Abstract：Objective To describe the epidemic status and characteristics of metabolic syndrome in children and adolescents aged 7-17 years in Jiangsu Province, and to provide a scientific basis for improving the status of metabolic syndrome in children and adolescents. Methods A multi-stage stratified cluster random sampling method was used to select 3,025 children andadolescents aged 7-17 years from 12 survey sites in Jiangsu Province. The relevant information of these subjects was collected through epidemiological questionnaire, physical examination and laboratory examination. Chi-square test was used to compare the prevalence of metabolic syndrome and its components in different gender and age groups. Multivariate logistic regression was used to analyze the correlation of weight group and age group with metabolic syndrome. Results The prevalence rate of metabolic syndrome in the children and adolescents in Jiangsu Province was 5.1%, and there was a statistically significant difference between males and females (6.1% vs. 4.1%, χ2=6.215, P<0.05). The prevalence rate of metabolic syndrome in the group aged 7-12 years was 4.7%, and that in the group aged 13-17 years was 5.9%. The possibility of suffering from metabolic syndrome in the group aged 13-17 years was 1.693 times higher than that in the group aged 7-12 years. The incidence rate of metabolic syndrome in overweight subjects was 8.472 times higher than that in normal ones, and that in obese subjects was 40.194 times higher. Conclusion Metabolic syndrome prevailed inthechildren and adolescents aged 7-17 years in Jiangsu Province in 2016-2017. Overweight, obesity and older age groups are more likely to suffer from metabolic syndrome.
[1] Saklayen MG. The global epidemic of the metabolic syndrome[J]. Curr Hypertens Rep, 2018,20(2):12. [2] McCracken E, Monaghan M, Sreenivasan S. Pathophysiology of the metabolic syndrome[J]. Clin Dermatol, 2018,36(1):14-20. [3] Park J,Mendoza JA,O'Neil CE,et al. A comparison of the prevalence of the metabolic syndrome in the United States (US) and Korea in young adults aged 20 to 39 years[J]. Asia Pac J Clin Nutr, 2008,17(3):471-482. [4] Lu J,Wang L,Li M,et al. Metabolic syndrome among adults in China: the 2010 China noncommunicable disease surveillance[J]. J Clin Endocrinol Metab, 2017,102(2):507-515. [5] DeBoer MD. Assessing and managing the metabolic syndrome in children and adolescents[J]. Nutrients, 2019, 11(8):1788. [6] Weihe P, Weihrauch-Blüher S. Metabolic syndrome in children and adolescents: diagnostic criteria, therapeutic options and perspectives[J]. Curr Obes Rep, 2019, 8(4):472-479. [7] Grundy SM. Metabolic syndrome: a multiplex cardiovascular risk factor[J]. J Clin Endocrinol Metab, 2007,92(2):399-404. [8] 国家卫生和计划生育委员会.学龄儿童青少年超重与肥胖筛查:WS/T 586-2018 [S].北京:中国标准出版社, 2018:1-20. [9] Cook S, Weitzman M, Auinger P, et al. Prevalence of a metabolic syndrome phenotype in adolescents: findings from the Third National Health and Nutrition Examination Survey, 1988-1994[J]. Arch Pediatr Adolesc Med, 2003,157(8):821-827. [10] Song P, Li X, Gasevic D, et al. BMI, waist circumference reference values for Chinese school-agedchildren and adolescents[J]. Int J Environ Res Public Health, 2016,13(6):589. [11] Dong Y, Ma J, Song Y, et al. National blood pressure reference for Chinese Han children and adolescents aged 7 to 17 years[J]. Hypertension, 2017,70(5):897-906. [12] Lee JM,Okumura MJ,Davis MM,et al. Prevalence and determinants of insulin resistance among U.S. adolescents: a population-based study[J]. Diabetes Care, 2006,29(11):2427-2432. [13] 于冬梅, 赵丽云, 朴建华, 等. 8省市儿童青少年代谢综合征流行现况及其主要影响因素[J]. 中国健康教育, 2012,28(6):431-433,437. [14] 梁晶晶, 陈亚军, 杨文翰, 等. 广州市中小学生超重肥胖与代谢综合征关联性[J]. 中国学校卫生, 2015,36(12):1851-1854. [15] 张静娴, 汪元元, 田亭,等. 江苏省成年人血脂异常与膳食模式的相关性研究[J]. 实用预防医学, 2020,27(10):1172-1176. [16] 程绪婷, 王宏, 袁保诚, 等. 2014年重庆城区儿童青少年代谢综合征及家庭影响因素[J]. 卫生研究, 2017,46(4):557-562. [17] 张春燕, 童人杰, 李海华,等. 综合干预在儿童代谢综合征中的疗效及对患儿生存质量的影响观察[J]. 实用预防医学, 2018,25(5):597-600. [18] 张永, 王慧鸽, 郝颖,等. 活性糙米对代谢综合征患者糖脂代谢的影响[J]. 实用预防医学, 2019,26(11):1301-1304.
2022, Vol. 29 
