【摘要】 目的探讨社区居民代谢综合征患病情况及膳食相关影响因素,为疾病防治提供依据。方法采用多级分层抽样方法,通过问卷调查、体格检查及实验室检查,对江苏省徐州市社区成人代谢综合征患病情况进行分析,并采用Logistic回归模型分析相关影响因素。结果共调查徐州市社区居民2 947人,其中男性1 674人,女性1 273人,代谢综合征患病率为10.32%,随着年龄增长患病率呈上升趋势;患者既往高血压和糖尿病患病率分别为55.6%和20.7%;多因素Logistic回归分析表明,代谢综合征的危险因素为年龄>60岁(OR=1.280,95%CI=1.059~1.548)、男性(OR=1.769,95%CI=1.237~2.528)、每周饮用白酒>200 mL(OR=1.961,95%CI=1.288~2.985)、每月盐摄入>300 g(OR=1.990,95%CI=1.365~2.901)、有既往高血压史(OR=6.868,95%CI=5.056~9.328)和糖尿病史(OR=7.506,95%CI=4.665~12.079);保护因素为食用营养补充剂(OR=0.685,95%CI=0.476~0.986);多因素模型的预测概率为90.9%。结论控制酒、盐的摄入量,适当食用营养补充剂对代谢综合征有一定预防作用。更多还原

【Abstract】 Objective To explore the influence of diatary on metabolic syndrome(MS) among community population and to supply dietary improvement suggestions for the prevention of MS.Methods Based on a cross-sectional population study,data were collected with a questionnaire survey,physical examination,and serological examination.Influence factors of MS were analyzed with logistic regression models using SPSS15.0.Results Among 2 943 residents(1 674 men and 1 273 women),the prevalence of MS was 10.32% by Diabetes Branch of Chinese Medical Associatiion(2004) criteria with an increasing tendency with age.The prevalence for hypertension and diabetes among the residents with MS was 55.6% and 20.7%,respectively.Risk factors for MS included age(odds ratio=1.280,95% confidence interval:1.059-1.548),gender(OR=1.769,95%CI:1.237-2.528),alcohol consumption(OR=1.961,95%CI:1.288-2.985),sodium intake>300 grams per month(OR=1.990,95%CI:1.365-2.901),the history of hypertension(OR=6.868,95%CI:5.056-9.328),and diabetes(OR=7.506,95%CI:4.665-12.079).Protective factor included nutritional supplements consumption(OR=0.685,95%CI:0.476-0.986).The correct prediction probability of MS by logistic regression models was 90.9%.Conclusion Controlling alcohol consumption and salt in the diet,consuming nutritional supplements suitable for MS may be useful to reduce the occurrence of MS.更多还原