·糖尿病临床流行病学·

　　陆宏虹 郭志荣 陈冯梅 何丽萍 顾霖 顾静

　　作者单位：215008苏州市立医院北区内分泌科(陆宏虹、顾霖、顾静);苏州大学流行病学教研室(郭志荣、陈冯梅);苏州市体检中心(何丽萍)

　　【摘要】 目的 了解苏州市70岁以上老年居民代谢综合征(MS)现状与特点。方法 抽样调查苏州市20个社区70岁以上常住老年居民2552名，内容涉及人口特征、经济收入、生活习惯、慢性病及医疗状况，检测身高、体重、腰围、血压、FPG、FIns、TG、HDL-C等。使用国际糖尿病联盟MS工作定义诊断代谢综合征。计算MS及各组分的患病率，并分析MS患病的影响因素。 结果 MS总患病率为21.8%, 男女患病率分别为11.8%、29.2%;向心性肥胖、高TG、低HDL-C、血糖升高、血压升高的患病率分别为48.7%, 18.5%, 5.6%, 28.7%, 67.4%;有一项以上代谢异常的比例男女分别高达78.2%、90.1%;随年龄增长，女性MS患病率呈下降趋势;MS患病的影响因素有年龄、性别、BMI、胰岛素抵抗、高血压与糖尿病家族史、体育锻炼和经济收入。 结论 苏州市老年居民MS患病率较高，尤以低龄老年女性为主。

　　【关键词】代谢综合征;患病率; 流行病学调查

　　doi:10.3969/j.issn.1006-6187.2011.04.004

　　A state survey of metabolic syndrome in Suzhou elderly residents aged 70 years and over

　　LU Hong-hong, GUO Zhi-rong, CHEN Feng-mei, et al. Department of Endocrinology, The Suzhou Municiple Hospital, Suzhou University, Suzhou 215008, China

　　【Abstract】 Objective To investigate the prevalence of the metabolic syndrome (MS) of the elderly residents aged 70 years and over in Suzhou. Methods We analyzed data on 2552 residents aged 70 years or older from a cross section health survey of Suzhou. Anthropometry data, economic situation, life habits, history of chronic diseases and medical state were collected. Weight, height, blood pressure were measured. The fasting serum levels of glucose, insulin, HDL-C and TG were detected. MS was defined by IDF-2005. Results The prevalence of MS was 21.8%, with 11.8% in male and 29.2% in female. The prevalences of obesity, high TG，low HDL-C，high blood sugar and hypertension were 48.7%, 18.5%, 5.6%, 28.7%, 67.4% respectively. 78.2% male and 90.1% female had one or more components of MS. The female prevalence of MS was decreased along with ageing. The major risk factors for MS were age, sex, BMI, HOMA-IR, family histories of hypertension and diabetes, physical exercise, and economic income. Conclusion The prevalence of MS is high in Suzhou elderly residents, especially in aged female.

　　【Key words】Metabolic syndrome; Prevalence; Epidemiological investigation