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乌鲁木齐市三宫社区553名中老年代谢综合征的流行病学调查

ISSN号：2095-4344
期刊名称：《中国组织工程研究》
时间：0
分类：R318[医药卫生—生物医学工程;医药卫生—基础医学]
作者机构：[1]新疆医科大学第一附属医院内分泌科,830054, [2]新疆医科大学第一附属医院医院循证医学教研室,830054, [3]新疆维吾尔自治区第二济困医院内科,830026
相关基金：新疆自然科学基金（200821111）; 新疆医科大学第一附属医院循证医学专项基金（2007-X2-03）; 新疆维吾尔自治区重点学科（内科学）建设经费资助（2004-2008）

作者：赵慧[1], 朱筠[1,2], 王志宏[3], 张丽[1], 艾比拜[1], 伊力多斯[1], 曾小云[1]

中文摘要：

背景：乌鲁木齐是一个多民族聚集地,受民族饮食风俗习惯影响,饮食结构为高蛋白、高脂肪、高热量的摄入,代谢性及心血管疾病患病率较高。目的：分析乌鲁木齐三宫社区35～74岁中老年人群中代谢综合征及各组分的患病现况,旨在提供三宫社区35～74岁一般成年人群代谢综合征及各组分患病率的最新资料。方法：在2008年乌鲁木齐市安装公司、煤机厂及三公司社区街道居民代谢病及相关疾病基线调查资料中,取有完整血糖、血脂、血压、胰岛素等资料的35～74岁人群共553人（男203人,女350人）列入分析。代谢综合征的诊断根据2005-04国际糖尿病联盟（IDF）颁布的代谢综合征的工作定义。结果与结论：乌鲁木齐三宫社区35～74岁中老年人群年龄标化后代谢综合征患病率为35.48%,男女分别为33.46%,36.57%;男性45岁以上及女性在55岁以上代谢综合征患病率明显升高,55～64岁达到高峰。代谢综合征中常见的表现形式是腹型肥胖＋血脂异常＋糖调节受损及腹型肥胖＋血脂异常＋高血压＋糖调节受损。结果表明,乌鲁木齐社区45岁以上中老年人中代谢综合征及相关疾病的患病率很高,且多种代谢异常的聚集较为严重。

英文摘要：

BACKGROUND：Urumqi is a multi-ethnic gathering place,due to high protein,high fat and high calorie dietetic habits,people suffered high risk of metabolic diseases and cardiovascular diseases.OBJECTIVE：To investigate estimates of the prevalence of the metabolic syndrome and its main components in the general adult population at the age of 35-74 years in Sangong community of Urumqi.METHODS：Data were gathered from baseline survey of metabolic disease and its co-morbodities in Anzhuang Company,Meiji Factory,and the Third Corporation of Urumqi in 2008.Totally 553 subjects（203 males and 350 females） with complete laboratory data,including plasma glucose,lipid profile,blood pressure,and serum insulin were analyzed in this study.Metabolic syndrome was diagnosed according to the definition proposed by International Diabetes Federation in 2005.RESULTS AND CONCLUSION：The age-standardized prevalence of metabolic syndrome was 35.48% in adults aged 35-74 years in Sangong community,which was 33.46% in male and 36.57% in female;The prevalence of metabolic syndrome was increased in male aged over 45 years and in female aged over 55 years,reached a peak in subjects aged 55-64 years.The common manifestation of metabolic syndrome was abdominal obesity ＋ dyslipidemia ＋ impaired glueose regulation,with or without hypertention.The results demonstrated that for adults over 45 years in Sangong community,the prevalence of metablic syndrome and its related diseases is very high,with serious clustering metabolic disorders.

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