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Investigation Of The Prevalence Of Metabolic Syndrome In Employees Of Yanchang Oil Field

Posted on:2014-05-29Degree:MasterType:Thesis
Country:ChinaCandidate:N LiFull Text:PDF
GTID:2254330392964756Subject:Internal Medicine
Abstract/Summary:PDF Full Text Request
ObjectiveTo investigate the prevalence and influencing factors of metabolism syndrome inemployees of Yanchang oil field, and to provide the theoreticalbasis for furtherintervention.Methods1.1304employees including retired personnels (20to74years old) of Yanchang oilfield in2012were surveyed. The entry criteria for MS is complied from codespromulgated by the Ministry of Health of P.R.C. in2007. Cases were investigated withquestionnaires, anthropometric and biochemical tests. Questionnaires included dietaryhabits, chronic case history, drugs used and family history; anthropometric consisted ofheight, weight, waist circumference, blood pressure and BMI; using biochemical ways totest blood sugar, blood fat and OGTT2hour blood sugar and others.2. The expression levels of indexes were analyzed between MS and non-MS groups;Making a comparison of prevalence between different age groups and different gendergroups; Investigating the relationship between the prevalenceand age, gender and others;Summarizing risk factors of MS.3. For continuous variables, descriptive results were presented as mean±SD.Comparisons were made using the t test for data that followed normal distribution. Rateswere compared with chi-square test. Data is entered into the computer using Epidata3.0.All analyses were performed with the SPSS17.0statistical software package. All testswere two-sides and P value less than0.05was considered as statistical significance.Result1. The MS detection rate was20.8%in employees of Yanchang oil field,16.7%weremale and24.1%were female. 2. In the aged53~and aged64~groups, the morbidity of MS were significantlyhigher than other age groups (P<0.05). Moreover, the prevalence rate of MS wasincreased with the increasing of the age in both males and female. Women wassignificantly higher than men in the prevalence rate of MS, especially women over theage of53.3. The levels of WC、BMI、BP、GLU、TG、TC、LDL-c and HDL-C in patients withMS increased greatly. The morbidity of MS increased with increasing the levels of WC,BMI, BP, GLU, TG, TC and LDL-c. However, with the decrement of HDL-C, theprevalence rate of MS increased.4. In our study, Metabolic syndrome of employees of Yanchang oil field also ismulti-metabolic abnormalities, including obesity (79.7%), plasma glucoseabnormalities(63.1%), hypertension (50.6%), and high blood sugar (29.9%).ConclusionThe prevalence rates of MS were rather high in employees (20to74years old) ofYanchang oil field in2012.It is necessary to carry out education, prevention and controlon MS.1. With MS younger and younger age trend, the high cost of health care has become amajor diseases and a heavy burden for some families. So strengthening young people’shealth consciousness and information management is necessary.2. Be conscientious and make a good job of Disease screening in old men; therapeuticinterventions are carried out for obese people; the problems of postmenopausal areworthy of attention; Moreover, we should actively working with employees to promotethe knowledge of disease prevention.3. It can usually be controlled by making a few small healthy lifestyle changes likemonitoring the diet, exercising, adjusting diet structure and rational use of drugs in MSpatients with clinically diagnosed. If patients only suffer from hypertension,hyperglycemia or dyslipidemia, an intensive prevention and control on hypertension,hyperglycemia or dyslipidemia, together with a regular health education and health promotion in populations could evidently reduce the incidence of MS and stroke.
Keywords/Search Tags:Metabolic syndrome, prevalence, influencing factor, intervention treatment
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