Comparative Analysis Of The Prevalence And Different Diagnostic Standards Of Metabolic Syndrome Among Xinjiang Tahe Oilfield Workers

Objective: This article seeks to understand the prevalence and distributionalcharacteristics of MS among Xinjiang Tahe oilfield workers and to explore thecircumstances of MS illness among Xinjiang Tahe oilfield works under the threedifferent diagnostic standards of IDF, ATPIII, and CDS, and which diagnosticstandards best detect and prevent MS in similar subject groups in the special workingenvironment and labor type of oilfield workers. In addition, focusing on thesecircumstances, this article proposes a scientifically rational dietary model to change theirrational dietary structure, reduce the incidence of MS and other chronic diseases, andprovide a basis for further improving the health of personnel working in oilfields andpreventing the incidence of chronic diseases. Method:(1) This article utilizescluster sampling to sample2788workers between the ages of20and65from fourbases in the Xinjiang Tahe oilfield as research targets and carries out physicalexamination and biological indicator measurement of the research targets.(2)Diagnosis of MS among the2788workers found356,503, and222, respectively, usingthree diagnosis charts: the2005International Diabetes Foundation (IDF) standards, theUS Nation Cholesterol Education Program Adult Treatment Panel (NECP-ATPIII2005)revised standards, and the2004China Diabetes Society (CDS) diagnostic standards.In addition, this article also calculates the respective prevalence rates of12.77%,18.96%, and5.77%, in accordance with age and gender and respectively compares thedifferences between the prevalence rates of MS for different genders and thedifferences between the prevalence rates of the different MS groups under the threedifferent diagnostic standards. Results:(1) The respective rates of MS prevalenceamong the subject groups under the three different diagnostic standards were,respectively,12.77%,18.04%, and7.96%. Of these, male rates of prevalence were,respectively,12.78%,16.73%, and6.82%, females were12.73%,21.26%, and10.75%.The difference has statistical significance. There was relatively little disparitybetween the rates of MS prevalence for gender and for age.(2) Comparison of thevarious MS danger groups in accordance with the different diagnostic standardsshowed that the rate of prevalence among males with abdominal obesity was higherthan that for females while the rate of prevalence for low HDL was higher for femalesthan for males. In addition, under IDF/ATP standards, the rate of prevalence amongmales with high blood pressure was clearly higher than that of females. Thedifference has statistical significance.(3) Abnormal MS group accumulation with thedifferent diagnostic standards resulted in the accumulation of abnormal groups underATPIII diagnostic standards to be higher than that under the other two standards.(4)Results of comparison of the consistency between the three MS diagnostic standardsshow that the consistency between the two diagnostic indicators of IDF and ATPIII isrelatively high, with a kappa value of0.8, while the consistency between ATPIII andCDS and IDF and CDS was relatively low, with a kappa value of0.37. Conclusion:Using the rate of MS prevalence calculated using CDS, DF, and ATPIII, ATPIII ishighest and CDS lowest.