河南部分经济欠发达地区儿童青少年血脂异常状况及影响因素分析  

The status of dyslipidemia and its influencing factors among children and adolescents in underdeveloped areas of Henan Province

作　　者：曾强 ZENG Qiang(School of Physical Education, Huanghuai University, Zhumadian 463000, China)

机构地区：[1]黄淮学院体育学院,河南驻马店463000

出　　处：《中国健康教育》2018年第10期890-893,共4页Chinese Journal of Health Education

摘　　要：目的了解河南部分经济欠发达地区儿童青少年血脂异常情况以及对血脂异常影响的危险因素,为经济欠发达地区儿童青少年体质健康发展提供支持。方法在河南3个经济欠发达的地区以班级为单位共抽取36个班级的1782名中小学生进行问卷、体质形态指标及血液生化指标的测试和检查。结果河南经济欠发达地区儿童青少年血脂异常学生比例为13.02%;其中高LDL-C血症、低HDL-C血症、高TC血症、高TG血症的检出率分别为5. 84%、10. 33%、8. 81%和5. 72%。城市(15.40%)高于乡村(10. 60%),回族(17. 76%)高于汉族(12.30%)和其他少数民族(14.28%),高中(21.45%)高于初中(12.87%)和小学(6.16%),相比较差异有统计学意义(X^2值分别为9. 03、9.27、63.79, P <0.01)。多因素Logistic回归分析表明,儿童青少年年龄(OR=1.205, 95%CI:1.012～1.434)、肥胖(OR=1.724,95%CI:1.206～2. 466)和高脂肪饮食(OR=1.536, 95%CI:1.074～2. 197)是导致血脂异常的独立危险性因素。结论河南经济欠发达地区儿童青少年血脂异常状况较高,年龄、高脂肪饮食、肥胖等是血脂异常的危险性因素。Objective To understand the status of dyslipidemia and its risk factors among children and adolescents in underdeveloped areas, and to provide support for the improvement of physical and mental health of children and adolescents in these areas. Methods A total of 1782 elementary and middle school students in 36 classes were selected from 3 regions of underdeveloped economy in Henan Province. Questionnaires, physical fitness indicators and blood biochemical indicators were carried out. Results The proportion of dyslipidemia among children and adolescents in underdeveloped areas in Henan was 13.02%. The rates of high LDL-C hyperlipidemia, low HDL-C hyperlipidemia, hypercholesterolemia, and hypertriglyceridemia were 5.84% , 10. 33%, 8. 81%, and 5.72% , respectively. The proportion of urban ( 15.40% ) was higher than that of rural ( 10. 60% ), Hui ( 17.76% ) higher than Han ( 12. 30% ) and other ethnic minorities ( 14. 28% ), high school (21.45%) higher than junior high school ( 12. 87% ) and primary school ( 6. 16% ), there was a statistically significant difference ( X2 values were 9.03, 9.27, 63.79, P < 0. 01 ). Multivariate logistic regression analysis showed that the age of children and adolescents ( OR = 1. 205, 95 % CI: 1. 012 - 1. 434), obesity ( OR = 1. 724, 95 % CI: 1. 206 -2. 466) and high-fat diet ( OR = 1. 536, 95 % CI: 1. 074 -2. 197) were an independent risk factor lead- ing to dyslipidemia. Conclusion The abnormal status of dyslipidemia in children and adolescents in underdeveloped areas in Henan Province is relatively high. Age, high-fat diet and obesity are risk factors for dyslioidemia.

关 键 词：经济欠发达 生化指标 异常患病率 危险因素 儿童青少年 

分 类 号：R193[医药卫生—卫生事业管理]