Objective To understand the current prevalence of metabolic syndrome (MS), and the analysis of the risk factors in minority areas of Linxia.Methods A multi-stratified cluster sampling method was conducted.1357 people with healthy examination were analyzed according to the modified 2005 National Cholesterol Education Program Adult Treatment Panel III (ATP) standard, the 2004 Chinese Diabetes Society (CDS) standard, and the International Diabetes Federation (IDF) standard;Biochemical indexes were detected by Automatic biochemical analyzer Dimension;the data was analysed by SPSS 22.0.Results Using ATP criteria, the total prevalence of MS was 26.01% (male: 32.56%, femal:16.21%).By using CDS standard, the total prevalence was 12.97% (male: 18.18%, female: 5.16%).Under IDF standard, the total prevalence was 12.45% (male: 15.60%, female: 7.74%).Regardless of standard types, the prevalence in male was higher than that in female.Using IDF standard, the percentage of FPG/TG/BP abnormal crowd was the highest of 84.62%, following by the percentage of FPG/TG/HDL-C abnormal crowd, which was 81.82%.Under the ATP standard, the percentage of FPG/TG/HDL-C/BMI was the lowest of 8.86%.By CDS standard, TG/HDL-C/BP was the lowest of 12.50%.Under IDF standard, FPG/HDL-C/BP/ BMI and TG/HDL-C/BP/ BMI were the lowest of 10.06%.Conclusion The prevalence of metabolic syndrome in Linxia was higher than the other part of China, and it has become a major public health problem affecting the health of Linxia residents.The long-term residents living in Linxia should actively take preventive control measures:dieting high carbohydrate and protein food, promoting a scientific way of life and decreasing the prevalence of MS and the risk factors of cardiovascular diseases.%目的 了解临夏市少数民族地区代谢综合征(metabolic syndrome,MS)患病率现况及危险因素构成比调查分析.方法 采用多级分层整群抽样的方法,选择临夏市健康体检者1357名作为研究对象;采用改良美国国家胆固醇教育计划成人治疗专家组(ATPⅢ)标准、中华医学会糖尿病学分会(CDS) 标准以及国际糖尿病联盟(IDF)标准;用Olympus5400全自动生化分析仪测定生化指标;SPSS 22.0统计软件分析数据.结果 采用ATPⅢ标准:临夏市总MS患病率为26.01%,男性为32.56%、女性16.21%.采用CDS标准:临夏市总患病率为12.97%,男性18.18%、女性5.16%.IDF标准:临夏市总患病率为12.45%,男性15.60%、女性7.74%.无论采用那类标准,男性患病率高于女性.临夏市健康体检人群各组分之间以IDF为标准FPG/TG/血压异常组合构成比最高,为84.62%;其次CDS为标准的FPG/TG/HDL-C异常组合构成比最高,为81.82%;ATPⅢ标准下FPG/TG/HDL-C/腰围(BMI)构成比最低,为8.86%;CDS标准下TG/HDL-C/血压构成比最低,为12.50%;IDF为标准下FPG/HDL-C/血压/腰围(BMI)、TG/HDL-C/血压/腰围(BMI)构成比最低为10.06%.结论 临夏市MS患病率相对于国内其他地区均处于较高水平,MS已成为影响临夏市居民健康的重大公共卫生问题.对于长期居住在临夏市的市民要积极采取预防控制措施,改变高糖、高蛋白饮食习惯,提倡科学的生活方式,降低MS患病率,减少心脑血管疾病发生的危险因素.
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