The Prevalence Of Metabolic Syndrome And Associated Risk Factors Of The Residents Over 60 Years Old In Changchun

Objective :Currently,Metabolic syndrome(MS)is a global public health problem.It's complex risk factor associated with cardiovascular disease and diabetes.The aim of this study is to explore the epidemiological characteristics and associated risk factors of metabolic syndrome of the residents over 60 years old in Changchun,and to provide evidence for the health management of the elderly in Changchun.Methods:A total of 1076 elderly over the age of 60,were enrolled in the two community hospitals in Changchun from January 2015 to December 2015 with a cluster random sampling method.A total of 1076 subjects were surveyed as Cross-sectional study,the survey included residents' demographics Characteristics,disease history,physical examination and laboratory results.MS was diagnosed using the 2005 International Diabetes Federation(IDF)diagnostic criteria.People with MS were divided into Cases group and non-MS in the control group,the variables that univariate analysis showed significant included in the multivariate analysis,the multivariate analysis using non-conditional Logistic regression analysis,calculated the odds ratio(OR)and their 95% confidence interval(95%CI).All data were analyzed by SPSS 17.0.Results:The results showed 239 cases of patients with MS in the 1076 residents,the prevalence of MS is 22.2%.The prevalence of MS was 11.5% in males and 28.9% in females,the difference was statistically significant(P<0.001).In the age grouping: the prevalence of MS among residents aged 60-64 was 16.6%,the prevalence of MS among residents aged 65-69 was 26.1%,the prevalence of MS among residents aged 70-74 was 21.2%,the prevalence of MS among residents aged 75 and above was 26.0%,the difference was statistically significant(P<0.05).In the traditional risk components of MS: the residents whose BMI<25kg / m2 had a prevalence of MS of 12.6%,and the residents whose BMI?25kg / m2 had a prevalence of MS of 34.2%,the difference was statistically significant(P<0.001),the prevalence of MS was 7.0% in the normal blood pressure group,and 39.3% in the hypertensive group,the difference was statistically significant(P<0.001).The prevalence of MS in the normal diabetic group was 14.0%,and 52.2% in the diabetic group,the difference was statistically significant(P<0.001).In the normal TG group,the prevalence of MS was 14.1%,in the TG increased group,the prevalence of MS was 46.8%,the difference was statistically significant(P<0.001).In the Low HDLC group,the prevalence of MS was 45.5%,in the normal HDLC group,the prevalence of MS was 19.2%,the difference was statistically significant(P<0.001).In the occupational grouping: to the residents with mental work,the prevalence of MS was 22.6%,to the residents with manual work,the prevalence of MS was 22.0%,the difference was not statistically significant(P>0.05).In the cultural grouping,the prevalence of MS was 23.0% in the ridsidents whose educational background was the middle school and the following,and the prevalence of MS was 21.4% in the residents whose educational background was the high school or above,the difference was not statistically significant(P>0.05).In the WBC grouping: to the residents with normal WBC,the prevalence of MS was 21.6%,to the residents with WBC increased,the prevalence of MS was 44.4%,the difference was statistically significant(P<0.05).In the ALT grouping: to the residents with ALT normal,the prevalence of MS was 21.6%,to the residents with ALT increased,the prevalence of MS was 31.0%,the difference was not statistically significant(P>0.05).Whether or not suffering from MS as dependent variable,the meaningful variables of univariate analysis as covariates,the results showed that.female(OR=5.187,95%CI:3.191-8.433),obesity(OR=4.452,95%CI:2.868-6.911),family history of hypertension(OR=13.430,95%CI:8.048-22.412),family history of diabetes(OR=12.465,95%CI:7.712-20.147),high WBC(OR=3.083,95%CI:1.055-9.006),high TG(OR=9.481,95%CI: 6.002-14.977),low HDLC(OR=6.085,95%CI:3.435-10.781)was independent risk factors for MS,and there was no correlation between age and MS in multivariate analysis.Conclusion:1.The prevalence of MS was 22.2% in this study.The prevalence of MS was 11.5% in male,and that of female was 28.9%.2.In the MS's traditional risk components,The effect of residents' MS from high to low in this study followed by hypertension,diabetes,TG,HDLC,obesity.3.In addition to the traditional risk components of MS,elderly female and WBC were independent risk factors for the MS,there was no correlation between age and MS in multivariate analysis in this study.4.There was no statistical correlation between occupation,culture,ALT and MS in this study.