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目的了解延安市成人代谢综合征(metabolic syndrome,MS)及各组分患病情况。方法采用整群抽样方法 ,对延安市城区及乡镇居民20～74岁者1290人进行横断面调查,了解MS及各组分患病情况。结果延安市成人MS患病率为18.3%,其中男性为21.3%,女性为16.1%,差异有统计学意义(P<0.05);城乡居民间患病率差异无统计学意义。随着年龄的增长MS及各组分的患病率均有升高趋势,40岁以上明显增加。被调查的1290人中血脂异常、2型糖尿病、高血压及超重肥胖的患病率分别为35.7%,8.5%,21.4%和34.6%。结论延安市成人MS的患病率高于其他地区,以超重肥胖所占比例最高,其次是血脂异常,糖代谢异常相对少见,应重视对MS及各组分疾病的诊断并尽早采取综合防治措施。
Objective To understand the metabolic syndrome (MS) and the prevalence of each component in Yan’an City. Methods A cluster sampling method was used to conduct a cross-sectional survey of 1,290 residents aged 20-74 years in Yan’an City and townships to understand the prevalence of MS and its components. Results The prevalence of adult MS in Yan’an was 18.3%, of which 21.3% for males and 16.1% for females, the difference was statistically significant (P <0.05). There was no significant difference in prevalence among urban and rural residents. With the increase of age, the prevalence of MS and its components all showed an increasing trend, with a significant increase over the age of 40. The prevalence of dyslipidemia, type 2 diabetes, hypertension and overweight and obesity in 1290 people surveyed was 35.7%, 8.5%, 21.4% and 34.6%, respectively. Conclusion The prevalence of adult MS in Yan’an City is higher than that of other regions, with the highest proportion of overweight and obesity, followed by dyslipidemia, and the abnormal glucose metabolism is relatively rare. The diagnosis of MS and its components should be paid attention to and comprehensive prevention and control measures should be taken as soon as possible .