【摘要】目的了解宁夏农村地区成人代谢综合征的流行现状。方法采用分层、随机、整群抽样方法,对泾源县10639名成年人进行横断面调查,代谢综合征的纳入标准采用中国2型糖尿病防治指南(2013年版)。结果最终纳入10214人,农村地区成人代谢综合征的总患病率为17.4%,标化患病率为14.7%。代谢综合征患病率及标化患病率男性均高于女性(19.9%比15.3%,17.3%比13.5%,P〈0.001),并随着年龄的增长而增加(线性趋势检验,P〈0.05)。代谢综合征各组分的患病率和标化患病率分别为腹型肥胖(19.5%和16.7%)、高血糖(15.0%和12.9%)、高血压(42.0%和37.1%)、高TG血症(25.8%和23.1%)、低HDL-c血症(28.5%和27.7%)。腹型肥胖患病率女性高于男性(20.5%比18.2%,P=0.004),高血压、高TG血症、低HDL—C血症的患病率男性高于女性(P〈0.001)。人群中有1种代谢综合征异常组分的个体比例高达68.4%。结论宁夏农村地区成人代谢综合征的患病率较高,应开展一系列的综合防治措施来预防和控制代谢综合征,改善农村地区人群公共卫生状况。
Objective To investigate the prevalence of metabolic syndrome (MS) among adults in rural areas of Ningxia Hui autonomous region. Methods A cross-sectional study was conducted in 10 639 adults enrolled with a multistage method from Jingyuan County. The MS was identified according to Chinese type 2 diabetes prevention guide ( 2013 ). Results Among all the subjects, 17.4% of them met the MS definition with the standardized prevalence of 14.7% after adjustment of sex and age. The prevalence and standardized rate of MS in men were 19.9% and 17.3% , and in women were 15.3% and 13.5%. The prevalence of MS in men was higher than that in women ( P 〈 0. 001 ) and increased with aging in both genders. The prevalence and standardized rate of abdominal obesity, hyperglycemia, hypertension, high triglycerides,and low HDL-C were 19.5% and 16.7% , 15.0% and 12.9% , 42.0% and 37.1% , 25.8% and 23.1% , 28.5% and 27.7% ,respectively. The rate of abdominal obesity was higher in women than in men (20. 5% vs 18.2% , P =0. 004) , whereas the rate of hypertension, high triglycerides, and low HDL-C were higher in men than in women ( all P 〈 0. 01 ). The prevalence of having one parameter of the MS was 68.4%. Conclusion The prevalence of MS is higher in rural areas of Ningxia Hui autonomous region, suggesting that a series of comprehensive prevention measures should be carried out to prevent and control the MS so as to improve the public health conditions in rural areas.