- 期刊
Coexistence of Anaemia and the Metabolic Syndrome in Adults in Jiangsu, China
贫血和代谢综合征在江苏成人中并存
摘要
目的：描述贫血和代谢综合征的患病率，重点关注这两者在同一个体中的共存及可能的联系。研究设计和方法：在一横断面的家戶調查中，共計訪視1294名成年（20岁及以上）男性和1522名成年女性，並进行体格测量和血液检测。代谢综合征采用IDF2005 标准，贫血定义为血红蛋白在男性低於13g/dL，女性低於12 g/dL。结果: 年龄调整的代谢综合征和贫血盛行率分别为11.2%和24.4%。约3%的被调查对象同时有贫血和代谢综合征。女性代谢综合征和贫血患病率均高于男性（14.0%比8.4%及31.5%比16.1%）。贫血与代谢综合征的各成分都共存，僅有7.0%的对象只患贫血而没有代谢综合征的任何一个成分。在女性50-59岁年龄组，贫血与代谢综合征共存的比例最高（9.9%）。血清铁蛋白水平高（第四等份）的女性，單患代谢综合征或贫血与代谢综合征共存的風險較高。结论: 该地区贫血和代谢综合征的患病率很高，需儘速發展有效政策以进行預防与治療。在女性，这种共存现象可能与炎症有关，但需要进一步研究。
並列摘要
Objective: To determine the prevalence of anaemia and the metabolic syndrome with special interest in the coexistence of these two problems as well as the possible links. Research design and method: In a cross-sectional household survey, 1294 men and 1522 women aged 20 years and above were interviewed; anthropometric measurements and blood samples were taken. Metabolic syndrome was defined according to IDF 2005 standard. Anaemia was defined as haemoglobin level below 13 g/dL for men and 12 g/dL for women. Results: The ageadjusted prevalence of metabolic syndrome was 11.2% and of anaemia 24.4%. About 3 percent of the participants had both anaemia and metabolic syndrome. Women had a higher prevalence of both the metabolic syndrome and anaemia than men (14.0 vs 8.4%, 31.5% vs 16.1%). Anaemia coexisted significantly with all the individual components of the metabolic syndrome. Only 7.0% of the sample had anaemia without any individual component of metabolic syndrome. In women, the prevalence of combined anaemia and metabolic syndrome peaked in the age group 50-59 years (9.9%). Women in the highest quartile of serum ferritin had a higher risk of only the metabolic syndrome and coexistence of anaemia and metabolic syndrome. Conclusion: The high prevalence of the metabolic syndrome and anaemia in the area show the urgent need to develop comprehensive strategies aimed at prevention and treatment. In women this coexistence may be related to inflammation but further research is needed.
延伸閱讀
- Chang, J. S., Lin, S. M., Huang, T. C., Chao, J. C. J., Chen, Y. C., Pan, W. H., & Bai, C. H. (2013). 血清鐵蛋白與代謝症候群危險性：族群基礎研究. Asia Pacific Journal of Clinical Nutrition, 22(3), 400-407. https://doi.org/10.6133/apjcn.2013.22.3.07
- Chang, J. S., Lin, S. M., Huang, T. C., Chao, J. C. J., Chen, Y. C., Pan, W. H., & Bai, C. H. (2013). 血清鐵蛋白與代謝症候群危險性：族群基礎研究. Asia Pacific Journal of Clinical Nutrition, (), 36-43. https://www.airitilibrary.com/Article/Detail?DocID=09647058-201303-PP201303130005-PP201303130005-36-43-0010
- 陳添享、黃文雄、呂志忠（1970）。小兒再生不良性貧血症之臨床觀察。Acta Paediatrica Sinica，11(4)，152-162。https://www.airitilibrary.com/Article/Detail?DocID=00016578-197012-11-4-152-162-a
- 吳慧媛、陳皙堯（1978）。(IIV)妊娠的高危險性併發症－貧血。當代醫學，(51)，69-73。https://doi.org/10.29941/MT.197801.0016
- Wang, J. W., Yang, C. P., & Hung, I. J. (1993). 胎兒－母體輸血造成新生兒貧血的不尋常臨床表現. Acta Paediatrica Sinica, 34(1), 9-13. https://www.airitilibrary.com/Article/Detail?DocID=00016578-199302-34-1-9-13-a