Investigation And Analysis Of Metabolic Syndrome In Physical Examination Population And Intervention Measures Of Health Management

Objective: Through a comprehensive physical examination data and lifestyle survey of Haikou healthy physical examination population,to understand the prevalence of metabolic syndrome(MS)and related influencing factors among the physical examination population,and the health management strategies and relevant suggestions were put forward in the light of the results of the study.The aim of this study was to provide scientific basis for systematic health management intervention and effective prevention and treatment strategies for MS patients.Methods: The healthy lifestyle questionnaire,physical examination and laboratory test were carried out in the health examination center of a third Class a hospital in Haikou city from September 2016 to September 2017 by using a case-control study based on the healthy physical examination population.Descriptive analysis was conducted to study the prevalence of MS and its components in a sample population.Using chi-square test statistical analysis the differences of MS and its components among different variables,Multivariate conditional Logistic regression analysis was used to determine the related factors of MS and its components,and the difference was statistically significant(P < 0.05).Results:(1)The crude prevalence rate of MS is 10.04%(the standardized prevalence rate is 11.46% according to the age composition of the national population in2010).Among them,12.38% of males were higher than 7.81% of females(theprevalence rates were 12.84% and 8.53% respectively according to the age structure of the national population in 2010),there was significant difference between sexes(P< 0.05).(2)In this study,the highest prevalence rate of MS was 30.17% overweight and obesity,followed by hypertriglyceridemia21.40%,hypertension 14.12%,hyperglycemia13.42%,hypoglycemia 1.36%.The differences of each component in different sex,occupation type and BMI group were statistically significant.(3)The results of multivariate unconditioned Logistic regression analysis show that:over 50 years of age,overweight and obesity,fatty diet,full meals,late dinner,more than 8 hours of sit-in a day,smoking,drinking and insufficient sleep are the main risk factors of MS.(4)People over 30 years old,daily staple food intake is more than 400 g,eating supper,frying,eating too much,dinner too late,sitting for more than 8 hours a day are the risk factors of overweight and obesity over 40 years old,overweight and obesity.Family history of hypertension,salty diet,obvious stress and great stress are the risk factors of hypertension over 40 years old,overweight and obesity,personal disease history and diabetes family history,drinking is the risk factor of hyperglycemia.Age group 40 to 50 years old,overweight and obesity,family history of hyperlipidemia,fatty diet and alcohol consumption are risk factors of hypertriglyceridemia.Conclusion:The cross-sectional study of this paper shows that the prevalence of metabolic syndrome in Haikou is close to the prevalence of metabolic syndrome in Hainan.Compared with other epidemiological studies in China,the prevalence of MS was lower.Multivariate Logistic regression showed that the main factors affecting MS were dietary factors,bad behavior lifestyle factors,mental factors and genetic factors.In the end,the occurrence of MS is caused by the combined factors that affect the occurrence of MS by affecting the occurrence of related diseases.Therefore,the health management of MS should be health management interventions that focus on reducing or avoiding the controllable risk factors of disease occurring in each component of MS.We should carry out special knowledge lectures on different health problems and education on the knowledge of preventionand health care of chronic diseases,and guide interventions such as diet,medicine,exercise and so on for different occupations,gender,age groups,etc.Make it gradually develop a healthy lifestyle.For example,it can effectively reduce body weight,reduce insulin resistance,control blood sugar,change bad eating habits,reduce the intake of sodium salt and control blood pressure level by strengthening physical exercise and rational diet science.For the population with family disease history of each component,it should be listed as high risk group to carry on the key examination,give the intervention,carry on the disease first class prevention as soon as possible,reduce the risk of the disease of MS,improve the people’s health level and improve the quality of life.