy of MS.Methods A multi-stage stratified random sampling method was adopted to conduct questionnaire survey,physical examination,and laboratory testing among permanent residents aged 18 and above in 10 districts of Shenzhen from April to December 2021.Multivariate logistic regression was used to analyze the influencing factors of MS.Results A total of 6 256 adults were in-cluded,with a mean age of(40.28±14.23)years old,and male to female ratio was 0.99∶1.There were 1 107 participants with MS,the prevalence rate was 17.70％(standardized rate was 19.63％).The most common combination of MS was"ab-dominal obesity+abnormal blood pressure+high triglycerides",with a proportion of 28.18％(312 patients).The results of multivariate analysis showed that female(0R=0.589),secondary school education(0R=0.720),college and higher edu-cation(OR=0.531),underweight(OR=0.160)were protective factors for MS,and 35-64 years age group(OR=2.379),65-94 years age group(OR=7.242),overweight(OR=6.292),obesity(OR=19.355),smoking(OR=1.316),and hyper-uricemia(OR=2.040)were the risk factors for MS.Conclusions The prevalence of MS in adults in Shenzhen is relatively high.It is necessary to strengthen the monitoring and intervention of weight,blood pressure,blood glucose,and blood lipid in high-risk groups such as older men,overweight and obesity,smoking,and hyper-uricemia,so as to prevent the occur-rence of MS.
基金项目
深圳医学重点学科(SZXK065)
深圳市医疗卫生三名工程(SZSM202311019)
维普
万方数据