中国全科医学2026，Vol.29Issue(30)：4424-4430,7.DOI:10.12114/j.issn.1007-9572.2025.0440
北京市石景山区中老年居民代谢综合征患病现状及行为生活方式影响因素研究
Analysis of the Current Status of Metabolic Syndrome among Middle-aged and Elderly People in Shijingshan District,Beijing,and Its Behavioral and Lifestyle Influencing Factors
摘要
Abstract
Background Metabolic syndrome(MS)is a cluster of multiple cardiovascular metabolic risk factors.It has a high prevalence among middle-aged and elderly individuals and can significantly increase the risk of various serious diseases,thus seriously affecting population health and the process of population aging.It is influenced by multiple factors,including demographic characteristics,lifestyle,and genetic factors.Among them,behavioral lifestyle is modifiable and controllable,making it a key focus in the prevention and control of chronic diseases.Given the significant regional differences in lifestyle among residents in China,conducting local research can provide evidence for the prevention and control of MS among middle-aged and elderly individuals in Beijing.Objective To investigate the current status of MS among middle-aged and elderly individuals in Shijingshan District,Beijing,and its behavioral and lifestyle-related risk factors,providing a theoretical basis for preventing MS through behavioral and lifestyle interventions among this population.Methods This study was conducted using the data from the Beijing Vascular Health Stratification(BVHS)Study.A cross-sectional survey was conducted from July to September 2020 in the Jindingjie Community of Shijingshan District,Beijing.A total of 1 647 permanent residents were selected as study participants,and 1 569 cases were included in the analysis based on inclusion and exclusion criteria.The questionnaire survey included demographic characteristics,behavioral lifestyle factors,and chronic disease prevalence.Chi-square analysis was used for univariate analysis,and multivariate logistic regression analysis was employed to identify risk factors for the occurrence of MS.Results Among the 1 569 valid respondents,there were 374 cases of MS,with an MS prevalence of 23.84%.The participants were divided into the MS group(n=374)and the non-MS group(n=1 195).Among the components of MS,overweight and/or obesity had the highest prevalence(65.20%,1 023 cases),followed by hyperlipidemia(42.32%,664 cases),hypertension(39.45%,619 cases),and diabetes(19.50%,306 cases).For comorbid conditions,the prevalence of overweight and/or obesity combined with hypertension,as well as overweight and/or obesity combined with hyperlipidemia,both exceeded 30%.The co-prevalence of all four MS components was 6.44%.Of the 374 patients with MS,358(95.47%)had overweight and/or obesity.Univariate analysis showed significant differences between the MS group and non-MS group in age,education level,physical activity,noon napping duration,daily sleep duration,smoking status,staple food intake,egg intake,and vegetable intake(P<0.05).Multivariate Logistic regression analysis,after adjusting for age and education level,demonstrated that adequate physical activity(OR=0.667,95%CI=0.456-0.976),6-8 hours of sleep(OR=0.641,95%CI=0.495-0.830),more than 8 hours of sleep(OR=0.566,95%CI=0.368-0.871),and the intake of 8-13 eggs per week(OR=0.361,95%CI=0.184-0.708)were protective factors for MS(P<0.05),while noon nap duration exceeding 60 minutes(OR=1.508,95%CI=1.079-2.109)was a risk factor(P<0.05).Conclusion Among 1 569 middle-aged and elderly participants in Beijing,the prevalence of MS was 23.84%,with overweight/obesity(65.2%)being the most common component disease.Adequate physical activity,sufficient sleep,and appropriate egg intake were protective factors against MS,while long-duration noon napping risk factors.High staple food intake showed an increasing trend toward higher MS risk,and a higher educational level was associated with a reduced risk of MS.In conclusion,was in the elderly is associated with various behavioral lifestyle factors,including physical activity,diet,and sleep.关键词
代谢综合征/生活方式/中年人/老年人/影响因素分析/北京Key words
Metabolic syndrome/Life style/Middle aged/Aged/Root cause analysis/Beijing分类
医药卫生引用本文复制引用
孙秀芹,冯振龙,魏兰萱,曾宇欣,刘金波,马林,安占天,王宏宇..北京市石景山区中老年居民代谢综合征患病现状及行为生活方式影响因素研究[J].中国全科医学,2026,29(30):4424-4430,7.基金项目
首都卫生发展科研专项(2020-2-6042) （2020-2-6042）
