关键词: 代谢综合征, 成年人, 患病率, 影响因素

Abstract: Objective To investigate the epidemiological status and influencing factors of adult metabolic syndrome （MS） in Shenzhen,and to provide the scientific basis for the prevention and control strategy of MS. Methods A multi-stage stratified random sampling method was adopted to conduct questionnaire survey,physical examination,and laboratory testing among permanent residents aged 18 and above in 10 districts of Shenzhen from April to December 2021. Multivariate logistic regression was used to analyze the influencing factors of MS. Results A total of 6 256 adults were included,with a mean age of （40.28±14.23） years old,and male to female ratio was 0.99∶1. There were 1 107 participants with MS,the prevalence rate was 17.70% （standardized rate was 19.63%）. The most common combination of MS was “abdominal obesity + abnormal blood pressure + high triglycerides”,with a proportion of 28.18% （312 patients）. The results of multivariate analysis showed that female （OR=0.589）,secondary school education （OR=0.720）,college and higher education （OR=0.531）,underweight （OR=0.160） were protective factors for MS,and 35 - 64 years age group （OR=2.379）,65 - 94 years age group （OR=7.242）,overweight （OR=6.292）,obesity （OR=19.355）,smoking （OR=1.316）,and hyper- uricemia （OR=2.040） were the risk factors for MS. Conclusions The prevalence of MS in adults in Shenzhen is relatively high. It is necessary to strengthen the monitoring and intervention of weight,blood pressure,blood glucose,and blood lipid in high-risk groups such as older men,overweight and obesity,smoking,and hyper- uricemia,so as to prevent the occurrence of MS.

Key words: Metabolic syndrome, Adult, Prevalence, Influencing factor