| 摘要: |
| 目的 探索老年人群代谢综合征（MS）3 种诊断标准的一致性。 方法 以台州市洪家街道老年人社区健康体检资料 为基础，统计 MS 患病率；分析 CDS、IDF 和 ATPⅢ诊断标准 MS 患病率的一致性。 结果 1 120 名老年人平均年龄（68.36±6.85） 岁，男女比 0.91∶1。根据 CDS、IDF 和 ATPⅢ诊断标准，MS 患病率分别为 19.29%、29.02%和 17.41%。根据 IDF 诊断标准，高甘油三 酯血症、高血压和高血糖检出率分别为 31.96%、58.57%和 76.34%，男女 MS 患病率分别为 16.45%和 40.51%；根据 ATPⅢ标准，高甘 油三酯血症、高血压和高血糖检出率分别为 31.96%、58.57%和 56.16%，男女 MS 患病率分别为 11.78%和 22.56%。IDF 与 ATPⅢ诊 断标准的 MS 患病率一致率为 78.75%，Kappa 值为 0.415（P＜0.01），两者中度一致。 结论 洪家街道老年人 MS 发病率较高。3 种 诊断标准侧重点各有不同，IDF 和 ATPⅢ标准更适合洪家街道老年居民。 |
| 关键词: 老年人 代谢综合征 流行病学 患病率 诊断标准 |
| DOI： |
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| 基金项目:台州市椒江区科学技术项目 |
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| Prevalence of metabolic syndrome in elderly residents and comparison of three diagnostic criteria |
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WANG Weibo, WU Li, JI Conghua, ZHANG Ying, MAO Wei
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Jiaojiang Hongjia Community Health Service Center
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| Abstract: |
| Objective To analyze the prevalence of metabolic syndrome (MS) in aged residents, and to compare three diagnostic criteria. Methods A total of 1120 aged residents (male: female=0.91∶1, average age: 68.36±6.85) receiving health check-up in Hongjia community Health Service Center were enrolled. The prevalence rates of MS based on diagnostic criteria CDS, IDF and ATP Ⅲ were analyzed and compared. Results The overall prevalence rates of MS were 19.29% , 29.02% and 17.41% based on CDS, IDF and ATP Ⅲ diagnostic criteria, respectively. According to IDF diagnostic criterion the proportion of hypertriglyceridemia, hypertension, and hyperglycemia was 31.96%, 58.57% and 76.34%, respectively, and the prevalence rates of MS for female and male were 40.51% and 16.45% , respectively. According to ATP Ⅲ diagnostic criterion, the proportion of hypertriglyceridemia, hypertension, and hyperglycemia was 31.96%, 58.57% and 56.16%, respectively, and the prevalence rates of MS for female and male were 11.78% and 22.56%, respectively. The concordance rate was 78.75% for IDF and ATPⅢ criteria in diagnosis of MS, and Kappa value was 0.415 (P＜0.01), indicating the consistency level of two criteria was moderate. Conclusion The prevalence rate of metabolic syndrome in elderly residents of Hongjia community is high. Among 3 diagnostic criteria, theconsistency between IDF and ATP is moderate, and both can be used for diagnosis of MS. |
| Key words: The aged Metabolic syndrome Epidemiology Prevalence rate Diagnostic criteria |
