河北省中老年人代谢综合征患病现状及影响因素

赵晶晶; 曹亚景; 单广良; 唐丽娟; 潘利; 张玲; 李玫; 史卫卫; 高金钗; 孙纪新

doi:10.16462/j.cnki.zhjbkz.2020.10.005

河北省中老年人代谢综合征患病现状及影响因素

doi: 10.16462/j.cnki.zhjbkz.2020.10.005

1.
050021 石家庄, 河北省疾病预防控制中心慢性非传染性疾病防治所
100005 北京, 中国医学科学院基础医学研究所
100069 北京, 首都医科大学公共卫生学院

基金项目:

国家重点研发计划 2016YFC0900600

国家重点研发计划 2016YFC0900603

河北省医学科学研究课题计划 20200697

详细信息

通讯作者:
孙纪新，E-mail：jixinsun888@163.com

中图分类号: R563.9
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- 文章访问数: 400
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- 被引次数: 0
出版历程
- 收稿日期: 2020-02-24
- 修回日期: 2020-06-06
- 刊出日期: 2020-11-18

Analysis on prevalence of metabolic syndrome and its influencing factors among middle-aged and above in Hebei Province

1.
Department of Chronic Non-communicable Diseases Prevention and Control, Hebei Province Center for Disease Prevention and Control, Shijiazhuang 050021, China
Department of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, Beijing 100005, China
Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University, Beijing 100069, China

Funds:

The National Key Research and Development Program of China 2016YFC0900600

The National Key Research and Development Program of China 2016YFC0900603

Medical Science Research Project of Hebei Province 20200697

More Information

Corresponding author: SUN Ji-xin，E-mail:jixinsun888@163.com

摘要

摘要: 目的了解河北省中老年人代谢综合征（metabolic syndrome，MS）的患病现状及影响因素。方法利用京津冀地区生活社区自然人群慢性病队列研究数据，分析河北省七个区县4 546名40~80岁居民MS的患病情况，采用多因素Logistic回归分析模型探讨MS患病的相关影响因素。结果 MS患病率为25.30%，其中男性患病率为28.59%，女性为23.09%；汉族患病率为28.15%，满族为21.07%。MS各组分中，超重肥胖、高血压、高血糖和血脂紊乱的患病率分别为50.99%、46.70%、22.06%和43.16%。多因素Logistic回归分析模型分析结果显示，女性（OR=0.69，95% CI：0.57~0.83，P＜0.001）、满族（OR=0.68，95% CI：0.59~0.79，P＜0.001）和较高的文化程度（相对于小学及以下文化者，高中/初中和大专及以上OR分别为0.83和0.75）是保护因素，高龄（与40~岁年龄组相比，50~岁、60~岁和70~岁年龄组OR分别为1.81、1.76和1.50）是危险因素。结论河北省中老年人MS患病率较高，特别是在高龄、男性、汉族和低文化程度人群中。在对人群进行针对性防控的同时应采取积极措施控制体重。
- 代谢综合征 /
- 患病率 /
- 危险因素
Abstract: Objective To understand the prevalence of metabolic syndrome (MS) and its influencing factors among middle-aged and above in Hebei Province. Methods Using data from the chronic disease cohort study of natural populations in living communities in the Beijing-Tianjin-Hebei region, the prevalence of MS among 4 546 residents aged 40-80 years old in seven districts or counties of Hebei Province was analyzed, and the multivariate logistic regression model was used to explore the related influencing factors of MS prevalence. Results The prevalence of MS was 25.30%. Among them, the prevalence of men was 28.59%, and that of women was 23.09%; the prevalence of Han was 28.15%, and the Manchu was 21.07%. Among the components of MS, the prevalence of overweight/obesity, hypertension, hyperglycemia and dyslipidemia were 50.99%, 46.70%, 22.06% and 43.16%, respectively. Multivariate logistic regression results showed that females (OR=0.69, 95% CI:0.57-0.83, P ＜ 0.001), Manchus (OR=0.68, 95% CI:0.59-0.79, P ＜ 0.001), and higher education levels (compared to those with primary school and below, the odds ratio for high school/junior high school and college or above were 0.83 and 0.75, respectively) were protective factors, and the advanced age (compared with 40-49 years old age group, the odds ratio for 50-59 years old, 60-69 years old and 70-80 years old age group were 1.81, 1.76 and 1.50, respectively) was risk factors. Conclusions The prevalence of metabolic syndrome in Hebei is relatively high, especially among elderly, male, Han and low-education people. When carrying out targeted prevention and control of the crowd, active measures should be taken to control weight.
- Metabolic syndrome /
- Prevalence /
- Risk factor

