引用本文:陆武韬,周为文,董 默,李晓鹏,秦秋兰,陈玉柱,杨 虹.广西10县(区)居民代谢综合征发生情况及影响因素分析[J].中国临床新医学,2022,15(9):853-858.
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广西10县(区)居民代谢综合征发生情况及影响因素分析
陆武韬,周为文,董 默,李晓鹏,秦秋兰,陈玉柱,杨 虹
530028 南宁,广西壮族自治区疾病预防控制中心营养与学校卫生所
摘要:
[摘要] 目的 分析广西城乡居民代谢综合征(MS)的发生情况及影响因素,为有针对性地制订MS防控策略提供科学依据。方法 采用多阶段整群随机抽样方法,于2015年8月至2015年11月抽选桂平市、宾阳县、合浦县、凌云县、富川县、罗城县、南宁市兴宁区、柳州市柳北区、钦州市钦北区、桂林市秀峰区10县(区)为调查点。每个监测点抽取3个乡镇(街道),每个乡镇(街道)抽取2个行政村(居委会),每个行政村(居委会)抽取20户开展调查。本次调查共纳入2 469人开展问卷调查、饮食膳食调查、体格测量和血液生化检测。结果 本次调查诊断出MS患者574例,非MS者1 895例,MS患病率为23.25%。城市居民的MS患病率为29.18%(213/730),乡镇居民的MS患病率为20.76%(361/1 739),差异有统计学意义(χ2=20.424,P=0.000)。男性MS组高血压、TG升高发生率高于女性MS组,中心性肥胖、HDL-C降低发生率低于女性MS组,差异有统计学意义(P<0.05)。城市居民MS组的谷类日摄入量低于非MS组,差异有统计学意义(P<0.05)。两组新鲜蔬菜、新鲜水果、动物性食物、大豆及坚果类、食用油、调味品盐的日摄入量比较差异无统计学意义(P>0.05)。乡镇居民MS组和非MS组的各食物种类日摄入量差异均无统计学意义(P>0.05)。二分类logistic回归分析结果显示,女性、有糖尿病家族史是促进MS发生的危险因素(P<0.05);以18~24岁为参考,年龄≥45岁是促进MS发生的危险因素(P<0.05);以正常体重为参考,消瘦是抑制MS发生的保护因素(P<0.05),而超重和肥胖是促进MS发生的危险因素(P<0.05);以轻体力劳动为参考,中、重体力劳动是抑制MS发生的保护因素(P<0.05)。结论 广西城乡居民MS的发生与性别、年龄、糖尿病家族史、体重情况、劳动强度及膳食因素等因素相关,在制定防控策略时应注重高危人群的筛查,通过健康教育使其养成良好的生活行为习惯,降低居民MS患病率。
关键词:  代谢综合征  影响因素  居民  膳食
DOI:10.3969/j.issn.1674-3806.2022.09.16
分类号:R 58
基金项目:
Analysis on the occurrence and influencing factors of metabolic syndrome among residents in 10 counties(districts) in Guangxi
LU Wu-tao, ZHOU Wei-wen, DONG Mo, et al.
Institute of Nutrition and School Health, Guangxi Center for Disease Prevention and Control, Nanning 530028, China
Abstract:
[Abstract] Objective To analyze the occurrence and influencing factors of metabolic syndrome(MS) in urban and rural residents in Guangxi, and to provide scientific basis for the formulation of prevention and control strategies on MS. Methods Multi-stage cluster random sampling method was used. From August 2015 to November 2015, 10 counties(districts) in Guangxi, including Guiping City, Binyang County, Hepu County, Lingyun County, Fuchuan County, Luocheng County, Xingning District of Nanning City, Liubei District of Liuzhou City, Qinbei District of Qinzhou City, and Xiufeng District of Guilin City were selected as the survey points. Three townships(subdistricts) were selected from each monitoring point, and 2 administrative villages(neighborhood committees) were selected from each township(subdistrict), and 20 households were selected from each administrative village(neighborhood committee) for investigation. This study finally included 2 469 respondents. Questionnaire surveys, diet and dietary surveys, anthropometric measurements and blood biochemical tests were carried out. Results In this survey, 574 patients were diagnosed with MS and 1 895 patients were diagnosed with non-MS, and the prevalence of MS was 23.25%. The prevalence of MS in the urban residents was 29.18%(213/730), and the prevalence of MS in the township residents was 20.76%(361/1 739), with a statistically significant difference(χ2=20.424, P=0.000). The incidence rates of hypertension and elevated triglyceride(TG) in the male MS group were higher than those in the female MS group, and the incidence rates of central obesity and reduced high-density lipoprotein cholesterol(HDL-C) in the male MS group were lower than those in the female MS group, and the differences were statistically significant(P<0.05). For the urban residents, the daily intake of cereals in the MS group was lower than that in the non-MS group, and the difference was statistically significant(P<0.05). There were no statistically significant differences in the daily intakes of fresh vegetable, fresh fruit, animal food, soybeans and nuts, edible oil and spices and salt(P>0.05). For the township residents, there were no significant differences in the daily intakes of various food types between the MS group and the non-MS group(P>0.05). The results of binary logistic regression analysis showed that female and family history of diabetes were the risk factors for the occurrence of MS(P<0.05); the age of 18-24 years taken as reference, age ≥45 years was a risk factor for the occurrence of MS(P<0.05); normal body weight taken as reference, weight loss was a protective factor against the occurrence of MS(P<0.05), while overweight and obesity were risk factors for the occurrence of MS(P<0.05); light physical labor taken as reference, medium and heavy physical labors were a protective factors against the occurrence of MS(P<0.05). Conclusion The occurrence of MS in urban and rural residents in Guangxi is related to gender, age, family history of diabetes, body weight, labor intensity and dietary factors. When prevention and control strategies are formulated, attention should be paid to the screening of high-risk groups. Health education should be used to make urban and rural residents develop good life behaviors and habits to reduce the prevalence of MS.
Key words:  Metabolic syndrome(MS)  Influencing factors  Residents  Diet