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两种标准下江苏20岁以上人群代谢综合征的患病率调查

来自:中国糖尿病资讯网  编辑:editor|点击数:|2012-09-24

  [摘要] 目的 调查江苏代谢综合征(MS)的流行情况。 方法 整群随机抽样、问卷调查、体检行75克口服葡萄糖耐量试验(OGTT)及检查血脂等。MS诊断采用国际糖尿病联盟(IDF)及中华医学会糖尿病学分会(CDS)标准。 结果 (1)江苏省MS患病率按IDF标准经2000年全国人口标化后为19.94%,男性14.69%,女性20.78%;按CDS标准标化后总患病率为15.41%,男性19.56%,女性12.21%;(2)IDF标准农村MS患病率23.08%,城市23.24%;CDS标准农村18.85%,城市17.88%;(3)两种标准下MS者体重指数、空腹及OGTT2h血糖、血压、甘油三酯均高于非MS者。 结论 江苏省MS病率较高已成为影响人民们健康的公共卫生问题,应加强防治力度。

  [关键词]:代谢综合征;患病率

  Prevalence of metabolic syndrome among the population over 20 years of age in Jiangsu Province ZHU Hong, CAO Chang-chun, BI Yan, et al. Department of Endocrinology, Suqian People’s Hospital, Nanjing Drum Tower Hospital Group,Suqian 223800,China

  Corresponding Author: ZHU Da-long, E-mail: zhudldr@gmail.com

  【Abstract】 Objective To investigate the prevalence of metabolic syndrome (MS) in a resident sample aged over 20 years in Jiangsu Province. Methods A cross-over sectional and cluster sampling was carried out in residents living in Jiangsu province. The investigations including questionnaire, physical examination, 75g oral glucose-tolerance test and determination of blood lipids were done with the MS diagnostic criteria of International Diabetes Federation (IDF) and China Diabetes Society (CDS). Results (1). The prevalence of MS according to IDF criteria was 19.94% in total,14.69% in male and 20.78% in female. It was 15.41% in total, 19.56% in male and 12.21% in female, according to CDS criteria. (2). The prevalence of MS according to IDF criteria was 23.08% in rural area and 23.24% in city. It was 18.85% in rural area and 17.88% in city according to CDS criteria. (3). Under the two criteria, the BMI, fasting and 2-hour plasma glucose levels, blood pressure, and triglyceride were all higher among MS individuals than those without MS. Conclusion The prevalence of MS in the population over 20 years of age in Jiangsu Province is high and has become a public health problem requiring urgent attention for prevention and treatment.

  【Key words】 Metabolic syndrome; Prevalence

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