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Investigation On Metabolic Syntrome In The Retired Cadre In Changchun

Posted on:2010-12-31Degree:MasterType:Thesis
Country:ChinaCandidate:D M ChenFull Text:PDF
GTID:2144360302466128Subject:Public Health
Abstract/Summary:PDF Full Text Request
Along with the development of social economy, the changes of life style as well as the acceleration of aging, population, the incidence rates of Metabolic Syndrome (MS) is increasing daily. Which has become a kind of new chronic illness and major problem in the public health.The main clinical consequence of MS is atherosclerosis cardiovascular disease or diabetes, which has become a serious problem threatening human health.Aims:MS,as an independent indicator of 2-style diabetes and cardiovascular disease are receiving much widespread attention.MS mainly includes such dangerous factors as the centricity obese, the abnormal glucose metabolism, the metabolism disorder of blood lipid and so on, Accrding to the present research, it is generally accepted that insulin resistance is the key link of MS and the direct cause of disease; while obese especially the central obese is the important dangerous factor causing insulin resistance; the overloading or obese has a close relationship with the MS, which is also the primary factor of MS and the cardiovascular disease.The rate of the occurance of coronary disease among people with MS is three times more than that among people without MS, the rate of the occurance of apoplexy is 2.8 times of the normal healthy poeple, and the mortality rate increases 5-6 times, which severely threaten humanity's physical and moral integrity.This article by from May, 2008 to July Changchun retirement old cadre 1068 artificial object of study. To understand the metabolic syndrome and the occurrence of correlated diseases.The researcher conducted the research among 1068 old retired cadres in Changchun, who attends the physical examination in the physical examination center of The first hospital of Jilin University, among them 935 are male, 133 are female. Age from 60 to 96, and the average age is 72.89±8.61 year old.Methods:1. Questionaire It is devided into two parts, the first part surveys the general data of the subjects, including sex, age, ethinic group, career, marriage, food habit, physical exercise, education, smoking, drinking history, and familial history of related diseas. The second part is to study the subjects'disease history, including atherosclerosis cardiovascular disease, hypertension, diabetes, and Metabolism of Serum Lipid, and the condition of taking drugs.2. Measures of the basic index of human body, mainly licluding height, weight, body mass index, waist and blood pressure.3. Measure of bio-chemical index mainly assess FPG,TC,TG,HDL-C,LDL-C and so on。4. Statistical mathods to make statical analysis by SAS8.02,using ( x±s)to indicate the data of statistics, using t to denote the comparision between groups, usingχ~2 test to denote The rate of count data ,the difference is considered to be significant when p<0.05。Results:1. Overweight/ obesity: The investigation demonstrated that, 49.34 % is overweight/obese when calculated by BMI≥25kg/m~2,the overweight/obese proportion reduces gradually along with the age growth, in the 60~ age group, 40.21 % is overweight/obese,in the 80~ age group,the proportion reduces to 40.21%。2. Hypertension: The investigation demonstrated this crowd hypertension incidence rates reaches as high as to 68.45%.The rate increase along with the age. The proportion in 60~ age group is 61.34%, but the proportion rise to 77.62% among people more than 80 years old. The female hypertension incidence rate (72.18%) is higher than the male (67.91%).3. Abnormal glucose metabolism: Including who has formerly diagnosed to diabetes and blood FPG ascended, the total incidence rates is 33.15%, the incidence rates rise gradually along with the age growth. Incidence rates reaches 35.66% among people older than 80 years old, the female incidence rates is 27.07%, the male incidence rates is higher than the female.4. Serum lipid abnormality: This incidence rates high TG/low HDL-C is 33.15%.incidence rates is 33.15%, the incidence rates descends along with the age growth.the incidence rates descended to 30.07% among people older than 80 years old.5. Metabolic Syndrome: According to the diagnosis standard of Metabolic Syndrome drafted by Chinese Diabetes Society,the incidence rates of old retired cadres in Changchun is 30.34%, in which the male incidence rates is 31.23%, the female incidence rates is 24.06%, the incidence rates descends along with the age growth. MS incidence rates descend to 28.32% among people who are older than 80 years old.The proportion that the four indicators are all normal is only 12.92%. the proportion merges two dangerous factor is the highest (29.78%), the proportion merges four dangerous factor is the lowest(6.55%),the proportion merges a dangerous factor is 26.97%. If divided by waist, when male's waist more than 85cm, female's waist more than 80cm, metabolic syndrome incidence rates is 42.96%, the incidence rates rise gradually along with the waist growth .When waist more than 100cm, the metabolic syndrome incidence rates reaches as high as 60.92%.Conclusion:1. The findings show the old retired cadres'metabolic syndrome incidence rates in Changchun is high, is obviously higher than domestical formerly reported, close to the level of developed country.2. The incidence rates of hypertension and abnormal glucose metabolism rises along with the age growth, the sugar metabolism unusual grow along with the age advance, the incidence rates of obesity and serum lipid abnormality along with the age growth.3. The incidence rates of metabolic syndrome rises along with the waist, descends along with the age.4. Abdominal obesity is the starting factor which results in metabolic syndrome, is the target point which prevents and treats metabolism syndrome.5. The strategy: Improve the life style positively, control body weight, carry on health education to the high-risk group, popularize healthy knowledge, treat the related disease positively, and reduce social pressure, save medical expenditure.The investigation result shows the incidence rates of metabolism syndrome is obviously higher than domestical formerly reported, close to the level of developed country. The prompt metabolism synthesis drafts in our country presents the growth the tendency, the target people are facing the threaten of metabolism syndrome and related disease.This investigation is limited to demography characteristic , such as old age,living in the north,the diet rich in salt and fat and hardly do exercise.So the result still has certain limitation.
Keywords/Search Tags:Metabolic Syndrome, older people, Insulin Resistance, hypertension, 2-style diabetes, lipid metabolism disorders
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