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南京市栖霞区2020―2022年≥65岁老年人代谢综合征患病率变化趋势

郭丽娟 汪元元 孙桂菊

郭丽娟, 汪元元, 孙桂菊. 南京市栖霞区2020―2022年≥65岁老年人代谢综合征患病率变化趋势[J]. 中华疾病控制杂志, 2024, 28(1): 40-45. doi: 10.16462/j.cnki.zhjbkz.2024.01.007
引用本文: 郭丽娟, 汪元元, 孙桂菊. 南京市栖霞区2020―2022年≥65岁老年人代谢综合征患病率变化趋势[J]. 中华疾病控制杂志, 2024, 28(1): 40-45. doi: 10.16462/j.cnki.zhjbkz.2024.01.007
GUO Lijuan, WANG Yuanyuan, SUN Guiju. Trends in the prevalence of metabolic syndrome among the ≥65 years elderly from 2020 to 2022 in Qixia District of Nanjing[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(1): 40-45. doi: 10.16462/j.cnki.zhjbkz.2024.01.007
Citation: GUO Lijuan, WANG Yuanyuan, SUN Guiju. Trends in the prevalence of metabolic syndrome among the ≥65 years elderly from 2020 to 2022 in Qixia District of Nanjing[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(1): 40-45. doi: 10.16462/j.cnki.zhjbkz.2024.01.007

南京市栖霞区2020―2022年≥65岁老年人代谢综合征患病率变化趋势

doi: 10.16462/j.cnki.zhjbkz.2024.01.007
基金项目: 

国家基本公共卫生服务项目 2017YFC0907002

详细信息
    通讯作者:

    孙桂菊,E-mail: gjsun@seu.edu.cn

  • 中图分类号: R589

Trends in the prevalence of metabolic syndrome among the ≥65 years elderly from 2020 to 2022 in Qixia District of Nanjing

Funds: 

National Basic Public Health Service Project 2017YFC0907002

More Information
  • 摘要:   目的  了解南京市栖霞区≥65岁老年人代谢综合征(metabolic syndrome, MS)患病率的变化趋势及其相关影响因素,为采取针对性的干预措施提供参考依据。  方法  采用分层随机抽样,选择2020―2022年在南京市栖霞区参与体检的≥65岁人群为研究对象,分析其MS患病率变化趋势及相关影响因素。  结果  2020―2022年南京市栖霞区≥65岁人群的MS总患病率分别为36.72%、35.17%、33.80%,标化患病率分别为36.60%、35.11%、33.67%,呈下降趋势(趋势χ2 =41.021, P < 0.001);城乡分层后,城市≥65岁人群MS患病率呈下降趋势(趋势χ2 =95.499, P < 0.001);农村≥65岁人群MS患病率呈上升趋势(趋势χ2 =16.237, P < 0.001)。  结论  南京市栖霞区≥65岁人群MS总患病率2020―2022年虽然呈下降趋势,但依然较高,尤其是农村地区MS患病率呈上升趋势,农村地区女性MS患病率增幅快,应重点关注。
  • 图  1  南京市栖霞区2020―2022年不同特征≥65岁老年人MS患病率变化趋势

    MS:代谢综合征; A中P值表示城乡患病率比较;C中a、b、c表示不同年份各年龄组MS患病率差异,P < 0.05。

    Figure  1.  Trends in the prevalence of MS among the elderly ≥65 years from 2020 to 2022 in Qixia District of Nanjing

    MS: metabolic syndrome; In the figure A P value represents the comparison of urban and rural prevalence rates; In the figure C, a, b, and c indicate the difference of MS prevalence in different age groups in different years, P < 0.05.

