重庆市某社区代谢综合征及其组分发生率变化：一项10年随访研究

Changes in incidence of metabolic syndrome and its components in a community in Chongqing：a ten-year follow-up study

摘要:

目的：调查重庆市某社区人群10年期间代谢综合征（metabolic syndrome，MS）及其各组分发生率的变化情况。方法：分别于2003、2008、2013年，对该社区人群进行问卷调查、人体学测量、空腹及餐后2 h血糖、血脂检测等。MS定义采用2013年中华医学会糖尿病学会的建议标准。结果：该社区2003、2008、2013年分别有3 140、3 867、5 429人接受调查，MS标化患病率分别为21.0%、21.3%、25.4%，10年间有显著性增加（?字2=30.85，P<0.01）。10年间，该社区人群代谢组分中高血压和高血糖的发生率明显增加（?字2分别为9.43、374.55，P值均<0.01）。结论：该社区人群MS标化患病率在近十年内显著升高，系代谢组分中高血压及高血糖的发生率明显增加所致。

Abstract:

Objective：To investigate the changes in the incidence of metabolic syndrome and its components in a community in Chongqing during a period of ten years. Methods：Physical examinations including questionnaires，anthropometric measurements，fast－ing and postprandial blood glucose levels and blood lipid level testing were carried out in the community population in the years 2003，2008，and 2013 respectively. In the study，the criterion established by the Chinese Medical Association Diabetes Society（CDS） in 2013 was used to diagnose metabolic syndrome. Results：The number of participants in 2003，2008 and 2013 were 3 140，3 867 and 5 429 and the standardized prevalences of the metabolic syndrome were 21.0%，21.3% and 25.4% respectively，which increased sig－nificantly（?字2=30.85，P<0.01）. Incidence of both hypertension and hyperglycemia increased significantly during the ten years. Conclu－sion：The prevalence of metabolic syndrome significantly increased in the community in the recent ten years due to an increased inci－dence in hypertension and hyperglycemia.