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. 2017 Jun 6;51(6):513-518.
doi: 10.3760/cma.j.issn.0253-9624.2017.06.011.

[The epidemic status of metabolic syndrome among Chinese adolescents aged 10-17 years in 2010-2012]

[Article in Chinese]
Y N He  1 , W H Zhao, L Y Zhao, D M Yu, J Zhang, W T Yu, X G Yang, G G Ding
Affiliations

[The epidemic status of metabolic syndrome among Chinese adolescents aged 10-17 years in 2010-2012]

[Article in Chinese]
Y N He et al. Zhonghua Yu Fang Yi Xue Za Zhi. .

Abstract
in English, Chinese

Objective: To invesigate the epidemic status of the metabolic syndrome (MS) among mainland Chinese adolescents aged 10-17 in 2010-2012. Methods: Data were collected from Chinese Nutrition and Health Surveillance in 2010-2012. Multi-stage stratified proportion to the population cluster random sampling method was conducted to determine 16 872 adolescents in 150 counties from 31 provinces in mainland China. The epidemic status of metabolic syndrome was analyzed by China criterion (defined by Chinese Pediatric Society, Chinese Medical Association) and Cook criterion, respectively. The prevalence of MS and 95%CI were calculated through weighted complex sampling processing by population data released by the National Bureau of Statistics in 2009. Results: Based on China criterion, the weighted prevalence of MS was 2.4% (95% CI: 2.1%-2.6%) among Chinese adolescents aged 10-17. Prevalence in urban was higher than in rural (2.8%, 95%CI: 2.4%-3.2% and 1.9%, 95%CI:1.6%-2.3%, respectively). Prevalence in boys and girls were 2.7% (95% CI: 2.3%-3.0%), and 2.0% (95% CI: 1.7%-2.4%), respectively. Based on Cook criterion, the weighted prevalence was 4.3% (95% CI: 4.0%-4.7%) . The highest weighted prevalence of the components of the metabolic syndrome was low high-density lipoprotein cholesterol (26.8%, 95% CI: 26.0%-27.5%), followed by high fasting glucose (11.5%, 95% CI: 11.0%-12.0%), abdominal obesity (11.1%, 95%CI: 10.6%-11.7%) , hypertriglyceridemia (8.8%, 95%CI: 8.4%-9.3%) , and high blood pressure (6.4%, 95% CI: 6.0%-6.8%). Conclusion: Among the five indicators of metabolic syndrome, the prevalence of central obesity and hypertriglyceridemia were relative high in Chinese adolescents aged 10-17 years, though the prevalence of metabolic syndrome was not high.

目的： 分析中国10~17岁儿童青少年代谢综合征（MS）的流行现状及特点。 方法： 数据来自2010—2012年中国居民营养与健康状况监测。采用多阶段分层与人口成比例的整群随机抽样，以中国内地31个省份150个监测点的10~17岁儿童青少年16 872名作为研究对象。分别按中华医学会儿科学分会提出的诊断标准（中国标准）和美国学者Cook提出的诊断标准（Cook标准）对中国内地儿童青少年MS流行情况进行分析。采用2009年国家统计局公布的人口数据，进行复杂抽样加权处理，计算患病率及95%CI值。 结果： 按中国标准，中国10~17岁儿童青少年MS患病率为2.4%（95%CI：2.1%~2.6%）；城市高于农村，分别为2.8%（95%CI：2.4%~3.2%）和1.9%（95%CI：1.6%~2.3%），男性和女性分别为2.7%（95%CI：2.3%~3.0%）和2.0%（95%CI：1.7%~2.4%）。按照Cook标准，中国10~17岁儿童患病率为4.3%（95%CI：4.0%~4.7%）。按照中国标准，MS各组分中低HDL-C率最高（26.8%，95% CI：26.0%~27.5%），其次是高血糖率（11.5%，95% CI：11.0%~12.0%），腹型肥胖率（11.1%，95%CI：10.6%~11.7%），高TG率（8.8%，95%CI：8.4%~9.3%）和高血压率（6.4%，95%CI：6.0%~6.8%）。 结论： 我国10~17岁儿童青少年MS患病率虽然不高，但腹型肥胖和低HDL-C率较高。.

Keywords: Adolescent; Child; Metabolic syndrome X; Prevalence.

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