江门市青少年血脂异常影响因素分析  

Analysis of influencing factors of dyslipidemia among teenagers in Jiangmen city

作　　者：温志刚[1] 余擎 肖苏妹 WEN Zhigang;YU Qing;XIAO Sumei(Department of Endocrinology,Jiangmen Central Hospital,Jiangmen 529000,China;The First Affiliated Hospital of Xiamen University,Xiamen 361003,China;School of Public Health,Sun Yat-sen University,Guangzhou 510080,China)

机构地区：[1]江门市中心医院内分泌科,江门529000 [2]厦门大学附属第一医院,厦门361003 [3]中山大学公共卫生学院,广州510080

出　　处：《广州医药》2020年第4期89-95,共7页Guangzhou Medical Journal

摘　　要：目的了解血脂异常在青少年人群中的分布及影响因素。方法以江门市棠下中学1449名学生为研究对象,对其进行问卷调查、InBody人体成分仪检测和实验室检查。结果血脂异常总检出率是8.3%,高胆固醇(TC)、高甘油三脂(TG)、高低密度脂蛋白胆固醇(LDL-C)和低高密度脂蛋白胆固醇(HDL-C)血症的检出率分别为8.3%、7.8%、10.6%和7.2%,女生血脂异常检出率(26.4%)高于男生(19.8%)(P<0.001);多因素分析显示性别(参照男性,OR=1.39,95%CI=1.08~1.80)和体脂百分比(参照正常组,超重、肥胖和重度肥胖组OR和95%CI分别OR=1.62/2.89/4.45,95%CI=1.13~2.32/1.85~4.51/2.48~7.96)与血脂异常间存在统计学关联(P<0.05)。结论性别、体脂百分比是青少年血脂异常的影响因素。相对于青少年男生,青少年女生检出血脂异常的比例更高,体脂百分比高的青少年血脂异常的风险更高。Objective To study the distribution and influencing factors of dyslipidemia among teenagers.Methods A questionnaire survey,InBody body composition test and laboratory examination were conducted on 1449 students from the Tangxia Middle School in Jiangmen city as study objects.Results The total detection rate of dyslipidemia was 8.3%and the detection rates of high total cholesterol(TC),triglyceride(TG),high low-density-lipoprotein cholesterol(LDL-C)and low high-density-lipoprotein cholesterol(HDL-C)were 8.3%,7.8%,10.6%and 7.2%,respectively.The detection rate of dyslipidemia among teenage girls(26.4%)was higher than that among teenage boys(19.8%)(P<0.001).Multivariate analysis indicated that gender(with reference to male,OR=1.39,95%CI=1.08-1.80)and body fat percentage(with reference to normal group,for overweight,obesity and severe obesity groups,OR=1.62,2.89,4.45 and 95%CI=1.13-2.32,1.85-4.51,2.48-7.96,respectively)were statistically related to dyslipidemia(P<0.05).Conclusion Gender and body fat percentage are the influencing factors of dyslipidemia among teenagers.Compared with teenage boys,the teenage girls have a higher detection percentage of dyslipidemia.Teenagers with higher percentage of body fat show a higher risk of dyslipidemia.

关 键 词：血脂异常 青少年 体脂百分比 

分 类 号：R589.2[医药卫生—内分泌]