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2014—2015年蚌埠市成年居民血脂异常患病率及危险因素

发布时间:2018-07-13 08:24
【摘要】:目的了解安徽省蚌埠市成年居民血脂异常患病情况及可能影响因素。方法采用多阶段分层整群随机抽样方法,2014年9月—2015年9月从蚌埠市4个行政区中抽取8个社区共1 545名居民,其中男性468名,女性1 077名,年龄(55.19±12.07)岁,进行问卷调查(年龄、性别、慢性病患病情况)、体格检查(身高、体重、腰围、臀围等),测量其血压、空腹血糖及血脂水平,研究血脂异常患病率并分析其危险因素。结果抽样居民血脂异常患者共826人(53.5%),其中男性220人(47.0%),女性606人(56.3%)。男性的患病率随着年龄的增长呈现降低趋势,高峰期出现在50~59岁年龄段;而女性的血脂异常患病率一直呈现上升趋势,高峰期出现在≥70岁年龄段。血脂异常人群的体质指数[(23.92±3.21)vs.(23.14±3.06)]、腰围[(84.6±9.5)vs.(79.5±9.3)]、腰臀比[(0.89±0.08)vs.(0.82±0.07)]、收缩压[(133.52±11.43)vs.(127.49±11.58)]、舒张压[(82.07±10.58)vs.(79.86±9.87)]、胆固醇[(4.96±1.04)vs.(4.68±0.77)]、甘油三酯[(2.15±1.32)vs.(1.42±0.43)]、高血压患病率(33.6%vs.26.2%)、糖尿病患病率(8.4%vs.5.6%)、超重率(44.7%vs.32.7%)和肥胖率(11.2%vs.4.7%)均高于血脂正常人群,高密度脂蛋白胆固醇、经常锻炼的频率(33.3%vs.40.9%)低于血脂正常的人群,差异有统计学意义(P0.05)。多因素非条件Logistic回归分析显示腰围、腰臀比、超重是血脂异常的独立危险因素,有规律的体育锻炼是其保护因素。结论蚌埠市成年居民血脂异常患病率较高,应加强对中心性肥胖和绝经期妇女等高危人群的重点防治。
[Abstract]:Objective to investigate the prevalence of dyslipidemia in adult residents of Bengbu, Anhui Province and its possible influencing factors. Methods from September 2014 to September 2015, a total of 1,545 residents in 8 communities were selected from 4 districts of Bengbu, including 468 males and 1,077 females, aged (55.19 卤12.07) years. Sex, chronic disease), physical examination (height, weight, waist circumference, hip circumference, etc.), blood pressure, fasting blood glucose and blood lipid levels were measured, the prevalence of dyslipidemia was studied and its risk factors were analyzed. Results there were 826 (53.5%) patients with dyslipidemia among them 220 (47.0%) males and 606 females (56.3%). The prevalence rate of male decreased with the increase of age, and the peak appeared in the age group of 50 to 59 years old, while the prevalence rate of dyslipidemia in women showed an increasing trend, and the peak appeared in the age group 鈮,

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