2017年深圳市血脂异常合并高血压或糖尿病者体重和生活方式评价  

Weight and lifestyle assessment of dyslipidemia patients with hypertension or diabetes in Shenzhen, 2017

作　　者：袁雪丽[1] 倪文庆[1] 卓志鹏[1] 池洪珊[1] 徐健[1] YUAN Xue-li;NI Wen-qing;ZHUO Zhi-peng;CHI Hong-shan;XU Jian(Shenzhen Center for Chronic Disease Control,Guangdong 518020,China)

机构地区：[1]广东省深圳市慢性病防治中心

出　　处：《首都公共卫生》2019年第3期126-129,共4页Capital Journal of Public Health

基　　金：深圳科技计划项目(编号:201607062);深圳市科技计划项目(编号:SZGW2018002);深圳市医疗卫生三名工程(编号:SZSM201811093)

摘　　要：目的评价深圳市血脂异常合并高血压或糖尿病者体重和生活方式现状,为制定针对性干预策略提供循证依据。方法2017年4-5月,采用多阶段随机抽样方法选取符合要求的深圳市40岁及以上血脂异常合并高血压或糖尿病者807名作为研究对象,对其进行问卷调查、体格检查和实验室生化检测,评价其体重和生活方式现状。结果纳入血脂异常合并高血压者、血脂异常合并糖尿病者及血脂异常合并高血压和糖尿病者数量分别为339名、216名和252名。血脂异常合并高血压者超重肥胖患病率、中心型肥胖患病率、膳食不合格率、现在吸烟率和现在饮酒率分别为57.22%、43.95%、67.55%、12.39%和27.14%;血脂异常合并糖尿病者相应指标分别为55.56%、38.42%、68.06%、14.81%和17.13%;血脂异常合并高血压和糖尿病者相应指标分别为55.95%、43.25%、60.71%、16.27%和21.83%。相应三种不同类型血脂异常者每周运动总量分别为(3 193.06±2 722.59)、(3 365.89±3 028.82)和(3 006.03±2 968.00)MET-min/week。结论深圳市血脂异常合并高血压或糖尿病者超重肥胖及中心肥胖患病率占人群比例较高,生活方式不合理主要以不合理膳食为主。Objective To evaluate the body weight and lifestyle of dyslipidemia patients with hypertension or diabetes in Shenzhen,and provide scientific evidence-based prevention and control of the disease. Methods From April to May 2017, 807 patients over 40 years-old with dyslipidemia and hypertension or diabetes mellitus were selected using multi-stage random sampling. Questionnaires,physical examinations and laboratory tests were conducted to evaluate their body weight and lifestyle. Results The numbers of patients with dyslipidemia combined with hypertension,dyslipidemia combined with diabetes,and dyslipidemia combined with hypertension and diabetes were 339,216 and 252,respectively. The prevalence of overweight and obesity,central obesity,imbalanced diet,smoking rate and drinking rate were 57. 22%,43. 95%,67. 55%,12. 39% and 27. 14% in patients with dyslipidemia and hypertension,respectively. Such indicators were 55. 56%,38. 42%,68. 06%, 14. 81% and 17. 13% in patients with dyslipidemia and diabetes mellitus,respectively. The indicators in dyslipidemia patients with hypertension and diabetes mellitus were 55. 95%,43. 25%,60. 71%,16. 27% and 21. 83%,respectively. The total amount of exercise per week for three different types of dyslipidemia was ( 3 193. 06±2 722. 59),( 3 365. 89±3 028. 82) and ( 3 006. 03±2 968. 00) MET-min/week,respectively. Conclusions The prevalence of overweight,obesity and central obesity in patients with dyslipidemia and hypertension or diabetes in Shenzhen is high,and imbalanced diet is the major cause of the unhealthy lifestyle.

关 键 词：血脂异常 高血压 糖尿病 体重 生活方式 深圳 

分 类 号：R544.1[医药卫生—心血管疾病] R587.1[医药卫生—内科学]