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目的探讨南庄镇社区老年人代谢综合征(MS)的患病情况及相关危险因素。方法 2012年10月至12月在禅城区南庄镇19个村居通过分层、整群、随机抽样的方法,抽取3个社区60岁以上老年人共1024人进行问卷调查、体格检查、生化检查,分析MS的危险因素。结果 MS总患病率25.29%,其中男性患病率28.81%,女性22.91%,男、女MS患病率差异有统计学意义(P<0.05)。单因素分析显示:BMI、抽烟、喝酒、高盐饮食、高脂饮食、体育锻炼、蔬菜水果摄入、高脂血症、高尿酸血症、高血压、脂肪肝与MS关系密切(P<0.05,P<0.01);多因素分析显示:BMI、高脂饮食、高脂血症、高尿酸血症、高血压、脂肪肝是MS的危险因素(P<0.05,P<0.01),体育锻炼是MS的保护因素(P<0.05)。结论南庄镇社区老年人MS患病率较高,应制定社区老年人MS的干预策略,以降低老年人罹患心脑血管疾病的风险。
Objective To investigate the prevalence and related risk factors of metabolic syndrome (MS) in the elderly in Nanzhuang community. Methods From October to December 2012, 19 villages in Nanzhuang Town, Chancheng District were sampled by stratified cluster analysis and random sampling method. A total of 1024 persons aged 60 and over from 3 communities were selected for questionnaire survey, physical examination, Check, analyze the risk factors of MS. Results The overall prevalence of MS was 25.29%, of which 28.81% were male and 22.91% were female. There was significant difference in the prevalence of MS between male and female (P <0.05). Univariate analysis showed that the relationship between BMI, smoking, drinking, high salt diet, high fat diet, physical exercise, vegetable and fruit intake, hyperlipidemia, hyperuricemia, hypertension and fatty liver had close relationship with MS (P <0.05 , P <0.01). Multivariate analysis showed that BMI, high-fat diet, hyperlipidemia, hyperuricemia, hypertension and fatty liver were the risk factors of MS (P <0.05, P <0.01) MS protective factor (P <0.05). Conclusion There is a high prevalence of MS among the elderly in Nanzhuang community. Intervention strategies should be formulated to reduce the risk of cardiovascular and cerebrovascular diseases in the elderly.