    表  1  南京市栖霞区2020―2022年≥65岁老年人群基本特征

    Table  1.   Characteristics of the elderly ≥65 years and above in Qixia District of Nanjing from2020 to 2022

    特征Characteristic 2020年year (n=15 045) 2021年year (n=19 638) 2022年year (n=28 712) 合计 Total (n=63 395) χ2值value P值value
    居住地Residence 4.600 0.100
      城市Urban 10 685(71.02) 13 778(70.16) 20 120(70.08) 44 583(70.33) 4.600 0.100
      农村Rural 4 360(28.98) 5 860(29.84) 8 592(29.92) 18 812(29.67)
    性别Gender 0.873 0.646
      男性Male 7 060(46.93) 9 312(47.42) 13 520(47.09) 29 892(47.15)
      女性Female 7 980(53.04) 10 326(52.58) 15 192(52.91) 33 503(52.85)
    年龄组/岁Age group /years 164.000 < 0.001
      65~ < 70 6 163(40.96) 8 195(41.73) 10 908(37.99) 25 266(39.85)
      70~ < 75 4 604(30.60) 5 800(29.53) 8 269(28.80) 18 673(29.46)
      75~ < 80 2 462(16.36) 3 235(16.47) 4 786(16.67) 10 483(16.54)
      ≥80 1 816(12.07) 2 408(12.26) 4 749(16.54) 8 973(14.15)
    锻炼情况Exercise 842.936 < 0.001
      是Yes 4 163(27.67) 7 857(40.01) 11 842(41.24) 23 862(37.64)
      否No 10 882(72.33) 11 781(59.99) 16 870(35.94) 39 533(62.36)
    膳食习惯Dietary habit 36.929 < 0.001
      平衡Balanced 13 744(91.35) 18 093(92.13) 26 688(92.95) 58 525(92.32)
      不平衡No balanced 1 301(8.65) 1 545(7.87) 2 024(7.05) 4 870(7.68)
    吸烟Smoking states 32.521 < 0.001
      是Yes 2 315(15.39) 3 113(15.84) 3 899(13.58) 9 324(14.71)
      否No 12 370(84.61) 16 528(84.16) 18 206(86.42) 54 071(85.29)
    饮酒Alcohol 64.640 < 0.001
      是Yes 2 013(13.38) 2 579(13.13) 3 199(11.14) 7 791(12.29)
      否No 13 032(86.62) 17 059(86.87) 25 513(88.86) 55 604(87.71)
    注:①以人数(占比%)表示;②采用秩和检验。
    Note: ① Number of people(proportion%);② Rank-sum test.
    下载: 导出CSV

    表  2  南京市栖霞区2020―2022年不同特征≥65岁老年人MS患病率

    Table  2.   The prevalence of MS in different characteristics of the elderly ≥65 years in Qixia District of Nanjing from 2020 to 2022

    变量Variable 2020年year 2021年year 2022年year 趋势χ2值Trend χ2 value P值value
    总患病率Total prevalence rate 5 525(36.72) 6 907(35.17) 9 704(33.80) 37.986 < 0.001
    标化患病率Standardized prevalence rate 5 506(36.60) 6 895(35.11) 9 667(33.67) 41.021 < 0.001
    性别Gender
      男性Male 2 420(34.28) 3 220(34.58) 4 400(32.54) 12.207 0.002
      女性Female 3 105(38.91) 3 687(35.71) 5 304(34.91) 36.826 < 0.001
    居住地Residence
      城市Urban 4 179(39.11) 5 010(36.36) 6 759(33.59) 95.499 < 0.001
      农村Rural 1 346(30.87) 1 897(32.37) 2 945(34.28) 16.237 < 0.001
    城市Urban
      男性Male 1 823(37.27) 2 424(37.30) 3 198(33.78) 18.141 < 0.001
      女性Female 2 356(40.66) 2 586(35.53) 3 561(33.43) 99.769 < 0.001
    农村Rural
      男性Male 597(27.52) 796(28.30) 1 202(29.66) 3.525 0.172
      女性Female 749(34.19) 1 101(36.13) 1 743(38.39) 11.965 0.003
    年龄组/岁Age group /years
      65~ < 70 2 096(34.01) 2 672(32.61) 3 423(31.38) 12.613 0.002
      70~ < 75 1 778(38.62) 2 150(37.07) 2 940(35.55) 12.243 0.002
      75~ < 80 1 011(41.06) 1 264(39.07) 1 833(38.30) 5.241 0.073
      ≥80 640(35.24) 821(34.09) 1 508(31.75) 8.726 0.013
    锻炼情况Exercise situation
      是Yes 1 297(31.16) 2 474(31.49) 3 641(30.75) 0.587 0.444
      否No 4 228(38.85) 4 433(37.63) 6 063(35.94) 24.894 < 0.001
    膳食习惯Dietary habit
      平衡Balanced 5 034(36.63) 6 322(34.94) 8 962(33.58) 37.589 < 0.001
      不平衡No balanced 491(37.74) 585(37.86) 742(36.67) 0.474 0.491
    吸烟Smoking states
      是Yes 785(33.91) 1 148(36.91) 1 498(38.42) 12.246 < 0.001
      否No 4 740(37.23) 5 759(34.84) 8 206(33.07) 64.649 < 0.001
    饮酒Alcohol
      是Yes 775(38.52) 984(38.15) 1 240(38.76) 0.060 0.806
      否No 4 750(36.45) 5 923(34.72) 8 464(33.18) 41.916 < 0.001
    注:MS, 代谢综合征; 标化率采用第七次人口普查年龄构成计算。
    ①以人数(占比%)表示。
    Note: MS, metabolic syndrome; The standardized rate was calculated using the age composition of the Seventh National Population Census.
    ①Number of people(proportion%).
    下载: 导出CSV

