Objective: To investigate the prevalence of metabolic syndrome (MS) among adults in rural areas of Ningxia Hui autonomous region. Methods: A cross-sectional study was conducted in 10 639 adults enrolled with a multistage method from Jingyuan County. The MS was identified according to Chinese type 2 diabetes prevention guide (2013). Results: Among all the subjects, 17.4% of them met the MS definition with the standardized prevalence of 14.7% after adjustment of sex and age. The prevalence and standardized rate of MS in men were 19.9% and 17.3%, and in women were 15.3% and 13.5%.The prevalence of MS in men was higher than that in women(P<0.001) and increased with aging in both genders. The prevalence and standardized rate of abdominal obesity, hyperglycemia, hypertension, high triglycerides, and low HDL-C were 19.5% and 16.7%, 15.0% and 12.9%, 42.0% and 37.1%, 25.8% and 23.1%, 28.5% and 27.7%, respectively. The rate of abdominal obesity was higher in women than in men (20.5% vs 18.2%, P=0.004), whereas the rate of hypertension, high triglycerides, and low HDL-C were higher in men than in women (all P<0.01). The prevalence of having one parameter of the MS was 68.4%. Conclusion: The prevalence of MS is higher in rural areas of Ningxia Hui autonomous region, suggesting that a series of comprehensive prevention measures should be carried out to prevent and control the MS so as to improve the public health conditions in rural areas.
目的： 了解宁夏农村地区成人代谢综合征的流行现状。 方法： 采用分层、随机、整群抽样方法，对泾源县10 639名成年人进行横断面调查，代谢综合征的纳入标准采用中国2型糖尿病防治指南(2013年版)。 结果： 最终纳入10 214人，农村地区成人代谢综合征的总患病率为17.4%，标化患病率为14.7%。代谢综合征患病率及标化患病率男性均高于女性(19.9%比15.3%，17.3%比13.5%，P<0.001)，并随着年龄的增长而增加(线性趋势检验，P<0.05)。代谢综合征各组分的患病率和标化患病率分别为腹型肥胖(19.5%和16.7%)、高血糖(15.0%和12.9%)、高血压(42.0%和37.1%)、高TG血症(25.8%和23.1%)、低HDL－C血症(28.5%和27.7%)。腹型肥胖患病率女性高于男性(20.5%比18.2%，P＝0.004)，高血压、高TG血症、低HDL－C血症的患病率男性高于女性(P<0.001)。人群中有1种代谢综合征异常组分的个体比例高达68.4%。 结论： 宁夏农村地区成人代谢综合征的患病率较高，应开展一系列的综合防治措施来预防和控制代谢综合征，改善农村地区人群公共卫生状况。.
Keywords: Metabolic syndrome; Prevalence.