职业与健康 ›› 2021, Vol. 37 ›› Issue (1): 56-62.DOI: 10.13329/j.cnki.zyyjk.2021.0013

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北京市顺义区 35~75 岁职业人群代谢综合征流行状况及危险因素分析

  

  1. 北京市顺义区疾病预防控制中心慢性病防制科,北京 101300
  • 收稿日期:2020-06-04 接受日期:2020-08-24 出版日期:2021-01-01 发布日期:2021-03-03
  • 作者简介:贾佳,女,医师,主要从事慢性病预防与控制工作。
  • 基金资助:
    国家卫生和计划生育委员会重大公共卫生服务项目;中央财政转移支付地方卫生计生服务项目

Analysis on the prevalence and risk factors of metabolic syndrome among occupational population aged 35-75 years old in Shunyi District of Beijing

  1. Department of Chronic Disease Control, Center for Disease Control and Prevention of Shunyi District, Beijing, 101300, China
  • Received:2020-06-04 Accepted:2020-08-24 Online:2021-01-01 Published:2021-03-03

摘要:

目的 描述北京市顺义区 35~75 岁职业人群代谢综合征(MS)及各组分的流行特征,分析 MS 的相关危险因素。 方法 采用横断面调查方法,对 2017—2019 年北京市顺义区 35~75 岁常驻居民进行体格测量和问卷调查,并对数据进行分析。结果 本次调查共纳入职业人群 12 716 人,MS 患病率为 27.77%(标化率为 25.95%)。 其中男性 5 510 人(43.33%),患病率 32.29%(标化率 31.21%);女性 7 206 人(56.67%),患病率 24.31%(标化率 21.92%)。 各职业人群中,专业技术人员标化患病率最高(32.00%),行政办事人员最低(22.76%)。 各年龄组患病率,35~<60 年龄组,男性显著高于女性(P<0.01);70~75 年龄组,女性显著高于男性(P<0.01),患病率随年龄增长而升高(P<0.01)。 MS 4 个指标超重或肥胖、高血糖、高血压、血脂紊乱的患病率分别为 63.37%、21.66%、54.00%和 37.82%,男性均显著高于女性(均 P<0.01),患病率随年龄增长而升高(P<0.01)。 35~<60岁年龄组,首要表现为超重或肥胖,随着年龄增长,60~75 岁年龄组,首要表现变为高血压,超重或肥胖问题在各个年龄段一直存在。 高龄、男性、初中及以下学历、有肾或输尿管结石疾病史、吸烟、办公场所二手烟一周≥4 天及饮酒是 MS 的危险因素(均P<0.05)。 结论 北京市顺义区 MS 患病率高,主要表现为超重和肥胖、高血压,并呈现男性低龄化趋势。 应重点关注男性、低学历、吸烟、饮酒及有结石疾病史人群,为“久坐模式”办公人群提供合理工间操等干预措施。

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Abstract:

Objective To describe the epidemic characteristics of metabolic syndrome(MS) and its components in the occupational population aged 35-75 years old in Shunyi District of Beijing, and analyze the related risk factors of MS. Methods Using the cross-sectional survey method, the physical measurements and questionnaire surveys were conducted on the residents aged 35-75 years old in Shunyi District of Beijing from 2017-2019. And the data were analyzed. Results A total of 12 716 occupational populations were included in this survey, and the prevalence rate of MS was 27.77% (standardized rate was 25.95%). Among them, 5 510 were males(43.33%) and the prevalence rate was 32.29% (standardized rate was 31.21%) , 7 206 were females(56.67%), and the prevalence rate was 24.31%(standardized rate was 21.92%). Among all occupational groups,professional and technical personnel had the highest standardized prevalence rate(32.00%), and administrative staff had the lowest(22.76%). The prevalence of all age groups, the 35-<60 age group, men were significantly higher than women (P <0.01), the 70-75 age group, women were significantly higher than men(P<0.01), the prevalence rate increased with age(P<0.01). The prevalence of overweight or obesity, hyperglycemia ,hypertension and dyslipidemia of the four indicators of MS were 63.37% , 21.66% ,54.00% and 37.82%. Males were significantly higher than females(all P<0.01), and the rate increased with age(P<0.01). The 35-<60-year-old age group mainly manifested as overweight or obesity. As the age increases, the 60-75-year-old age group became primarily manifested as hypertension. Overweight or obesity always existed in all age groups. Older age, male, junior high school education and below, history of kidney or ureteral stone disease,smoking, secondhand smoke in office for ≥4 days per week,and alcohol consumption were the risk factors for MS(all P<0.05). Conclusion The prevalence of MS is high in Shunyi District of Beijing, mainly manifested as overweight, obesity, hypertension, and a trend of younger men. Intervention should be focused on men, low-educated, smoking, drinking, and people with a history of stone diseases. Reasonable workplace exercise interventions should be provided for the "sedentary mode" office population

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