    表  3  南京市栖霞区2020―2022年≥65岁老年人MS各组分患病率

    Table  3.   The prevalence rate of MS components in different characteristics of the elderly ≥65 years in Qixia District of Nanjing from 2020 to 2022

    MS各组分MS component 2020年year 2021年year 2022年year P值value
    城市
    Urban
    农村
    Rural
    合计
    Total
    城市
    Urban
    农村
    Rural
    合计
    Total
    城市
    Urban
    农村
    Rural
    合计
    Total
    血压升高Hypertensive 79.82 85.32 81.42 82.60 84.98 83.31 80.53 80.05 80.38 < 0.001
    中心性肥胖Central obesity 50.00 40.85 47.34 46.21 47.26 46.89 43.51 48.50 44.64 < 0.001
    血糖升高Hyperglycemia 44.94 33.10 41.24 44.57 35.19 42.03 40.84 38.90 40.26 < 0.001
    高TG High TG 33.06 26.77 31.23 28.83 23.72 27.20 28.68 28.79 28.82 < 0.001
    低HDL-C Low HDL-C 11.17 12.73 11.62 10.22 10.82 10.40 10.63 10.50 10.59 < 0.001
    注:MS,代谢综合征; TG, 三酰甘油; HDL-C, 高密度脂蛋白胆固醇。
    ①患病率与前1年相比上升,P < 0.05; ②患病率与前1年相比下降,P < 0.05;③为2020―2022年总患病率变化趋势χ2检验。
    Note: MS, metabolic syndrome; TG, triglyceride; HDL-C, high-density lipoprotein cholesterol.
    ① The prevalence rate higher than that of the previous year, P < 0.05; ② The prevalence rate lower than that of the previous year, P < 0.05; ③ The P value is a Chi-square test of the trend of total prevalence from 2020 to 2022.
    下载: 导出CSV

    表  4  南京市栖霞区2020―2022年≥65岁老年人MS组分异常数量分布

    Table  4.   Abnormal quantity distribution of MS components in the elderly ≥65 years in Qixia District of Nanjing from 2020 to 2022

    MS异常组分数量
    The number of abnormal components of MS
    2020年year 2021年year 2022年year 趋势χ2值Trend χ2 value P值value
    5 2.10 2.11 1.97 1.116 0.291
    4 10.63 9.74 9.56 11.543 < 0.001
    3 23.99 23.33 22.28 17.681 < 0.001
    2 32.66 32.49 31.71 4.778 0.029
    1 24.11 25.39 26.38 26.953 < 0.001
    0 6.51 6.95 8.11 44.342 < 0.001
    注:MS,代谢综合征。
    Note: MS, metabolic syndrome.
    下载: 导出CSV
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  • 收稿日期:  2023-05-12
  • 修回日期:  2023-09-06
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  • 刊出日期:  2024-01-10

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