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目的调查上海市杨浦区某社区55岁以上常住居民代谢综合征(metabolic syndrome,MS)患病状况,并分析吸烟、户外运动等日常行为习惯与MS的关系。方法采用随机整群抽样方法,选择上海市杨浦区某社区中老年常住居民进行问卷调查及体格检查、相关实验室检查,并分析与MS患病相关的影响因素。结果问卷填写完整并完成相关检查的共1 002人。根据2010年版中国2型糖尿病防治指南中MS的诊断标准,该社区55岁以上常住居民MS的患病率为18.66%(187/1 002),其中女性患病率为17.70%(120/678),男性患病率为20.68%(67/324)。经单因素和多因素分析显示,超重或肥胖、高血压、糖尿病史、高LDL-C及吸烟是患MS的主要因素(P<0.05)。结论杨浦社区中老年居民MS患病率高,超重或肥胖、高血压、糖尿病史、高LDL-C及吸烟是该地区中老年居民MS的患病因素,提示积极控制体质量和戒烟可作为预防该地区MS发生的社区早期干预性策略。
Objective To investigate the prevalence of metabolic syndrome (MS) among residents over 55 years old in a certain community in Yangpu District of Shanghai and to analyze the relationship between smoking habits and outdoor activities and MS. Methods A random cluster sampling method was used to select the middle-aged and elderly residents in a certain community in Yangpu District of Shanghai for questionnaire survey, physical examination and related laboratory tests, and to analyze the influencing factors related to MS prevalence. Results A total of 1,002 people completed the questionnaire and completed the relevant examinations. According to the diagnostic criteria of MS in Guideline for Type 2 Diabetes Prevention and Treatment in 2010 edition, the prevalence of MS among residents above 55 years old in this community was 18.66% (187/1 002), of which the prevalence was 17.70% (120/678) , Male prevalence was 20.68% (67/324). Univariate and multivariate analysis showed that overweight or obesity, hypertension, history of diabetes, high LDL-C and smoking were the main factors of MS (P <0.05). Conclusion The prevalence rate of MS, overweight or obesity, hypertension, diabetes mellitus, high LDL-C and smoking in middle-aged and elderly inhabitants in Yangpu community are the risk factors of MS in middle-aged and elderly residents in this area, suggesting that active control of body mass and smoking cessation may be used as prevention Community Early Intervention Strategies for MS in the Region.