| Object To understand the prevalence of metabolic syndrome of elderly population in Lhasa area,analyze its characteristics and analyze the risk factors.Methods The research object was from the Chinese Medical Association's Special Fund for Clinical Medicine Research Project.From2016 to 2017,a multistage survey was used to conduct a sample survey of people aged over 18 years in 15 communities and units in Lhasa city and rural villages in 7 villages in Lhasa.In the Lhasa region,2111 people were included in the urban and rural areas,and the enrollment rate was 77.18%.Among them,there are 735 males and 1376 females.Questionnaires were used to obtain the age,sex,education level,smoking history,thyroid history,hypertension history,and diabetes history of the surveyed subjects.Height,weight,waist circumference,and blood pressure were measured.Blood tests were performed to examine fasting blood glucose,blood lipids,serum uric acid,and glucose levels.Results 1.According to the 2005 IDF Mobile suit standard,the prevalence rate of Tibetan population in Lhasa area was 17.36%,the prevalence rate of males was 17.95%,and the prevalence rate of females was 14.97%;among them,age 18~44,45~59,? 60 were marked with10.1%,25.51%,30.1%.The prev alence rate of male in 3 age groups was12.5%,30.13%,28.15%,female was 10.1%,25.51%,30.10%;data show that women were less prevalent than men before the age of 60,compared with men after 60 years of age.2.The detection rate of MS component in the elderly in Lhasa area(82.8%),elevated blood pressure(65.7%),elevated fasting blood glucose(18.1%)was higher than that of age 18-44 and age 45-59,and the detection rate of TC was almost equal in 3 age groups,The rate of HDL-C reduction was lower than that of age 18~44 and age 45~59 at age of 60 years and above.3.In the Lhasa region,the MS population of the waistline + 2 MS components accounted for 62.8%;waist circumference + 3 MSs followed,accounting for 26.6%;waist circumference + 4 MS components accounted for the lowest 10.6 %.4.According to the IDF MS diagnostic criteria in 2005,the first combination of MS diagnosis in the elderly in Lhasa is Waist circumference increases + blood pressure increases + triglycerides increases,the second combination is Waist circumference increases +blood pressure rises + fasting blood glucose rises,and the third combination is Waist circumference increases + blood pressure increases+ fasting blood glucose increases + triglycerides increases + HDL-C decreases.5.Compared with MS and non MS,single factor analysis showeddiabetes history,BMI,2hPG,HbA1 c,TC,LDL-C,uric acid p<0.05,the difference was statistically significant;logistic regression analysis found that Age,2hPG elevation,HbA1 c elevation were the risk factors of MS;after controlling factors of diabetes history and hypertension history,logistic regression analysis showed that increased age,High Culture elevation,BMI elevation increased,2hPG elevation increased and HbA1 c elevation increased were risk factors for MS in the elderly in Lhasa.Conclusion According to IDF's MS criteria in 2005,the standardized prevalence of people over 60 years of age in Lhasa was30.10%,of which the standardized prevalence of males was 28.15% and that of females was 32.04%.The prevalence of MS in the elderly in Lhasa is high,and the prevalence of MS in women is higher than that in men.The highest detection rate of MS components in the elderly in Lhasa was increased waist circumference(82.8%),followed by hypertension(65.7%).In the Lhasa region,the MS population of the waistline + 2 MS components accounted for 62.8%;the waist circumference + 3 MS followed,accounting for 26.6%;and the waist circumference + 4 MS components accounted for 10.6%.In the Lhasa area,the first combination of MS diagnosis was Waist circumference increases + blood pressure increases + triglyceridesincreases,the second combination is Waist circumference increases +blood pressure rises + fasting blood glucose rises,and the third combination is Waist circumference increases + blood pressure increases+ fasting blood glucose increases + triglycerides increases + HDL-C decreases.Increased age,High Culture elevation,BMI elevation increased,2hPG elevation increased and HbA1 c elevation increased were risk factors for MS in the elderly in Lhasa.Early MS screening of elderly people in Lhasa area,and early intervention of risk factors to reduce the incidence of cardiovascular and cerebrovascular diseases,diabetes,etc.have a significant impact on improving the quality of life of senior citizens in Lhasa area and reducing the burden on families and society.significance.At the same time,it can provide important theoretical basis for the prevention of chronic diseases related to MS in Lhasa. |
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