Prevalence of Metabolic Syndrome and Common Metabolic Components in High Altitude Farmers and Herdsmen at 3700 m in Tibet
Prevalence of Metabolic Syndrome and Common Metabolic Components in High Altitude Farmers and Herdsmen at 3700 m in Tibet
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DOI：
10.1089/ham.2012.1051
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发表时间：
2013-03-01
影响因子：
2.1
通讯作者：
Bjertness, Espen
中科院分区：
文献类型：
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作者：
Sherpa, Lhamo Y.;Deji;Bjertness, Espen
Sherpa，Lhamo Y.，Deji，Hein Stigum，Virasakdi Chongsuvivatwong，Per Hafstad，and Espen Bjertness.西藏3700 m高海拔农牧民代谢综合征患病率及常见代谢成分。High Alt Med Biol 14：37-44，2013.-目的：了解高原地区30-80岁藏族人群代谢综合征的患病率、相关因素及构成因素。方法：多阶段抽样调查692人。我们使用IDF标准估计代谢综合征，并根据WHO MONICA方案进行问卷调查。结果如下：代谢综合征的患病率为8.2%（置信区间（CI）：6.1-10.2），而常见成分为：空腹高血糖57.5%（53.8-61.1）;腹部肥胖46%（42.2-49.7）;和高血压37%（33.4-40.5）。代谢综合征在男性中显著较低，那些受过高等教育和体力活动>2000千卡/周的人。对糖尿病和血脂异常的自我认知、治疗和控制均较低。结论：西藏高海拔地区农牧民代谢综合征的总体患病率低于其他高海拔地区，但其组分（高血糖、肥胖和高血压）高于其他高海拔地区。吸烟（男性）、肥胖和高血压的高患病率以及对农村高地人代谢综合征组分的认识、治疗和控制率低的调查结果的影响，推动了针对风险因素的健康计划的必要性。
Sherpa, Lhamo Y., Deji, Hein Stigum, Virasakdi Chongsuvivatwong, Per Hafstad, and Espen Bjertness. Prevalence of metabolic syndrome and common metabolic components in high altitude farmers and herdsmen at 3700 m in Tibet. High Alt Med Biol 14:37-44, 2013.-Objectives: To estimate the prevalence of metabolic syndrome, its associated factors and components in 30-80-year-old Tibetans living at high altitude. Method: Multistage sampling of 692 participants. We used IDF criteria for estimation of the metabolic syndrome, and a questionnaire based on the WHO MONICA protocol. Results: The prevalence of metabolic syndrome was 8.2% (Confidence interval (CI): 6.1-10.2) while the common components were: fasting hyperglycemia 57.5% (53.8-61.1); abdominal obesity 46% (42.2-49.7); and high blood pressure 37% (33.4-40.5). Metabolic syndrome was significantly lower for males, those with higher education and physical activity >2000 Kcal/week. Self awareness, treatment and control were low for both diabetes and lipid abnormality. Conclusion: The overall prevalence of metabolic syndrome in high altitude farmers and herdsmen in Tibet was lower compared to other high altitude natives, while its components (hyperglycemia, obesity, and high blood pressure) were higher than in other high altitude communities. Implications of the findings of high prevalence of smoking (among men), obesity, and hypertension and low rates of awareness, treatment, and control of the components of the metabolic syndrome among rural highlanders propels the need for health programs targeting risk factors.