中文摘要：

目的了解不同诊断标准下吉林省延边农村居民代谢综合征（MS）流行情况。方法采用分层整群随机抽样方法对吉林省延边市≥20岁5834名农村常住居民进行问卷调查、体格检查和生化检测;采用美国国家胆固醇教育计划指南（ATPIII）、国际糖尿病联盟（IDF）、中华医学会糖尿病学分会（CDS）和《中国成人血脂异常防治指南》（GCADP）4种MS诊断标准进行患病率比较及一致性检验。结果 ATPIII、IDF、CDS和GCADP标准下,朝鲜族男性MS的标化率分别为26.3%,16.5%,13.8%和24.2%,汉族男性分别为23.1%,15.2%,12.9%和20.2%,朝鲜族女性分别为30.3%,25.9%,12.0%和17.5%,汉族女性分别为29.4%,25.7%,10.3%和15.4%;ATPⅢ和IDF诊断标准的Kappa值为0.794;CDS与ATPⅢ、IDF分别为0.472,0.467;GCADP与ATPⅢ、IDF分别为0.747,0.616;CDS与GCADP为0.596。结论 4种标准诊断的MS标化率朝鲜族均高于汉族;GCADP与ATPⅢ、IDF诊断标准在延边人群中应用的一致性较好,但与CDS的一致性一般。

英文摘要：

Objective To compare the prevalence of metabolic syndrome（MS） and to evaluate the diagnostic criterion under different definitions for MS among Yanbian rural adults.Methods Totally 5 834 residents aged ≥ 20 years were selected wtih multiple-stage random cluster sampling and investigated with questionnaire survey,physician check and laboratory test.MS was diagnosed with American Cholesterol Training Programe Guideline（ATPIII）,International Diabetes Federation（IDF）,Chinese Medical Association-Diabetes Sub-Branch（CDS）,and Guideline for Chinese Adult Diabetes Prevention（GCADP） definition,respectively.Results The mean age-adjusted prevalence of MS under ATPIII,IDF,CDS,and GCADP definitions were 26.3%,16.5%,13.8%,24.2% for Korean men,23.1%,15.2%,12.9%,20.2% for Han men,30.3%,25.9%,12.0%,17.5% for Korean women,and 29.4%,25.7%,10.3%,15.4% for Han women,respectively.The Korean had higher prevalence than the Han（P 0.05 or P 0.01）.Kappa value（0.794） showed the highest consistency between ATPⅢ and IDF;the Kappa value was 0.747 between GCADP and ATPⅢ,0.616 between GCADP and IDF,0.472 between CDS and ATPⅢ,and 0.467 between CDS and IDF,respectively.Conclusion The Korean had higher prevalence of MS according to four definitions than the Han.Kappa value showed the high consistency between GCADP and ATPⅢ,and IDF,and showed the general consistency between GCADP and CDS.