慢性病学杂志2023,Vol.24Issue(1) :6-10.DOI:10.16440/J.CNKI.1674-8166.2023.01.02

上海市青浦区35岁及以上人群代谢综合征流行情况及其影响因素

Analysis of metabolic syndrome and influencing factors in a district of Shanghai population 35 years of age and older

郁晞 王森 谢玲丽 沈伟娟 顾春峰
慢性病学杂志2023,Vol.24Issue(1) :6-10.DOI:10.16440/J.CNKI.1674-8166.2023.01.02

上海市青浦区35岁及以上人群代谢综合征流行情况及其影响因素

Analysis of metabolic syndrome and influencing factors in a district of Shanghai population 35 years of age and older

郁晞 1王森 1谢玲丽 1沈伟娟 1顾春峰2
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作者信息

  • 1. 青浦区疾病预防控制中心健康教育科,上海 201799
  • 2. 重固镇社区卫生服务中心
  • 折叠

摘要

目的 分析上海市青浦区35岁及以上人群代谢综合征发病情况及主要影响因素.方法 采用多阶段分层抽样法对5 029名社区居民开展问卷调查、体格检查和血液生化指标检查.计算35岁及以上不同人群代谢综合征患病率,采用单因素和多因素回归分析评估代谢综合征的影响因素.结果 城市人群35岁及以上人群代谢综合征患病率为32.64%,城乡接合部人群患病率为32.46%,农村人群患病率为31.16%,不同城乡地区社区居民代谢综合征患病率差异无统计学意义(χ2=2.62,P=0.72).年龄、性别是代谢综合征患病的影响因素,不同文化程度、婚姻状况、户籍、吸烟、饮酒、畜禽肉摄入情况比较,差异有统计学意义(P<0.05);血液生化指标中,超敏C反应蛋白(high sensi-tivity C-reactive protein,hs-CRP)和同型半胱氨酸(homocysteine,Hcy)是重要的影响因子,差异有统计学意义(P<0.01).多因素回归分析显示,年龄大、女性、文化程度低、已婚或同居、丧偶、hs-CRP和Hcy水平异常是影响代谢综合征发生的独立危险因素,差异有统计学意义(P<0.05).结论 上海市青浦区代谢综合征患病率较高,年龄大、女性、hs-CRP和Hcy是影响代谢综合征发生的危险因素.

Abstract

Objective To determine the prevalence of metabolic syndrome and the main influencing factors among residents>35 years of age in a suburb of Shanghai.Methods A multi-stage cluster sampling method was used to administer a questionnaire survey,perform physical examinations,and blood biochemical index testing among 5 029 community residents.The prevalence of metabolic syndrome in different populations>35 years of age was calculated.Single and multiple factor regression analyses were used to evaluate the factors influencing metabolic syndrome.Results The prevalence of metabolic syndrome in an urban population>35 years of age was 32.64%,32.46%in an urban rural fringe population,and 31.16%in a rural population;the differences were not statistically significant(χ2=2.62,P=0.72).Age and gender were influencing factors for metabolic syndrome.There were statistical differences in educational levels,marital status,registered residence,cigarette smoking,alcohol consumption,and meat intake(P<0.05).Among the blood biochemical indicators,high-sensitive C-reactive protein and homocysteine were important influencing factors(P<0.01).Based on multivariate regression analysis it was found that higher age,female,low educational levels,marital status,and abnormal homocysteine and high-sensitivity C-reactive protein levels were risk factors for metabolic syndrome(P<0.05).Conclusions The prevalence of metabolic syndrome is high in a community in Shanghai,and higher age,female,and abnormal serum high-sensitivity C-reactive protein and homocysteine levels are risk factors.

关键词

代谢综合征/超敏C反应蛋白/同型半胱氨酸/流行特征

Key words

Metabolic syndrome/High-sensitivity C-reactive protein/Homocysteine/Epidemic characteristics

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出版年

2023
慢性病学杂志

慢性病学杂志

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