论文部分内容阅读
目的了解苏北农村地区中老年高血压人群中代谢综合征(MS)的患病情况。方法对赣榆、东海县农村45～75岁原发性高血压人群进行流行病学调查,测量身高、体重、腰围、血压、血脂、空腹血糖,分别按照国际糖尿病联盟(IDF)和中华医学会糖尿病分会(CDS)的MS诊断标准计算患病率,并对性别、年龄、高血压水平(Ⅰ、Ⅱ、Ⅲ级)等影响因素进行相关分析。结果共调查11089人(男3985人,女7104人),IDF标准MS总患病率为44.3%,其中男、女MS患病率分别为25.4%、54.9%;CDS标准MS总患病率为37.0%,2种诊断标准的符合率为79.9%;女性BMI均值达26.1±4.9 Kg/m2,腰围超标者显著多于男性;已接受降压药物治疗的人群MS患病率高于新发高血压人群。结论苏北农村地区中老年高血压人群的MS患病率高于我国一般中老年人群的平均水平;45～75岁区间,男性MS患病率随年龄增加而显著降低,女性变化不大。肥胖女性高血压患者是MS的极高危人群。
Objective To understand the prevalence of metabolic syndrome (MS) in middle-aged and elderly hypertensive population in rural North Jiangsu. Methods Epidemiological survey of 45-75-year-old essential hypertensive population in rural Ganyu and Donghai counties was conducted to measure height, weight, waist circumference, blood pressure, blood lipids and fasting blood glucose. According to the International Diabetes Federation (IDF) and Chinese Medical Association The prevalence of MS was calculated according to the MS diagnostic criteria of Diabetes Branch (CDS), and related factors such as gender, age, and the level of hypertension (Ⅰ, Ⅱ and Ⅲ) were analyzed. Results A total of 11,089 people (3985 males and 7104 females) were surveyed. The overall prevalence rate of IDF standard MS was 44.3%, and the prevalence rates of male and female MS were 25.4% and 54.9% respectively. The overall prevalence of CDS standard MS was 37.0% respectively. The coincidence rate of the two diagnostic criteria was 79.9%. The average BMI of women reached 26.1 ± 4.9 Kg / m2, and the waist circumference exceeded the standard of men more than men. The prevalence of MS in those who received antihypertensive drug treatment was higher than that of new high People with blood pressure. Conclusion The prevalence of MS in middle-aged and elderly people in rural areas of northern Jiangsu Province is higher than that of the middle-aged and elderly people in our country. The prevalence of MS in men aged 45-75 years is significantly lower with the increasing of age. Obese women with high blood pressure are at very high risk for MS.