目的 比较4种代谢综合征诊断标准(CDS、JIS、IDF、ATP Ⅲ)在南京地区≥60岁老年人群中的适用性.方法 2017年4-10月,采用分层整群抽样方法,在南京地区抽取年龄≥60岁居民15 545名,采用入户面对面问卷调查与现场测量及实验室检测,计算4种标准下代谢综合征(MS)患病率,使用Kappa检验比较一致性.结果 南京地区≥60岁老年人群在JIS标准下 MS 患病率最高(43.1％),其次为 ATP Ⅲ标准(39.3％)、IDF 标准(32.3％)、CDS 标准(28.3％).CDS、ATPⅢ、IDF标准确诊病例各组分占比最高均为高血压(91.2％、85.5％、84.2％),JIS标准下组分占比最高为中心型肥胖(88.4％)o JIS标准和ATP Ⅲ标准诊断一致性极好,一致率为96.2％,Kappa值为0.92(P＜0.01).结论 南京地区≥60岁老年人群4种MS标准诊断的患病率存在差异,JIS标准诊断的患病率最高,运用JIS标准和ATP Ⅲ标准有助于老年人群MS的早发现.
Comparison of the applicability of four criteria for diagnosis of metabolic syndrome among the elderly at ages of 60 years and older in Nanjing City
Objective To compare the applicability of four criteria defined by the Chinese Diabetes Society(CDS),Joint Interim Statement(JIS),International Diabetes Federation(IDF)and National Cholesterol Education Program Adult Treatment Panel Ⅲ(NCEP-ATP Ⅲ)for diagnosis of metabolic syndromes among the elderly at ages of 60 years and older in Nanjing City.Methods A total of 15 545 residents at ages of 60 years and older were sampled from Nanjing City using a stratified cluster sampling method during the period between April and October,2017.The prevalence of metabolic syndrome was estimated using household questionnaire sur-veys,field measurements and laboratory tests,and the consistency was compared with the Kappa statistic.Results The prevalence of metabolic syndrome was 43.1％according to the JIS criteria,39.3％according to the ATP Ⅲ criteria,32.3％according to the IDF cri-teria and 28.3％according to the CDS criteria among the elderly at ages of 60 years and older in Nanjing City.The highest proportion of metabolic syndrome components was all hypertension according to the CDS(91.2％),ATP Ⅲ(85.5％)and IDF criteria(84.2％),and the greatest proportion of metabolic syndrome components was central obesity according to the JIS criteria(88.4％).A high consis-tency was observed between the JIS and ATP Ⅲ criteria,with a consistent rate of 96.2％and Kappa value of 0.92(P＜0.01).Conclusions The prevalence of metabolic syndrome varies in four diagnostic criteria among the elderly at ages of 60 years and older in Nanjing City,and the highest prevalence of metabolic syndrome is observed using the JIS criteria.The use of JIS and ATP Ⅲ criteria fa-cilitates early identification of metabolic syndrome among the elderly in Nanjing City.
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