目的本研究旨在提供关于我国35～74岁一般成年人群代谢综合征(MS)及其主要组成成分患病率的最新资料. 方法我们于2000～2001 年在全国35～74 岁的成年人群中代表性地选择了15 540 例个体进行横断面调查.根据国际糖尿病联盟2004 年度推荐的有关中国人MS的标准诊断MS和进行组分分类. 结果男女合计,年龄未标化的MS患病率为16.5%.年龄标化后的MS患病率,男女分别为10.0% 和23.3%; 年龄标化后的患病率,北方和南方地区分别为23.3% 和11.5%,城市和农村地区分别为23.5% 和14.7%.我国北方居民的MS患病率高于南方居民,城市居民高于农村居民. 结论我国成年人中有相当比例的个体患有MS.这些结果提示我国亟需制定面向全国的预防、检测和治疗MS的卫生策略,以降低心血管疾病的社会负担.
Objective To provide estimates of the prevalence of the metabolic syndrome and its main components in the general adult population at the age of 35-74 years in China. Methods A cross-sectional survey was conducted in a nationally representative sample of 15 540 Chinese adults aged 35-74 years in 2000-2001. Metabolic syndrome was defined according to the International Diabetes Federation consensus worldwide definition in 2005. Results The crude prevalence of metabolic syndrome was 16.5%. The age-standardized prevalence of metabolic syndrome was 10.0% in men and 23.3% in women. The age-standardized prevalence of metabolic syndrome was 23.3% in northern and 11.5% in southern China. The age-standardized prevalence of metabolic syndrome was 23.5% in urban and 14.7% in rural area. The prevalence of the metabolic syndrome and overweight was higher in northern than in southern China, and higher in urban than rural residents. Conclusion A large proportion of Chinese adults have the metabolic syndrome. The prevention and control of overweight and the metabolic syndrome are urgently warranted in order to reduce the societal burden of cardiovascular disease in China.