目的旨在了解汕头市成人代谢综合征(MS)及其相关疾病的患病情况。方法采用分层随机整群抽样方法,调查2006年1月～2007年12月汕头市30～70岁居民3680人,全部进行空腹血糖、血脂、血尿酸等测定。结果调查对象MS的标化患病率为11.6%,而中心性肥胖、肥胖、糖尿病(DM)、糖调节受损(IGR)、高血压、高甘油三酯(TG)和低密度脂蛋白胆固醇(LDL-C)的标化患病率分别为32.1%、11.3%、10.0%、21.0%、28.4%、24.3%和3.9%。随着年龄的增加,MS各年龄组的患病率逐渐增高,其中45岁以下人群,男性MS患病率显著高于女性,55岁以下男性腹型肥胖、高血压和高TG血症患病率均高于女性,而在55岁以上人群中男女性别之间无显著差异。在30～70岁人群中2/3有不同程度的代谢异常,合并2种或2种以上代谢异常者约1/3,合并3种以上代谢异常者占1/5。结论汕头市MS的患病率较高,表现为代谢异常者以45岁以上的中老年人群为主。 Purpose To understand the prevalence of adult metabolic syndrome (MS) and related diseases in Shantou. Methods A stratified random cluster sampling method was used to investigate 3680 residents from 30 to 70 years old in Shantou from January 2006 to December 2007, all of them were tested for fasting blood glucose, blood lipid, blood uric acid and so on. Results The standardized prevalence of MS was 11.6%, while central obesity, obesity, diabetes mellitus (DM), impaired glucose regulation (IGR), hypertension, triglyceride (TG) and low density lipoprotein cholesterol (LDL-C) were 32.1%, 11.3%, 10.0%, 21.0%, 28.4%, 24.3% and 3.9%, respectively. The prevalence of MS in all age groups gradually increased with age, of which the prevalence of MS in men under 45 years old was significantly higher than that in women. The prevalence of abdominal obesity, hypertension and hypertriglyceridemia in men under 55 years old Rates were higher than women, but no significant difference between men and women in the population over the age of 55. About two-thirds of 30-70-year-olds had different degrees of metabolic abnormalities, about one third of those with two or more metabolic abnormalities, and one-fifth of those with more than three metabolic disorders. Conclusions The prevalence of MS in Shantou City is higher than that in middle-aged and elderly people over 45 years old.