【摘要】 目的:了解20岁以上成年人代谢综合征的发生率;对比分析其相关的危险因素及保护因素。方法:(1)通过1026名20岁以上成人体检,应用修订的代谢综合征的美国诊断标准,凡具备以下5项标准中3项及3项以上者,即①体质指数(BMI)≥24,②甘油三酯ρ(TG)≥150mg/dL,③高密度脂蛋白胆固醇ρ(HDL-C)男<40mg/dL、ρ(HDL-C)女<50mg/dL,④空腹血糖ρ(FBG)≥110mg/dL,⑤收缩期血压(SBP)≥130mmHg或舒张期血压(DBP)≥85mmHg或SBP/DBP≥130mmHg/85mmHg(1mmHg=0.133kPa),诊断为代谢综合征,共检出136名为病例组。(2)从既往无高血压、糖尿病、冠心病及血脂异常史,且本次筛检未纳入代谢综合征的人群中,抽取与病例组性别、年龄相当的136名进行配对调查分析,计算其相关因素的χ2值、P值、机会比(OR)值,以及机会比值的95%可信限(OR95%CI)。结果:(1)从1026名中共检出代谢综合征136名,其发生率为13 26%;(2)调查分析发现摄入过量和长时间处于坐位而又缺乏运动两项可能为代谢综合征的危险因素;而运动可能是代谢综合征的保护因素。结论:(1)本次广东地区部分人群筛查20岁以上成人代谢综合征的发生率为13 26%,虽较美国人为低,但中年组为17 48%,老年组高达29 27%,必须引起重视;(2)坚持终身运动和合理膳食可能是预防代谢综合征的切实可行、?更多还原

【Abstract】 Aim: To survey metabolic syndrome prevalence rate of adults age >20 years and to analyse its dangerous and protective factors. Methods: 1) Through an on-the-spot check of 1 026 adults(age ≥20 years), 136 patients with metabolic syndrome were diagnosed by the revised American criterion who are met three terms or above 3 terms of this criterion, namely ①BMI≥24, ②ρ(TG)≥150 mg/dL, ③ρ(HDL-c)Male<40 mg/dL、 ρ(HDL-c)Female<50 mg/dL, ④fast blood glucose ρ(FBG)≥110 mg/dL, ⑤SBP≥130 mmHg or DBP≥85 mmHg or SBP /DBP≥130/85 mmHg .2) 136 adults were made control group who were with the checked and diagnosed no metabolic syndrome and not had the medical histories of hypertension, diabetes, coronary heart disease and abnormal lipoproteinemia. Between the metabolic syndrome group and control group the sex and age were comparable, The values of χ2, P, opportunity ratio (OR)　and　OR 95%CI　of correlation factors were all calculated. WTHZResults: 1)136 patients with metabolic syndrome were checked out from 1 026 adults(age≥20 years),the metabolic syndrome prevalence rate was 1326%;2)The analyzing results showed that the overintaking of the eaten edibles, sitting for a long time and lacking of exercises may be dangerous factors and that persisting exercises may be protective factor against metabolic syndrome. Conclusion: 1)Although the overall prevalence rate 13.26% of adults (age ≥20 years) in the part area of Guangdong was lower than that 21.80% of American, that of middle-age and senile groups was 17.48% and 29.27% respectively, so that it is necessary that epidemic condition of metabolic syndrome should be paged affention to seriously. 2)Because exercise may be protecting factor and overintake of eaten edibles may be dangerous factor so that persisting in exercise whole life long and rational meals may be effective economical and easily applicable measures for preventing metabolic syndrome.更多还原