深圳市老年人群血脂异常流行特征和控制情况  被引量:6

The prevalence characteristics and control situation of dyslipidemia in elderly adults of Shenzhen

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作  者:刘峥[1] 倪文庆[2] 孙苑潆 袁雪丽[2] 吕德良[2] 池洪珊[2] 徐健[2] LIU Zheng;NI Wen-qing;SUN Yuan-ying;YUAN Xue-li;LV De-liang;CHI Hong-shan;XU Jian(Shenzhen Bao-an District Hospital for Chronic Diseases Prevention and Cure,Shenzhen,Guangdong Province 518100,China;不详)

机构地区:[1]深圳市宝安区慢性病防治院健康管理科,广东省深圳518100 [2]深圳市慢性病防治中心健康管理科

出  处:《中国慢性病预防与控制》2020年第11期831-835,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基  金:深圳市科技计划项目(SZGW2018002,JCYJ20180703145202065);深圳市医疗卫生三名工程(SZSM201811093);深圳市医学重点学科建设经费资助。

摘  要:目的了解深圳市老年人群血脂异常流行特点和控制情况,为制定老年人群血脂异常健康管理策略提供科学依据。方法本研究数据来源于基本公共卫生服务项目老年人健康管理项目,于2018年1—12月,采用方便抽样方法抽取141684名65岁及以上在深圳市居住6个月及以上的老年人作为调查对象,进行问卷调查、体格检查和生化指标检测。采用SAS 9.4统计软件进行t检验、方差分析和多因素logistic回归分析。结果研究对象平均年龄为(71.3±5.6)岁,男性占44.07%,女性占55.93%。研究对象血清总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)水平分别为(5.21±2.05)、(1.58±1.14)、(3.08±1.06)和(1.39±0.51)mmol/L。研究对象高TC血症、高TG血症、高LDL-C血症和低HDL-C血症患病率分别为16.17%、14.85%、12.34%和17.62%。血脂异常患病率、治疗率和控制率分别为44.75%、11.40%和7.30%。多因素logistic回归分析结果显示,70~74岁(OR=0.955,95%CI:0.929~0.981)、75~79岁(OR=0.906,95%CI:0.875~0.939)、80岁及以上(OR=0.916,95%CI:0.880~0.953)、非习惯性饮酒(OR=0.946,95%CI:0.909~0.985)、习惯性饮酒(OR=0.786,95%CI:0.747~0.826)与血脂异常低患病风险相关;女性(OR=1.069,95%CI:1.041~1.097)、现在吸烟(OR=1.225,95%CI:1.170~1.282)、曾经吸烟(OR=1.093,95%CI:1.038~1.151)、超重(OR=1.252,95%CI:1.218~1.288)、肥胖(OR=1.286,95%CI:1.229~1.346)、中心性肥胖(OR=1.157,95%CI:1.125~1.190)、高血压(OR=1.248,95%CI:1.219~1.278)、糖尿病(OR=1.397,95%CI:1.360~1.436)、心脑血管疾病史(OR=1.325,95%CI:1.252~1.403)与血脂异常高患病风险相关,均有统计学意义(P<0.01)。结论深圳市老年人群中血脂异常患病率较高,治疗率和控制率处于较低水平,应强化老年人群血脂异常防控工作。Objective To understand the epidemic characteristics and control situation of dyslipidemia in elderly population of Shenzhen,and to provide the scientific basis for making strategy of dyslipidemia management in elderly.Methods The data were from the elderly health management project of basic public health service.From January to December 2018,the non-random sampling method was used to select 141684 residents(≥65 years old)living in Shenzhen for≥6 months as the subjects.The investigation was performed with questionnaires,physical examinations and laboratory biochemical tests.The t test,variance analysis,χ^2 test and multivariate logistic regression analysis were used to analyze the data,the used software was SAS 9.4.Results The average age of the subjects was(71.3±5.6)years old.The proportion of males and females were 44.06%and 55.94%,respectively.The levels of total cholesterol(TC),triglyceride(TG),low-density lipoprotein cholesterol(LDL-C)and high-density lipoprotein cholesterol(HDL-C)were(5.21±2.05),(1.58±1.14),(3.08±1.06)and(1.39±0.51)mmol/L,respectively.The morbidities of high TC,high TG,high LDL-C and low HDL-C were 16.17%,14.85%,12.34%and 17.62%,respectively.The morbidity,treatment rate and control rate of dyslipidemia were 44.75%,11.40%and 7.30%,respectively.The multivariate logistic regression analysis showed that 70-74 years old(OR=0.955,95%CI:0.929-0.981),75-79 years old(OR=0.906,95%CI:0.875-0.939),≥80 years old(OR=0.916,95%CI:0.880-0.953),non-habitual drinking(OR=0.946,95%CI:0.909-0.985)and habitual drinking(OR=0.786,95%CI:0.747-0.826)were related to low risk of dyslipidemia;female(OR=1.069,95%CI:1.041-1.097),current smoking(OR=1.225,95%CI:1.170-1.282),past smoking(OR=1.093,95%CI:1.038-1.151),overweight(OR=1.252,95%CI:1.218-1.288),obesity(OR=1.286,95%CI:1.229-1.346),central obesity(OR=1.157,95%CI:1.125-1.190),hypertension(OR=1.248,95%CI:1.219-1.278),diabetes(OR=1.397,95%CI:1.360-1.436),history of cardiovascular and cerebrovascular diseases(OR=1.325,95%CI:1.252-1.403)were related to high ris

关 键 词:老年人 血脂异常 流行特征 

分 类 号:R589.2[医药卫生—内分泌]

 

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