河南农村社区居民血脂异常的分布特征及危险因素分析  

Distribution characteristics of dyslipedemia and their related-risk factors in Henan rural residents

作　　者：庞秋艳[1] 余大海[2] 卢洁[1] 郭影 刘继艳[1] 张梅喜[1] 张卫东[1] 胡东生[1] 

机构地区：[1]郑州大学公共卫生学院流行病学教研室,郑州450001 [2]北京协和医学院 [3]中国医学科学院 [4]阜外心血管病医院循证医学部,北京100037 [3]禹州市疾病预防与控制中心,禹州461600

出　　处：《郑州大学学报（医学版）》2009年第3期547-550,共4页Journal of Zhengzhou University(Medical Sciences)

基　　金：国家自然科学基金资助项目30671805;河南省高校杰出科研人才创新工程项目2006KYCX010

摘　　要：目的:了解河南农村社区居民血脂异常的分布特征及其危险因素。方法:在河南省选择2个农村社区,整群抽取18岁及以上人群进行问卷调查、体格检查和生化检测。应用Logistic回归分析,探讨血脂异常的危险因素。结果:研究对象共984人,血脂异常粗患病率为31.91%,男性29.34%,女性33.74%,年龄标化患病率为28.51%。18～岁、35～岁、50～岁、65～岁年龄组血脂异常患病率分别为20.37%、31.12%、35.09%和39.85%,患病率随年龄的增加而升高。调整性别、年龄、婚姻状况、文化水平和经济收入等影响因素后,腹型肥胖(OR=2.05,95%CI=1.23～3.42)、血压升高(OR=2.39,95%CI=1.43～4.02)和空腹血糖升高(OR=2.26,95%CI=1.37～3.72)是血脂异常的独立危险因素。结论:河南农村社区血脂异常患病率高,控制腰围、血压和血糖水平在正常范围内可预防血脂异常的发生。Aim ：To investigate the distribution characteristics of dyslipedemia and their related - risk factors in Henan rural residents. Methods：Subjects over 18 years old were recruited by cluster sampling from two Henan rural communities. Data were collected by questionnaire, physical examination and laboratory examination. Logistic regression was used to ana- lyze the independent risk factors for dyslipidemia. Results： A total of 984 individuals were participated in the study. The crude prevalence of dyslipidemia was 31.91% （29.34% for men and 33.74% for women,respectively） and the age-adjusted prevalence was 28.51%. Data indicated that the prevalence of dyslipedemia increased significantly with age,and the prevalence rates for 18 - , 35 - , 50 - , and 65 - years old were 20.37% , 31.12% , 35.09% and 39.85% respectively. Results of Logistic regression showed that central obesity, increased blood pressure and elevated fasting plasma glucose were independent risk factors for dyslipidemia after adjusted for sex, age, martial status, education status, and income status. Conclusion ： Higher level of dyslipidemia prevalence is blood pressure and fasting plasma glucose levels within found in Henan rural communities. Control of waist circumference normal ranges may prevent the occurrence of dyslipidemia.

关 键 词：血脂异常 患病率 危险因素 

分 类 号：R589.2[医药卫生—内分泌]