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表 1 2017年7―9月河北省研究人群的基本特征

Table 1. Characteristics of all participants in Hebei from July to eptember 2017

特征	合计		男性		女性
特征	人数	构成比(%)	人数	构成比(%)	人数	构成比(%)
年龄组(岁)
40~	1 470	32.34	521	28.59	949	34.84
50~	1 671	36.76	688	37.76	983	36.09
60~	1 068	23.49	466	25.58	602	22.10
70~80	337	7.41	147	8.07	190	6.98
民族
汉族	2 714	59.70	1 102	60.48	1 612	59.18
满族	1 832	40.30	720	39.52	1 112	40.82
现住址
城镇	1 972	43.38	759	41.66	1 213	44.53
农村	2 574	56.62	1 063	58.34	1 511	55.47
文化程度
小学及以下	1 664	36.60	440	24.15	1 224	44.93
高中/初中	2 247	49.43	1 081	59.33	1 166	42.80
大专及以上	635	13.97	301	16.52	334	12.26
吸烟
从不吸烟	3 159	69.49	561	30.79	2 598	95.37
吸烟/已戒烟	1 387	30.51	1 261	69.21	126	4.63
饮酒
从不饮酒	2 218	48.79	210	11.53	2 008	73.72
饮酒/已戒酒	2 328	51.21	1 612	88.47	716	26.28
合计	4 546	100.00	1 822	100.00	2 724	100.00

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表 2 2017年7―9月河北省不同特征中老年人MS及其组分患病情况

Table 2. The prevalence of MS and MS components in different characteristics of Hebei from July to September 2017

特征	调查人数	MS(%)	χ²值	P值	超重/肥胖(%)	χ²值	P值	高血压(%)	χ²值	P值	高血糖(%)	χ²值	P值	血脂紊乱(%)	χ²值	P值
性别			17.50	＜0.001		1.77	0.184		29.23	＜0.001		26.86	＜0.001		0.51	0.477
男性	1 822	28.59			52.20			51.59			25.96			43.80
女性	2 724	23.09			50.18			43.43			19.46			42.73
年龄组(岁)			63.21	＜0.001		22.28	＜0.001		315.41	＜0.001		91.86	＜0.001		29.18	＜0.001
40~	1 470	17.96			51.29			29.73			13.95			41.63
50~	1 671	28.49			54.22			48.59			23.94			47.46
60~	1 068	29.87			48.60			60.21			28.18			41.76
70~	337	27.00			41.25			68.55			28.78			32.94
民族			29.02	＜0.001		47.66	＜0.001		16.27	＜0.001		47.18	＜0.001		1.30	0.254
汉族	2 714	28.15			55.20			49.15			25.53			43.85
满族	1 832	21.07			44.76			43.07			16.92			42.14
现住址			1.87	0.172		1.66	0.198		66.48	＜0.001		0.08	0.778		2.84	0.092
城镇	1 972	24.29			49.90			39.81			22.26			44.57
农村	2 574	26.07			51.83			51.98			21.91			42.07
文化程度			13.29	0.001		13.80	0.001		95.00	＜0.001		6.84	0.033		1.02	0.600
小学及以下	1 664	27.52			51.50			53.61			22.06			42.55
高中/初中	2 247	25.10			52.51			46.02			23.14			43.12
大专及以上	635	20.16			44.25			31.02			18.27			44.88
吸烟			8.84	0.003		1.87	0.171		29.60	＜0.001		11.15	0.001		0.00	0.998
从不吸烟	3 159	24.03			51.66			44.03			20.70			42.74
吸烟/已戒烟	1 387	28.19			49.46			52.78			25.16			44.12
饮酒			0.47	0.491		0.00	0.998		1.53	0.216		2.34	0.126		0.07	0.798
从不饮酒	2 218	24.84			50.99			45.76			21.10			42.97
饮酒/已戒酒	2 328	25.73			50.99			47.59			22.98			43.34
合计	4 546	25.30			50.99			46.70			22.06			43.16

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表 3 2017年7―9月河北省中老年人MS影响因素的多因素Logistic回归分析结果

Table 3. Factors associated with MS from multivariate Logistic regression models in Hebei from July to eptember 2017

因素	β值	S_x	Wald χ²值	OR(95%CI)	P值
性别
男性				1.00
女性	-0.38	0.10	14.62	0.69 (0.57~0.83)	＜0.001
年龄组(岁)
40~				1.00
50~	0.59	0.09	45.25	1.81 (1.52~2.15)	＜0.001
60~	0.56	0.10	31.93	1.76 (1.45~2.14)	＜0.001
70~80	0.41	0.14	7.92	1.50 (1.13~2.00)	0.005
民族
汉族				1.00
满族	-0.38	0.07	27.30	0.68 (0.59~0.79)	＜0.001
文化程度
小学及以下				1.00
高中/初中	-0.18	0.08	5.20	0.83 (0.72~0.97)	0.023
大专及以上	-0.29	0.12	5.41	0.75 (0.59~0.96)	0.020
吸烟
从不吸烟				1.00
吸烟/已戒烟	-0.11	0.10	1.21	0.89 (0.73~1.09)	0.270

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