1. 安徽省马鞍山市中心医院
2. 中国科技大学附属第一医院
纸质出版:2021
移动端阅览
党红波, 钱钧, 王晗, 等. 钢铁产业工人代谢综合征的特点及相关因素[J]. 临床心电学杂志, 2021,(2):107-111.
Dang hongbo, Qian jun, Wang han, et al. The prevalence of metabolic syndrome in iron and steel workers and its related multi-factor analysis[J]. 2021, (2): 107-111.
目的探讨钢铁产业工人代谢综合征患病特点、危险因素及提出干预措施。方法连续收集2018年1月至2019年12月在我院健康体检中心进行健康体检的在职职工体检资料
包括基本资料、空腹血糖、总胆固醇、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、尿酸等代谢相关指标;采用方差分析、秩和检验、卡方(χ
2
)分析及二元Logistic回归分析进行统计学分析。结果代谢综合征患病率男性高于女性;患病率随年龄增长而增高
50-59岁患病率最高;男性各年龄段MS患病率随年龄均有增长
有统计学意义(p
<
0.01);女性组仅在50-59岁组与40-49岁组之间比较
有统计学意义。根据BMI分为正常体重组、超重组及肥胖组
组间两两比较
随年龄增加各年龄段间MS患病率显著增加
有统计学意义(p
<
0.01)。多因素分析显示:HDL-c和超重为MS的保护因素
年龄、FBG、TG、收缩压、舒张压、UA、肥胖等是MS的危险因素。结论代谢综合征的发生随增龄而增高
50岁以上者高危发病。男性更易患MS。代谢综合征的危险因素是年龄、FBG、TG、收缩压、舒张压、UA、肥胖等
HDL-c和超重为保护因素。
Objective To investigate the characteristics
risk factors and intervention measures of metabolic syndrome(MS) in iron and steel workers. Methods From January 2018 to December 2019
physical examination data of on-the-job employees who underwent physical examination in the physical examination center of our hospital were continuously collected
including basic data
fasting blood glucose
total cholesterol
triglyceride
high-density lipoprotein cholesterol
low-density lipoprotein cholesterol
uric acid and other metabolic indicators. Statistical analysis was conducted by Anova
Rank sum test
Chi-Square analysis and Binary logistic regression. Results The prevalence of MS was higher in males than in females. The prevalence increased with age
with the highest prevalence at 50-59 years old. The prevalence of MS in males of all ages increased with age
which was statistically significant(p<0.01). The female group was only compared between the group aged 50-59 and the group aged 40-49
which was statistically significant. According to BMI
the patients were divided into normal weight group
super-recombinant group and obese group. Pairwise comparison between the two groups showed that the prevalence of MS increased significantly with age at all ages(p<0.01). Multivariate analysis showed that HDL-c and overweight were protective factors for MS
and age
FBG
TG
systolic blood pressure
diastolic blood pressure
UA and obesity were risk factors for MS. Conclusions The incidence of and people over 50 years old are at high risk. Men are more susceptible to MS.The risk factors and people over 50 years old are at high risk. Men are more susceptible to MS. The risk factors of MS are age
FBG
TG
systolic blood pressure
diastolic blood pressure
UA
obesity
etc.
and HDL-c and overweight are protective factors.
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