中国全科医学2017，Vol.20Issue(33)：4199-4203,5.DOI:10.3969/j.issn.1007-9572.2017.00.129
四川省西南地区汉族和彝族及苗族居民代谢综合征流行状况调查
Survey on the Epidemiologic Status of Metabolic Syndrome among Han, Yi and Miao Nationalities in Southwest Sichuan
摘要
Abstract
Objective To investigate the prevalence rate and epidemiologic features of metabolic syndrome (MS) among Han,Yi and Miao residents in southwest Sichuan Province,in order to provide a reference for MS prevention and intervention.Methods From January 2013 to December 2014,1 108 Han,Yi and Miao residents were selected from 20 townships of 4 cities in southwest Sichuan (including Liangshan Yi Autonomous Prefecture,Yibin,Leshan and Luzhou) in which ethnic minorities are relatively concentrated by multistage and cluster sampling.They were surveyed by a self-developed questionnaire and underwent physical examination and laboratory examination as well.The prevalence rate of MS in these participants was calculated and analyzed according to MS diagnostic criteria (IDF 2005).Results Of the 1 108 cases,1 022 responded to the survey effectively,giving a response rate of 92.2％,including 552 males and 470 females;173 aged 18-29,290 aged 30-44,322 aged 45-59 and 237 aged 60 or over;456 Han cases,361 Yi cases and 205 Miao cases.The crude prevalence rate of MS was 15.4％ in all the residents.The prevalence rates of MS in different age groups were significantly different (P ＜0.05).Han residents showed higher prevalence rate of MS (19.5％) than Yi residents (11.6％) as well as Miao residents (12.7％) (P ＜ 0.05).No significant sex-specific difference in the prevalence rate of MS was found (P ＞ 0.05).Compared with females,male residents had lower prevalence rates of central obesity and increased HDL-C (P ＜ 0.05).The prevalence rates of central obesity,increased TG,decreased HDL-C,hypertension and fasting blood glucose abnormalities in different age groups were significantly different (P ＜ 0.05).The prevalence rates of central obesity,increased TG,hypertension and fasting blood glucose abnormalities in residents of different nationalities were significantly different (P ＜0.05).Conclusion The prevalence rate of MS among Han,Yi and Miao people in southwest Sichuan is similar to that of the national average.Reasonable maintenance of healthy body weight is the most important measure for preventing MS.Moreover,strengthening health education and developing a reasonable diet and exercise habits can also be contributive to the reduction of the incidence of MS.关键词
代谢综合征X/流行病学/汉族/彝族/苗族Key words
Metabolic syndrome X/Epidemiology/Han nationality/Yi nationality/Miao nationality分类
医药卫生引用本文复制引用
刘永,刘峰,贾红..四川省西南地区汉族和彝族及苗族居民代谢综合征流行状况调查[J].中国全科医学,2017,20(33):4199-4203,5.基金项目
四川省教育厅基金项目(13ZB0259) （13ZB0259）
达能膳食营养研究与宣教基金(DIC 2013-03) （DIC 2013-03）
