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目的在国际糖尿病联盟(IDF)代谢综合征(MS)诊断标准下分析兰州电力职工代谢综合征及主要组成成分患病率,并分析其流行特征。方法采用整群随机抽样方法抽取单位20岁以上职工3465例,其中男性2030人,女性1435人,按不同年龄、性别分组进行流行病学调查。结果该单位职工MS的患病率为16.31%,男性为16.65%,女性为15.82%。MS主要组成成分患病率分别为超重或肥胖为43.06%,高血压为35.27%,血糖升高为11.37%,高甘油三酯为38.10%,低HDL-C为22.14%。45～55之间男性MS患病率明显高于女性,55～65岁之间女性MS患病率略高于男性。MS患病率随年龄增加而增加,65岁及以上人群MS患病率高达29.48%。结论代谢综合征及其主要组成成分的患病率随年龄增加呈现增长趋势,明显高于国内既往报道,接近发达国家水平。青年中心型肥胖发病率明显高于我国其他地区,应该对该人群进行早期积极有效的全面干预。
Objective To analyze the prevalence of metabolic syndrome and its major components in Lanzhou Electric Power Company under the diagnostic criteria of the International Diabetes Federation (IDF) Metabolic Syndrome (MS) and to analyze its epidemiological characteristics. Methods A total of 3465 workers over the age of 20 were recruited by cluster sampling method, including 2030 males and 1435 females. Epidemiological investigation was conducted by grouping according to age and sex. Results The prevalence of MS was 16.31%, 16.65% in males and 15.82% in females. The prevalence of major components of MS were 43.06% overweight or obesity, 35.27% of hypertension, 11.37% of hyperglycemia, 38.10% of high triglycerides and 22.14% of low HDL-C, respectively. The prevalence of MS in men between 45 and 55 was significantly higher than that in women. The prevalence of MS in women aged 55-65 was slightly higher than that in men. The prevalence of MS increases with age, and the prevalence of MS in people aged 65 and over is as high as 29.48%. Conclusion The prevalence of metabolic syndrome and its major components shows an increasing trend with age, which is obviously higher than that of previous reports in China and close to the level of developed countries. The incidence of youth center obesity was significantly higher than that of other parts of our country, and the population should be actively and effectively intervened early.