三峡农村地区人群血脂异常的流行特点及其影响因素

发布时间：2019-05-06 17:47

【摘要】：目的:了解三峡农村地区人群血脂异常的流行特点和影响因素。方法:于2007年在湖北省宜昌市夷陵区(以下统称三峡)农村地区的35岁及以上自然人群中进行现况调查,采用标准化的问卷收集一般人口学情况、社会经济状况和生活方式与行为等因素,采集空腹静脉血测定血清总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)和甘油三酯(TG)等指标。根据中国成人血脂异常防治指南确定血脂异常的诊断标准。结果:调查资料完整者9 840人(应答率为83.1%)。高胆固醇血症[TC≥6.22 mmol/L和(或)LDL-C≥4.14 mmol/L]、高TG血症(TG≥2.26 mmol/L)、低HDL-C血症(HDL-C1.04 mmol/L)和总血脂异常(至少有一种类型血脂异常)的患病率在男性分别为10.5%、11.9%、7.1%和23.4%,在女性分别为11.0%、10.6%、5.9%和22.8%。随着年龄的增加,男性各类型血脂异常患病率呈下降趋势(趋势检验P值0.05或0.01);而在女性除低HDL-C血症患病率呈下降趋势外,其他类型血脂异常患病率均呈上升趋势(所有趋势检验P值0.01)。男性35~44岁年龄组、女性65岁及以上年龄组总血脂异常患病率最高。多元Logistic回归分析发现,与总血脂异常有显著性关联的因素在男性中包括年龄、移民、体重指数和绿色蔬菜/水果的摄入量,在女性中包括年龄、移民、教育水平、体重指数和体力活动量。结论:三峡农村地区人群血脂异常患病率明显高于全国农村人群的水平。应大力加强健康教育和健康促进等措施预防和控制血脂异常,超重肥胖人群及中青年男性和老年女性是干预的重点人群。
[Abstract]:Objective: to investigate the epidemic characteristics and influencing factors of dyslipidemia in three Gorges rural area. Methods: a survey was conducted in Yiling District, Yichang City, Hubei Province, in 2007, among the natural population aged 35 years or older in the rural areas of Yichang City, Hubei Province. Standardized questionnaires were used to collect the general demography. The serum total cholesterol (TC),) and low density lipoprotein cholesterol (LDL-C) were measured by fasting venous blood samples, such as socio-economic status, lifestyle and behavior, and so on. High density lipoprotein cholesterol (HDL-C) and triglyceride (TG). The diagnostic criteria for dyslipidemia were determined according to the guidelines for prevention and treatment of dyslipidemia in Chinese adults. Results: 9 840 people (the response rate was 83.1%) had complete survey data. Hypercholesterol [TC 鈮，

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