【摘要】 目的了解内蒙古锡林郭勒盟太仆寺旗农民代谢综合征(MS)及其各组分的患病情况,分析MS的危险因素。方法采用整群随机抽样方法选取太仆寺旗366名农民(≥20岁)进行问卷调查、体格检查和实验室检查。结果 MS的粗患病率为17.5%,年龄标化患病率为11.5%。高血压、中心性肥胖、低高密度胆固醇(HDL-C)血症、高甘油三酯(TG)血症和高血糖的年龄标化患病率依次为26.7%、22.7%、21.8%、13.9%和7.3%。青壮年男性(年龄≤50岁)的MS患病率(28.3%)高于中老年男性(12.5%,P<0.05)。MS最常见的表现形式为中心性肥胖+高血压+高TG血症+低HDL-C血症,占MS总数的26.6%。饮食口味偏咸是MS的危险因素,男性、女性的OR值分别为14.27和22.76;男性MS的危险因素还包括高血压家族史、吸烟和高中以上文化程度,OR值分别为3.11、3.00和2.48;女性MS的危险因素还包括高血脂家族史和年龄大于50岁,OR值分别为13.96和3.28;青壮年MS的主要危险因素为饮食口味偏咸(OR=15.11)和糖尿病家族史(OR=8.95)。结论太仆寺旗农民的MS患病率高于全国农村平均水平,男性农民的MS患病有年轻化趋势,饮食口味偏咸和疾病家族史是MS的主要危险因素,建议加强对该地居民的健康教育,倡导低盐饮食和定期体检。更多还原

【Abstract】 Objective To estimate the prevalence of metabolic syndrome(MS) and its components and explore the risk factors among the rural population in Taibus Banner,Inner Mongolia.Methods Cluster random sampling was used to select 366 famers.Questionnaire survey,physical examinations and biochemical assessment were conducted among the subjects.Results The crude prevalence of MS was 17.5%,and age-adjusted prevalence was 11.5%.The aged-adjusted prevalences of high blood pressure,central obesity,low HDL cholesterol,hypertriglyceridaemia and high blood glucose were 26.7%,22.7%,21.8%,13.9% and 7.3% respectively.The prevalence of MS among young men under 50 years old(28.3%) was higher than the older(12.5%,P<0.05).The most common combination of MS components was central obesity,high blood pressure,hypertriglyceridaemia and low HDL cholesterol,accounting for 26.6% of MS patients.Multivariable logistic analysis showed that high salt diet was risk factor of MS for both men(OR=14.27) and women(OR=22.76);for male,factors associated with MS also included family history of hypertension(OR=3.11),smoking(OR=3.00) and higher education(OR=2.48);for female,risk factors also included family history of dyslipidemia(OR=13.96) and age>50years(OR=3.28).For young male under 50 years old,risk factors included high salt diet(OR=15.11) and family history of diabetes(OR=8.95).Conclusion The prevalences of MS and its components are high among farmers in Taibus Banner,and the age of male patients shows a trend of getting younger.High salt diet and family history were the main risk factors of MS.Health education and intervention should be strengthened to encourage low salt diet and routine physical examination.更多还原