目的 了解上海社区老年人代谢综合征（MS）的危险因素及中医体质分布情况，为预防MS及其并发症的发生提供数据参考。方法 采用九种体质问卷，对社区1158例MS患者进行中医体质及危险因素分析。结果 女性人群中高血脂病史和骨质疏松症病史所占比例高于男性。MS各组成成分中，女性腰围、高密度脂蛋白以及甘油三酯的比例明显高于男性，并且有显著性差异。2463例老年人中MS患者1158例（47.02%），MS患者主要体质为痰湿质587例（50.69%），其次为平和质262例（22.63%），次之为阴虚质106（9.15%）。通过logistics回归矫正生活方式，既往史以及腰围、血压、血糖和血脂等MS高危因素后，发现痰湿质人群MS的患病率是平和质人群的1.6倍。结论 痰湿质是MS人群的独立危险因素，通过饮食和运动干预来纠正或改善痰湿质，降低MS的患病率，提高老年人的生活质量。
Objectives The purpose of this study is to research risk factors and Traditional Chinese Medicine (TCM) constitutions distribution of Metabolic Syndrome of the older in Shanghai community, in order to provide evidence to prevent MS and it s complications.Methods Analyzed the constitutions and the risk factors of MS through the questionnaires in 1158 individuals.Result The proportion of history of hyperlipidemia and osteoporosis in female individuals was higher than in male population. In the components of MS, the proportion of waist circumstance, high density lipoprotein cholesterol and triglyceride was higher in female than male participants and there was important statistical significance. There were 2463 older subjects enrolled this study. The prevalence of MS was 47.02%. Phlegm-dampness pattern (587, 50.69%), balanced pattern (262, 22.63%) and yin-deficiency pattern (106, 9.15%) were more than other constitutions in the subjects with MS. In logistics model, adjusted lifestyle, the history of diseases, waist circumstance, blood pressure, fast blood glucose and lipid profile, we found that the prevalence of MS was 1.6 fold in those with phlegm-dampness pattern than the balanced constitution.Conclusion Phlegm-dampness pattern is the independent risk factor in the person who was MS. Through diet and exercise habit to improve phlegm-dampness pattern, we can decrease the prevalence of MS and improve the quality of the older life.