2012年中国7省份6～17岁儿童青少年血脂异常流行情况及相关因素分析  

The epidemiological characteristics and related factors of dyslipidemia among children and adolescents aged 6-17 years from 7 provinces in China, 2012

作　　者：王政和 邹志勇[1] 阳益德[1] 王烁[1] 董彦会 杨招庚 杨忠平[1] 王西婕 李艳辉 高迪[1] 马军[1] Wang Zhenghe;Zou Zhiyong;Yang Yide;Wang Shuo;Dong Yanhui;Yang Zhaogeng;Yang Zhongping;Wang Xijie;Li Yanhui;Gao Di;Ma Jun(School of Public Health ＆ Institute of Child and Adolescent Health,Peking University,Beijing 100191,China)

机构地区：[1]北京大学公共卫生学院北京大学儿童青少年卫生研究所,100191

出　　处：《中华预防医学杂志》2018年第8期798-801,共4页Chinese Journal of Preventive Medicine

基　　金：2012年卫生公益性行业科研专项项目（201202010）

摘　　要：目的 分析中国7个省份6~17岁儿童青少年血脂异常的流行现状及相关因素。方法 采用分层整群随机抽样的方法，于2012年在广东、湖南、辽宁省，上海、重庆、天津市，以及宁夏回族自治区共抽取93所中小学校，选取体格测量和血脂指标完整的16 434名6~17岁的中小学生作为研究对象。采用2009年＂儿童青少年血脂异常防治专家共识＂判定血脂异常，logistics回归模型分析儿童青少年血脂异常的相关因素。结果 6~17岁儿童青少年高总胆固醇血症、高甘油三酯血症、高LDL-C血症、低HDL-C血症和血脂异常检出率分别为5.4%（887例）、15.7%（2 578例）、3.0%（492例）、13.5%（2 221例）和28.5%（4 679例）。含糖饮料≥1次/周（OR=1.14，95%CI：1.05~1.24）、静坐时间〉10 h/d（OR=1.14，95%CI：1.01~1.28）、超重（OR=1.50，95%CI：1.33~1.70）和肥胖（OR=2.62，95%CI：2.31~2.96）是儿童青少年患血脂异常的相关因素。结论 我国7个省份6~17岁儿童青少年血脂异常检出率较高，含糖饮料≥1次/周、静坐时间〉10 h/d、超重和肥胖可能是儿童青少年血脂异常的危险因素。Objective To investigate the prevalence and related factors of dyslipidemia among children and adolescents aged 6-17 years in 7 provinces in China.Methods Using the method of stratified cluster random sampling, 93 primary and secondary schools were selected from Guangdong, Hunan, Liaoning provinces, Shanghai, Chongqing, Tianjin municipalities and Ningxia Hui Autonomous Region in China, 2012. A total of 16 434 students aged 6-17 years old with completed physical and lipid profiles parameters were selected into this study from above 93 primary and secondary schools. Dyslipidemia was determined by the definition of Expert Advice on Prevention and Treatment of Dyslipidemia in Children and Adolescents in 2009. Logistic regression model was used to explore the factors related to dyslipidemia.Results The prevalence of elevated total cholesterol, elevated triglyceride, elevated low-density lipoprotein cholesterol, low high-density lipoprotein cholesterol, and dyslipidemia was 5.4% （887 cases）, 15.7% （2 578 cases）, 3.0% （492 cases）, 13.5% （2 221 cases） and 28.5% （4 679 cases） among children and adolescents aged 6-17 years, respectively. Sugary drinks intake ≥once per week （OR=1.14; 95%CI： 1.05-1.24）, sedentary time 〉10 hours per day （OR=1.14, 95%CI： 1.01-1.28）, overweight （OR=1.50, 95%CI： 1.33-1.70）, and obesity （OR=2.62, 95%CI： 2.31-2.96） were significantly associated with the prevalence of dyslipidemia.Conclusion The prevalence of dyslipidemia was high among children and adolescents aged 6-17 in 7 provinces in China, 2012. Sugary drinks intake ≥once per week, sedentary time 〉10 hours per day, overweight and obesity might be the risk factors of dyslipidemia among children and adolescents.

关 键 词：血脂异常 儿童 超重 含糖饮料 

分 类 号：R725[医药卫生—儿科]