Effect of Lifestyle on the Prevalence of the Metabolic Syndrome among Farmers, Migrants with Yi Ethnicity and the Han Population in Sichuan Province of China

中国四川省彝族农民、彝族移民和汉族居民的生活方式对代谢综合征的影响

Chun-Xiu Wang ； Da-Ying Wei ； Bin Wang ； Jian-Hua Zhang ； Kong-Lai Zhang ； Ming-Ju Ma ； Li Pan ； Tao Yu ； Fang Xue ； Guang-Liang Shan

《Asia Pacific Journal of Clinical Nutrition》 19卷2期 (2010/05) Pp. 266-273

https://doi.org/10.6133/apjcn.2010.19.2.17

摘要

彝族是中国保持最原始生活方式的少数民族之一，目前仍少见关于彝族代谢综合征患病率的研究报道。本文探讨中国西南地区彝族农民、彝族移民和汉族居民的不同生活方式等环境因素对代谢综合征患病的影响。共调查彝族农民1,535人，彝族移民1,306人與汉族居民2,130人。代谢综合征诊断标准采用2005年国际糖尿病联合会（IDF）的定义。評估体力劳动、肥胖、及其他代谢综合征的危險因子。研究结果显示彝族农民代谢综合征年龄－性别标化患病率為2.4%，而彝族移民标化患病率（23.8%）為其9.9倍，汉族居民标化患病率（15.2%）則為其6.3倍。彝族移民和汉族居民代谢综合征患病率均随年龄的增加而显著增高，而彝族农民代谢综合征患病率随年龄增加仅有轻微的上昇。彝族农民超重和肥胖盛行率（男性：9.3%；女性：16.5%）明显低于彝族移民（男性：46.2%；女性：34.8%）和汉族居民（男性：40.6%；女性：31.9%）。彝族农民从事重体力劳动者所占比例显著高于彝族移民和汉族居民。研究结果表明，生活方式等环境因素是造成彝族农民、彝族移民和汉族居民代谢综合征患病率差异的主要因素。本研究为农村生活方式城镇化对代谢综合征的发生、发展的影响提供了一定的科学依据。

關鍵字

代谢综合征 ； 盛行率 ； 肥胖 ； 生活方式 ； 種族

並列摘要

Yi people are the most primitive society in China. Little information on the metabolic syndrome (MS) is available in Yi people. We explored whether differing lifestyle affected the prevalence of MS among farmers and migrants of Yi ethnicity and Han population in one of the Southwestern parts of China. The prevalence of MS among the three populations was described under the same International Diabetes Federation (IDF) criteria. The study populations comprised of 1,535 Yi farmers, 1,306 Yi migrants and 2,130 Han people. The effects of physical activity, obesity and other risk factor on MS were evaluated. Results showed that the age- and sex-adjusted prevalence of MS was 9.9 times higher in Yi migrants (23.8%) and 6.3 times higher in Han people (15.2%) than in Yi farmers (2.4%). In addition, the prevalence of MS increased significantly with age in both sexes, except for a slight increase in Yi farmers. The prevalence of overweight and obesity was much lower in Yi farmers (9.3% in men and 16.5% in women) than that in Yi migrants (46.2% in men and 34.8% in women) and Han people (40.6% in men and 31.9% in women). Levels of physical activity were much greater in Yi farmers than in Yi migrants and Han people. These results indicated that lifestyle had strongly influenced the development of MS in Han and Yi Chinese and our study provided one more piece of evidence imputing that high prevalence of MS might be related to a change in lifestyle associated with urbanization.

並列關鍵字

the metabolic syndrome ； prevalence ； obesity ； lifestyle ； ethnicity