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目的分析山东省五莲县15岁以上常住居民中代谢综合征(MS)的相关危险因素,为制定干预措施提供科学依据。方法采用多阶段分层随机抽样的方法,对该地区的调查对象进行问卷调查、体格检查以及实验室检测。MS的诊断参考国际糖尿病联盟的标准(IDF 2005),应用单因素和多因素logistic回归分析方法分析MS的危险因素。结果该地区居民MS患病率为12.9%,男、女性分别为9.9%、15.6%。多因素logistic回归分析显示,女性(OR=5.57)、腰围(OR=1.21)、甘油三酯(OR=1.30)、血糖(OR=1.85)、收缩压(OR=1.01)、舒张压(OR=1.03)、血清胰岛素(OR=1.02)、纤维蛋白原(OR=1.39)为MS的危险因素。结论本研究结果认为,MS已成为调查地区一项重要的公共卫生问题,科学整合MS的临床特征以确定高危人群和个体,并采取特异性的综合干预措施已成为当务之急。
Objective To analyze the related risk factors of metabolic syndrome (MS) in resident population over 15 years old in Wulian County, Shandong Province, and to provide a scientific basis for the formulation of intervention measures. Methods A multi-stage stratified random sampling method was used to conduct questionnaires, physical examination and laboratory tests on the surveyed subjects in this area. MS diagnosis with reference to the International Diabetes Federation criteria (IDF 2005), the use of univariate and multivariate logistic regression analysis of MS risk factors. Results The prevalence of MS in this area was 12.9%, with 9.9% and 15.6% for males and females respectively. Multivariate logistic regression analysis showed that there was no significant difference between the two groups (OR = 5.57), waist circumference (OR = 1.21), triglyceride (OR = 1.30), blood glucose (OR = 1.85), systolic blood pressure 1.03), serum insulin (OR = 1.02) and fibrinogen (OR = 1.39) were risk factors for MS. Conclusion The results of this study suggest that MS has become an important public health problem in the area under investigation. Scientifically integrating the clinical features of MS to identify high-risk groups and individuals and adopting specific comprehensive interventions has become a top priority.