四川省西昌市汉族人群代谢综合征及其影响因素的病例对照研究

目的探讨四川省西昌市汉族居民代谢综合征及其影响因素,为代谢综合征的防治提供依据。方法采用病例对照研究的方法,以确诊的120例代谢综合征患者为病例组,按照年龄与性别频数匹配确定120例非代谢综合征者为对照组,采用多因素非条件Logistic回归分析代谢综合征的影响因素。结果代谢综合征病例组中代谢异常组分检出率从高到低依次是血脂紊乱(98.3%)、高血压(92.5%)、超重或肥胖(90.0%)和高血糖(33.3%)。文化程度是代谢综合征的独立保护因素(OR=0.461,95%CI:0.234～0.908),而相关疾病家族史是代谢综合征的独立危险因素(OR=3.287,95%CI:1.722～6.275)。结论凉山彝族自治州西昌市汉族人群代谢综合征最常见的组合类型是超重或肥胖+高血压+血脂紊乱,文化程度与相关疾病家族史是代谢综合征的影响因素。

A Case-control Study on the Influential Factors of Metabolic Syndrome in Han Population in Xichang City, Sichuan Province

Objective To know the influential factors of metabolic syndrome （MS） in Han population in Xichang city. Methods A case-control study was conducted. 120 patients with MS（as case group） and 120 non-MS controls with 1：1 matched by age and gender according to the case group （as control group ） were selected. The non-conditional Logistic regression was used to screen the related factors for MS. Results The detection rates of MS components ranked as the follow： dyslipidemia （98.3%）, hypertension（92.5% ）, overweight or obesity （90.0%） and hyperglycemia （33.3%）. Education was a protective factor for MS （ OR = 0.461, 95% CI： 0.234-4）.908 ）, while family history of related diseases was an independent risk factor for MS （OR=3.287, 95% CI： 1.722~6.275 ）. Conclusion The most common combination of metabolic syndrome components in Han population in this study is overweight or obesity ＋hypertension ＋dyslipidemia. Education background and family history of related diseases are influential factors for metabolic syndrome.