开滦研究人群理想心血管健康行为和因素分布调查  

The prevalence and distribution of ideal cardiovascular health behavior in employees of Kailuan Group cohort

作　　者：施继红[1] 郝雁红[2] 吴寿岭[1] 郑晓明[1] 金成[1] 高竟生[1] 刘秀荣[1] 吴云涛[1] 张玉梅[1] 

机构地区：[1]河北联合大学附属开滦医院心内科,唐山063000 [2]河北联合大学研究生院

出　　处：《中华心血管病杂志》2012年第1期62-67,共6页Chinese Journal of Cardiology

摘　　要：目的 调查理想心血管健康行为和因素的分布情况.方法选择2008-2009年度开滦集团公司健康体检职工为研究对象,采用横断面研究的方法,分析研究人群中理想心血管健康行为和因素的分布及影响因素.结果（1）研究人群的一般情况：男性的体质指数、收缩压、舒张压、血总胆固醇、甘油三酯、低密度脂蛋白胆固醇高于女性,高密度脂蛋白胆固醇低于女性,两性间比较差异有统计学意义（P＜0.05）；大学及以上学历和家庭人均月收入≥1000元者在女性人群中所占的比例高于男性人群中相应的比例,两性间比较差异亦有统计学意义（P＜0.05）.（2）心血管健康行为和因素的分布情况：在可改变的心血管健康行为（吸烟、体质指数、体育锻炼、盐摄入量）中处于理想状态的分别只占55.8％、41.4％、18.9％、14.0％；在可定量评估的心血管健康因素（空腹血糖、总胆固醇、血压）中处于理想状态的分别占80.9％、61.8％和18.5％.其中体育锻炼、低盐饮食、血压处于理想状态的比例较少,均不足20％.（3）理想心血管健康行为和因素组合分布情况：研究人群中,只有0.1％、1.9％、9.1％、20.3％的个体分别具有7项、6项、5项、4项理想心血管健康行为和因素,合计仅占31.4％.（4）影响心血管健康行为和因素的logistic回归分析显示：女性、年龄＜55岁、大学及以上学历、家庭人均月收入＞ 1000元者具备理想心血管健康的RR值（95％可信区间）分别为4.52（4.32～4.72）,1.46（1.39～1.53）,2.23（2.10～2.37）,1.00（0.91～1.09）.结论（1）研究人群具有理想心血管的健康行为和因素的人数量较少,多数处于非理想心血管健康状态.（2）女性、年龄＜55岁、大学及以上学历者是理想心血管健康的保护性因素.Objective To observe the prevalence and distribution of ideal cardiovascular health behavior.Methods Health examination data between 2008 to 2009 from the employees of Kailuan Group were analyzed.Results A total of 101 333 subjects took part in the health examination,subjects with previous myocardial infarction（n =871）,stroke（n =2255）,myocardial infarction and stroke（n =162）and subjects with incomplete examination data（n =9311）were excluded and 88 534 subjects were included for final analysis[mean age（50.6 ± 12.3）years,male 69 916].（1）Body mass index（B MI）,systolic and diastolic pressure,cholesterol（TC）and triglyceride were significantly higher in males than in females （all P 〈0.05）,women＇s income and the education lever were significantly higher than men（P 〈 0.05）.（2）The distribution of ideal cardiovascular health behavior（smoking,BMI,physical exercise,salt intake）was 55.8%,41.4%,18.9% and 14.0% respectively among the population; the ideal cardiovascular factors（fasting blood glucose,TC,blood pressure）was 80.9%,61.8% and 18.5%,respectively.（3）The subjects with distribution of seven,six,five,four ideal cardiovascular health behavior and factors was 0.1%,1.9%,9.1%,20.3%,respectively.（4）Multiple logistic regression analysis showed that female,age 〈 55 and high education level were associated with the ideal cardiovascular health status with a RR value （95 % CI）of 4.52（4.32-4.72）,1.46（1.39-1.53）and 2.23（2.10-2.37）,respectively.Conclusion The prevalence of ideal cardiovascular health is extremely low in the study population,most persons were notin the ideal cardiovascular health behavior and factors and female,age 〈 55 and high education level arelinked with ideal cardiovascular health status.

关 键 词：心血管系统 健康行为 健康状况指标 流行病学 

分 类 号：R54[医药卫生—心血管疾病]