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目的探讨广州市越秀区居民代谢综合征(MS)的流行病学特征,为该病的综合防治提供科学数据。方法 2011年至2013年随机抽取社区30岁以上居民共1 013例为调查对象,对调查对象的体质指数、血糖、血脂、血压及生活方式等进行描述性分析。结果社区居民MS患病率,男性(56.58%)高于女性(18.13%),差异有统计学意义(χ2=1.62,P<0.05);男性的超重、高血糖、高血压、血脂异常均高于女性,差异有统计学意义(χ2=97.25、17.30、1.69、1.19,P均<0.01);男性患有基础疾病(脑血管病、冠心病)及不良生活方式(吸烟、饮酒和不进行体育锻炼)大大增加了MS的患病率,差异有统计学意义(χ2=6.67、19.26、1.28、34.24、1.41,P均<0.05);无论男女,MS患病率均随年龄的增长而增高(8.70%、18.20%、31.61%、33.33%),差异均有统计学意义(P均<0.05)。结论社区居民的MS患病率男性高于女性,患病率的高低与不良的生活方式有关,且患病率随着年龄的增长而增高,患者需要进行治疗性生活方式干预,必要时需给予药物治疗。
Objective To investigate the epidemiological characteristics of metabolic syndrome (MS) in Yuexiu District of Guangzhou City and provide scientific data for the comprehensive prevention and treatment of the disease. Methods A total of 1 013 residents over the age of 30 in community were randomly selected from 2011 to 2013 as subjects to conduct a descriptive analysis of the body mass index, blood glucose, blood lipids, blood pressure and lifestyle of the surveyed subjects. Results The prevalence of MS in community residents was 56.58% higher than that of women (18.13%) (χ2 = 1.62, P <0.05). The prevalence of overweight, hyperglycemia, hypertension and dyslipidemia were significantly higher in male In women, the difference was statistically significant (χ2 = 97.25,17.30,1.69,1.19, P <0.01); men suffering from underlying diseases (cerebrovascular disease, coronary heart disease) and unhealthy lifestyles (smoking, drinking and not physical Exercise) greatly increased the prevalence of MS, the difference was statistically significant (χ2 = 6.67,19.26,1.28,34.24,1.41, P <0.05); both men and women, the prevalence of MS increased with age ( 8.70%, 18.20%, 31.61% and 33.33%, respectively) (all P <0.05). Conclusion The prevalence of MS in community residents is higher than that in women. The prevalence of MS is related to poor life style, and the prevalence increases with age. The patients need therapeutic lifestyle intervention and, if necessary, medical treatement.