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目的对大连市1 150名公务员代谢综合征的流行病学特征及相关危险因素进行研究,为制定大连市公务员代谢综合征防控措施提供科学依据。方法 2012-2013年于大连大学附属中山医院体检中心体检的大连市政府机关在职公务员为研究对象,检测分析体重指数、血压、空腹血糖、血脂等指标。结果总体代谢综合征患病率为26.61%,男性高于女性(33.42%比11.11%,P<0.01);患病率随年龄增长而增加,50岁以上女性患病率显著上升(P<0.01)。人群中有3种指标代谢异常的比例高达17.21%,各种危险因素的组合形式中以“中心性肥胖+高TG血症+高血压”的3项组合的比例最多。结论大连市公务员人群代谢综合征患病率较高,患病人群主要为男性以及50岁以上女性,针对危险因素应采取综合有效的干预措施。
Objective To study the epidemiological characteristics and related risk factors of metabolic syndrome in 1 150 civil servants in Dalian City and provide scientific evidence for the prevention and control measures of metabolic syndrome in civil servants in Dalian. Methods 2012-2013 in-service civil servants in Dalian municipal government physical examination center of Zhongshan Hospital, Dalian University were tested for body mass index, blood pressure, fasting blood glucose, blood lipids and other indicators. Results The overall prevalence of metabolic syndrome was 26.61%, higher in males than in females (33.42% vs. 11.11%, P <0.01). The prevalence increased with age, and the prevalence of females over 50 years old was significantly higher than that of females (P <0.01) ). The proportion of metabolic abnormalities in three indicators of the population as high as 17.21%, a combination of various risk factors in the “central obesity + hypertriglyceridemia + hypertension” in the most three combinations. Conclusions The prevalence of metabolic syndrome in civil servants in Dalian City is high, and the prevalence is mainly male and those over 50 years old. Comprehensive and effective interventions should be taken according to the risk factors.