中国动脉硬化杂志2012,Vol.20Issue(2):181-184,4.
新疆汉族30~80岁人群代谢综合征流行病学调查及三种诊断标准的对比研究
Epidemiological Investigation and Comparison of Three Different Metabolic Syndrome Diagnostic Criteria on Xingjiang Han Population Aged 30 to 80
蒋升 1杜国利 1伊力多斯·阿里什 1张莉 2严丽君 2谢自敬1
作者信息
- 1. 新疆医科大学第一附属医院内分泌科,新疆乌鲁木齐市830013
- 2. 武警新疆总队医院,新疆乌鲁木齐市830000
- 折叠
摘要
Abstract
Aim To investigate the prevalence of metabolic syndrome ( MS) among Xingjiang Han populationaged 30-80 and compare the differences of three diagnostic criteria used for MS, which are the National Cholesterol Education Program( ATPM ) international Diabetes Federation(IDF) and Chinese Medical Association Diabetes Branch(CDS). Methods A cross-sectional study was conducted on 2656 Xingjiang Han people aged 30-80. The prevalence of MS and the degree of agreement were both calculated according to the three definitions and the results of MS components were also analyzed. Results According to the three definitions( ATP M , IDF and CDS) ,The prevalence( adjusted preva-lence) of MS were 27. 03% (27. 18% ) ,22. 40% (20. 39% ) and 16. 04% (16. 02% ). According to the three definitions (ATP IH, IDF and CDS), the prevalence of subjects presenteding at least 3 risk factors were 98. 64% , 97. 9% and 92. 81%. Among all the MS subjects, the MS diagnostic criteria of ATP El and IDF were in good accordance with Kappa index (0. 7801) ,Youden index (0. 7928) and concordance rate ( 0. 9026). CDS was in relatively weak agreement when comparing with other definitions (ATPHI and IDF). Conclusion Our findings revealed big differences in the preva-lence , the degree of agreement and aggregation of risk components on MS among Xingjiang Han population. IDF criteria' s detection rate of MS was the most, ATPII criteria' s detection rate of subjects presenteding at least 3 risk factors was the most, the concordance of ATP M criteria and IDF was better.关键词
汉族/代谢综合征/诊断标准Key words
Han Population/ Metabolic Syndrome/ Diagnostic Criteria分类
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蒋升,杜国利,伊力多斯·阿里什,张莉,严丽君,谢自敬..新疆汉族30~80岁人群代谢综合征流行病学调查及三种诊断标准的对比研究[J].中国动脉硬化杂志,2012,20(2):181-184,4.