邵永强. 温州市两社区居民高尿酸血症风险调查[J]. 上海预防医学, 2011, 23(6): 257-260.
引用本文: 邵永强. 温州市两社区居民高尿酸血症风险调查[J]. 上海预防医学, 2011, 23(6): 257-260.
SHAO Yong-qiang. Risk investigation on hyperuricemia among residents of two communities in Wenzhou City[J]. Shanghai Journal of Preventive Medicine, 2011, 23(6): 257-260.
Citation: SHAO Yong-qiang. Risk investigation on hyperuricemia among residents of two communities in Wenzhou City[J]. Shanghai Journal of Preventive Medicine, 2011, 23(6): 257-260.

温州市两社区居民高尿酸血症风险调查

Risk investigation on hyperuricemia among residents of two communities in Wenzhou City

  • 摘要: 目的 研究温州市居民高尿酸血症(HUA)的流行特征。方法 采用多阶段随机抽样方法抽取温州市瑞安、瓯海两个区3 502例≥35岁常住居民进行面对面问卷调查、体格检查及实验室检查。测量调查对象的身高、体重、血压,测定空腹血糖、血总胆固醇、三酰甘油、高密度脂蛋白胆固醇和低密度脂蛋白胆固醇、尿酸。结果 温州市居民尿酸均值为(260.25±93.21)μmol/L,高尿酸血症率为7.47%,男、女分别为10.78%、4.93%;代谢综合征(MS)的患病率为17.90%。HUA组MS患病率为34.62%,尿酸正常组为16.55%(P<0.01)。HUA组MS组分高血压、高血糖、低高密度脂蛋白、高三酰甘油、肥胖比例分别为62.31%、26.15%、13.46%、67.31%、46.92%,明显高于尿酸正常组。多因素Logistic回归分析显示,HUA与男性、饮酒、年龄(>65岁)、肥胖、高低密度脂蛋白、高三酰甘油密切相关。结论 温州市HUA患病率为7.47%,HUA与MS的主要组分肥胖、高低密度脂蛋白、高甘油三酯密切相关,做好HUA早期干预至关重要。

     

    Abstract: Objective To study the epidemiological characteristics of hyperuricemia(HUA) in Wenzhou City.Methods By means of multistage stratified cluster sampling method 3 502 residents over 35 years old from 2 communities were investigated with questionnaire and received physical examination and lab tests. And then the relationship between serum uric acid and the chief parameters of the metabolic syndrome was observed.Results The mean serum uric acid of the residents investigated was (260.25±93.21)μmol/L. The prevalence of hyperuricemia in the two community population was 7.47%, which was higher in men (10.78%),compared with that in women(4.93%); The prevalence rate of the MS was 17.90%. The prevalence rate of hypertension, diabetes, low HDL-cholesterol,High triglycerides, Overweight and Obesity was 62.31%,26.15%,13.46%,67.31%,46.92% in hyperuricemia group, which were much higher than those in normal UA group, By using logistic regression analysis it was shown that serum uric acid levels was correlated with triglycerides, HDL-cho-lesterol, body mass index, drinking, and so on.Conclusion The prevalence of hyperuricemia and the metabolic syndrome in Wenzhou was 7.47% and 14.6% respectively,suggesting that hyperuricemia might be one of the risk factors for metabolic syndrome.

     

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