【摘要】 目的探讨生活方式与代谢综合征的关系。方法采用流行病学现况研究的方法,于2003年1月对上海市平凉社区20～74岁居民进行调查,检测代谢综合征的相关指标并记录其生活方式。结果共调查和检测2132名,其中男性852名、女性1280名,代谢综合征现患率为13.4%。代谢综合征患者体质指数(BMI)、腰臀比(WHR)、收缩压(SBP)、舒张压(DBP)、甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)及空腹血糖(FPG)均显著高于非代谢综合征者(P<0.05),高密度脂蛋白胆固醇(HDL-C)显著低于非代谢综合征者(P<0.05)。BMI、WHR及职业和休闲体力活动均与代谢综合征发生呈显著相关,其OR(95%CI)分别3.37(2.70～4.22)、7.25(5.53～9.51)、0.71(0.56～0.90)和0.74(0.58～0.94)。文化程度高者(受教育年限≥10年)代谢综合征现患率为38.5%,显著低于文化程度低者46.6%(P<0.01);其BMI、SBP、DBP、LDL-C、TC、FPG亦显著低于文化程度低者(P<0.01)。结论影响代谢综合征的主要因素有BMI、WHR、职业和休闲体力活动;教育在代谢综合征现患率中扮演着重要角色。建立良好的生活方式在代谢综合征的预防和控制中有重要意义。更多还原

【Abstract】 Objective To explore the relationship between life style and metabolic syndrome(MS).Methods Residents aged 20 to 74 years in Shanghai Pingliang community were investigated in January 2003.Results A total of 2 132 residents were enrolled,including 852 males and 1 280 females.Prevalence of MS was 13.4%.Body mass index(BMI),waist to hip ratio(WHR),systolic blood pressure(SBP),diastolic blood pressure(DBP),serum triglyceride(TG),total cholesterol(TC),low-density lipoprotein cholesterol(LDL-C),and fasting plasma glucose(FPG)in people with MS were significantly higher than those without MS(P<0.05).While high-density lipoprotein cholesterol was significantly lower in people with MS than those without MS(P<0.05).Logistic regression analysis indicated that the relatives risks(95%CI)of BMI,WHR,occupational activities,and rest activities were 3.37(2.70-4.22),7.25(5.53-9.51),0.71(0.56-0.90),and 0.74(0.58-0.94),respectively.The prevalence of MS in people with higher educational level(receiving education time≥10 years)was significantly lower than in those with lower educational level(38.5% vs.46.6%,P<0.01).Residents with higher educational levels had lower BMI,SBP,DBP,LDL-C,TC,and FPG(P< 0.01).Conclusions BMI,WHR,and occupational activities are important factors for MS.Education background plays an important role in MS.Healthy life style is important to prevent and control MS.更多还原