目的 了解重庆市社区老年人代谢综合征(MS)的患病情况及主要危险因素,为开展老年人MS社区防治提供依据.方法 采用整群随机抽样方法,抽取重庆市沙坪坝区老年人2740人,对老年人代谢综合征的症候群及影响因素进行多因素Logistic回归分析.结果 重庆市老年人MS患病率为19.74％,男性16.79％,女性21.99％;多因素Logistic回归结果表明,年龄增加(OR=1.128)、吸烟(OR=1.173)、饮酒(OR=1.389)、腰围(OR=1.609)、腰臀比(WHR)(OR=1.401)、高血压家族史(OR=1.637)是MS的重要危险因素,月饮食消费水平(OR =0.823)是MS的保护因素.结论 重庆市老年人MS及其相关代谢异常患病率较高,制定基于社区老年人MS的干预策略,以降低心血管事件的发生非常必要.%Objective To investigate the prevalence and related risk factors of metabolic syndrome (MS) among elderly persons in communities of Chongqing, and provide evidence for prevention and control measures. Methods 2740 elderly persons above 60 years old were selected and investigated by stratified cluster sampling method, and logistic regression was carried out for related risk factors analysis. Results The prevalence of MS in Chongqing among the elderly was 19. 74% (16. 79% in males and 21. 99% in females). Among the potential risk factors of MS, multivariate logistic regression analysis results suggested that age (OR = 1. 128) , smoking (OR = 1. 173) , drinking (OR = 1. 389) , waist (OR = 1. 609 ) , WHR ( OR = 1. 401) and hypertension family history ( OR = 1. 637 ) were positive associated with MS prevalence , food consumption per month ( OR = 0. 823) was negative associated with MS. Conclusion Prevalence of MS and its related disorders are highly among the elderly in Chongqing. The comprehensive interventions targeting the community elderly persons with MS are necessary to reduce the cardiovascular events.
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