【摘要】 目的 了解南京市栖霞区≥65岁老年人代谢综合征(metabolic syndrome, MS)患病率的变化趋势及其相关影响因素，为采取针对性的干预措施提供参考依据。方法 采用分层随机抽样，选择2020―2022年在南京市栖霞区参与体检的≥65岁人群为研究对象，分析其MS患病率变化趋势及相关影响因素。结果 2020―2022年南京市栖霞区≥65岁人群的MS总患病率分别为36.72%、35.17%、33.80%,标化患病率分别为36.60%、35.11%、33.67%,呈下降趋势(趋势χ~2=41.021,P<0.001);城乡分层后，城市≥65岁人群MS患病率呈下降趋势(趋势χ~2=95.499,P<0.001);农村≥65岁人群MS患病率呈上升趋势(趋势χ~2=16.237,P<0.001)。结论 南京市栖霞区≥65岁人群MS总患病率2020―2022年虽然呈下降趋势，但依然较高，尤其是农村地区MS患病率呈上升趋势，农村地区女性MS患病率增幅快，应重点关注。更多还原

【Abstract】 Objective To investigate the trend of metabolic syndrome(MS) prevalence and related factors in elderly people aged ≥65 in Qixia District of Nanjing, and provide reference for targeted intervention measures. Methods Employing a method which the sampling technique was stratified and randomized, A stratified random sampling method was adopted. Elderly individuals aged ≥65 in the Qixia District of Nanjing who underwent health check-ups between 2020 and 2022 were selected as subjects. The trend in the prevalence of MS and the associated factors were analyzed. Results The overall prevalence rates of MS among the elderly in Qixia District of Nanjing were as follows: 36.72% in 2020, 35.17% in 2021, and 33.80% in 2022. The standardized prevalence rates were 36.60%, 35.11%, 33.67%, respectively. These rates indicated a decreasing trend(trend χ~2=41.021, P<0.001). When the data which was stratified by urban-rural differences, the prevalence of MS among urban elderly displayed a downward trend(trend χ~2=95.499, P<0.001). The prevalence of MS among rural elderly displayed an upward trend(trend χ~2=16.237, P<0.001). Conclusions Although the overall prevalence of MS in the elderly in Qixia District of Nanjing decreases from 2020 to 2022, it is still high. Especially in rural areas, the prevalence of MS shows an upward trend, particularly among rural females who urgent need for intervention.更多还原