The Relationship Between Parity And Other Factors With Metabolic Syndrome In Middle-aged And Elderly Women In Nanchang Community

Objective：To investigate the relationship between parity and other reproduction-associatedfactors with metabolic syndrome (MS) in middle-aged and elderly women inNanchang community.Methods：The female permanent residents over40years old were sampled for a routineexamination and a questionnaire survey covering basic information,5894subjectswere identified as effective cases. The MS was diagnosed by standard of CDS in2004. Then, factors including age, education, profession, marital status, parity,childbearing history of macrosomia, breastfeeding, menarche age and menopausalage were analyzed about their relationship with metabolic syndrome（MS）.Aboveall performed univariate logistic analysis were selected, then binary logisticregression analysis were carried out if P-values <0.05, calculated OR value andconfidence interval.Results：1.The prevalence of MS and component: MS:893(15.2%), overweight orobesity:1726(29.3%), hyperglycemia:2110(35.8%)，hypertension：1326(22.5%),dyslipidemia:1834(31.1%).2.Univariate Logistic regression analysis showed that age, education, profession,parity, breastfeeding, menopausal age were influencing factors of MS (all P<0.05).There was no correlation between marital status, miscarriage history, childbearinghistory of macrosomia, menarche age with MS (all P>0.05).3. Binary Logistic regression analysis showed that the risk of MS increased withage. Respectively,50-59years OR=1.51，（95%CI：0.98-2.32）,60-69yearsOR=2.10，（95%CI：1.34-3.30）,over70years OR=2.63，（95%CI：1.61-4.31）, relative to40-49years. The risk of non-manual workers increased about34percent OR=1.33，（95%CI：1.04-1.70）, compared with manual workers. The risk of MS increased with parity. Respectively，two birthsOR=1.46，（95%CI：1.14-1.88）、three births OR=1.78，（95%CI：1.30-2.43）、four births OR=1.84，（95%CI：1.24-2.72）,relative to one birth.；Therisk of MS reduced with advancing menopausal age about6percent with each yearincrease of menopausal age.（OR：0.94，95%CI：0.90-0.99）.There is nosignificant difference between education, breastfeeding and MS(P>005).Conclusion：Multiple parity, earlier menopausal age, less manual work and aging maybeincrease the risk of MS among women.