【摘要】 目的探讨济宁市任城区代谢综合征(metabolic syndrome,MS)的患病情况及其影响因素。方法采用现况研究方法,先随机抽取济宁市任城区9个街道13个社区卫生服务中心,再随机抽取1647户居民进行问卷调查。用χ2检验,单因素及多因素logistic回归分析MS患病影响因素。结果回收有效问卷27099份,其中男性12731份,占47%;女性14368份,占53%,平均年龄(50.16±16.73)岁。MS患病人数3465人,患病率为12.79%,其中男性9.69%,女性15.53%。单因素分析发现,不同性别、年龄、文化程度、婚姻状况、BMI、腰围(WC)、腰臀比(WHR)、腰围身高比(WHtR)、吸烟、体育锻炼情况MS患病率差异均有统计学意义(P<0.05),多因素logistic回归分析显示:年龄(OR及95%CI:17.03,13.96～20.77)、BMI(OR及95%CI:1.84,1.63～2.07)、WC(OR及95%CI:7.16,5.96～8.61)、WHR(OR及95%CI:1.20,1.05～1.36)、WHtR(OR及95%CI:1.90,1.52～2.36)、吸烟(OR及95%CI:1.17,1.01～1.37)是MS的危险因素,文化程度高(OR及95%CI:0.75,0.59～0.92)、体育锻炼(OR及95%CI:0.86,0.62～0.98)是MS的保护因素。结论年龄的增长,体重、WC、WHR、WHtR的增加以及吸烟可使MS患病危险增加,适当体育锻炼、高文化程度可减少MS的发生。更多还原

【Abstract】 Objective To investigate the prevalent status and influencing factors of metabolic syndrome( MS)in Rencheng district of Jining. Methods Use cross-sectional study. 9 streets of 13 community health service centers were randomly selected from Rencheng District of Jining,and then randomly selected 1647 households. Univariate and multivariate logistic regression analysis was used to analyze the relationship between MS and factors.Results A total of 27,099 valid questionnaires were collected,of which 12731 were male( 47 %),14368 female( 53 %),and average age( 50. 16 ± 16. 73). The prevalence of MS was 12. 79 %,including 9. 69 % in males and 15. 53 % in females. According to univariate analysis,there were statistically significant differences in the prevalence of MS among different genders,ages,educational level,marital status BMI,waist circumference( WC),waist-to-hip ratio( WHR),waist circumference to height ratio( WHtR),smoking status and physical exercise( P< 0. 05). Multivariate logistic regression analysis showed that: age( OR and 95 % CI: 17. 03,13. 96 ～ 20.77),BMI( OR and 95 % CI: 1. 84,1. 63 ～ 2. 07) 、WC( OR and 95 % CI: 7. 16,5. 96 ～ 8. 61),WHR( OR and95 % CI: 1. 20,1. 05 ～ 1. 36),WHtR( OR and 95 % CI: l. 90,1. 52 ～ 2. 36) and smoking( OR and 95 % CI: 1. 17,1. 01 ～ 1. 37) were risk factors for MS,high education level( OR and 95 % CI: 0. 75,0. 59 ～ 0. 92) and physical exercise( OR and 95 % CI: 0. 86,0. 62 ～ 0. 98) were protective factors. There was no significant difference between prevalence of MS and genders or marital status( P > 0. 05). Conclusion The increase of BMI,age and smoking can increase the risk of MS,and appropriate physical exercise and high education can reduce the incidence of MS.更多还原