四种不同诊断标准下的代谢综合征患病率研究

周慧赟; 王静; 李秀川; 雷婷婷; 王磊

doi:10.13898/j.cnki.issn.1000-2200.2021.01.027

四种不同诊断标准下的代谢综合征患病率研究

Prevalence of metabolic syndrome under four different diagnostic criteria

摘要

摘要:
目的研究CDS2013标准、JIS标准、IDF标准、ATP Ⅲ标准下代谢综合征（MetS）的患病率差异。
方法收集某医院体检中心健康体检者数据，包括体格检查和实验室检查数据。采用Kappa检验比较四种诊断标准的一致性。
结果JIS标准下患病率最高，为26.6%，其次为ATP Ⅲ标准（25.8%）、IDF标准（20.3%）和CDS标准（19.3%）。随着年龄的不断增长，四种诊断标准下MetS患病率均呈增加趋势（P < 0.01）。四种诊断标准诊断的MetS中检出率最高的是高血压，其次为中心性肥胖，最低的为低高密度脂蛋白。以JIS标准和ATP Ⅲ标准诊断的一致性最高。
结论四种MetS诊断标准中，MetS的患病率有差异。对男性、老年人群要增加预防的意识，特别是对高血压、肥胖的高危人群，要加强健康教育。

Abstract:
ObjectiveTo analyze prevalence differences of metabolic syndrome(MetS) based on the four criteria(CDS2013, JIS, IDF, and ATP Ⅲ).
MethodsData were collected from healthy examinees in a hospital physical examination center, including physical examination data and laboratory examination data.Kappa test was used to compare the consistency of the four diagnostic criteria.
ResultsThe prevalence rate was the highest under JIS criterion(26.6%), followed by ATP Ⅲ criterion(25.8%), IDF criterion(20.3%)and CDS criterion(19.3%).With the increase of age, the prevalence of MetS was increasing under the four diagnostis criteria.Among the four diagnostic criteria, the highest detection rate of MetS was hypertension, followed by central obesity, and the lowest was low-density lipoprotein.The consistency was the highest under JIS and ATP Ⅲ criterion.
ConclusionsThe prevalence of MetS was different among the four diagnostic criteria.It is necessary to increase the awareness of prevention for male and elderly people, especially for the high-risk groups of hypertension and obesity, health education should be strengthened.

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