北京市顺义区50岁以上人群血脂异常危险因素分析  

Analysis of Risk Factors for Dyslipidemia in People Over 50 Years Old in Shunyi District of Beijing

作　　者：赵红叶[1] 万阳 游凯[1] ZHAO Hong-ye;WAN Yang;YOU Kai(Shunyi District Center for Disease Control and Prevention,Beijing 101300,China)

机构地区：[1]北京市顺义区疾病预防控制中心,北京101300

出　　处：《医学信息》2022年第8期143-146,共4页Journal of Medical Information

摘　　要：目的了解北京市顺义区50岁以上人群血脂异常流行特征及其危险因素,为血脂异常的预防干预提供科学依据。方法于2018年4月-9月,采用整群抽样的方法抽取顺义区20家镇/街道50岁以上户籍居民3137人作为调查对象,进行统一的问卷调查、体格检查和血生化检测,分析其人口学特征、血脂异常患病率,并比较不同性别50岁以上人群血脂指标水平、血脂异常患病率,采用多因素Logistic回归分析血脂异常的影响因素。结果北京市顺义区50岁以上人群血脂异常患病率为52.57%,女性患病率高于男性,差异有统计学意义(P<0.05);女性TC、TG、HDL-C和LDL-C水平均高于男性,差异有统计学意义(P<0.05);男性TG水平随着年龄增加呈下降趋势(r=-0.124,P<0.05);男性低高密度脂蛋白血症患病率高于女性,女性高胆固醇血症、高甘油三酯血症、低高密度脂蛋白血症患病率均高于男性,差异有统计学意义(P<0.05);多因素Logistic回归分析显示,高血压、糖尿病、血脂异常家族史、超重、肥胖是血脂异常的影响因素(P<0.05)。结论北京市顺义区血脂异常患病率及其危险因素暴露率较高,高血压、糖尿病、血脂异常家族史、超重、肥胖是顺义区50岁及以上人群血脂异常患病的主要危险因素。Objective To understand the epidemiological characteristics and risk factors for dyslipidemia in people over 50 years old in Shunyi District of Beijing,and to provide scientific basis for the prevention and intervention of dyslipidemia.Methods From April to September 2018,3137 residents over 50 years old in 20 towns/streets of Shunyi District were selected by cluster sampling.A unified questionnaire survey,physical examination and blood biochemical test were carried out to analyze their demographic characteristics and prevalence of dyslipidemia.The levels of blood lipid indexes and prevalence of dyslipidemia in people over 50 years old in different genders were compared.Multivariate Logistic regression was used to analyze the influencing factors of dyslipidemia.Results The prevalence rate of dyslipidemia in people over 50 years old in Shunyi District of Beijing was 52.57%,and the prevalence rate of females was higher than that of males,and the difference was statistically significant(P<0.05).The levels of TC,TG,HDL-C and LDL-C in females were higher than those in males,and the difference was statistically significant(P<0.05).TG level showed a downward trend with age in males(r=-0.124,P<0.05).The prevalence of low-HDL in males was higher than that in females,and the prevalence of hypercholesterolemia,hypertriglyceridemia and low-HDL in females was higher than that in males,and the difference was statistically significant(P<0.05).Multivariate Logistic regression analysis showed that hypertension,diabetes,family history of dyslipidemia,overweight and obesity were the influencing factors of dyslipidemia(P<0.05).Conclusion The prevalence and risk factors of dyslipidemia in Shunyi District of Beijing are high.Hypertension,diabetes,family history of dyslipidemia,overweight and obesity are the main risk factors of dyslipidemia in people aged 50 years and above in Shunyi District.

关 键 词：血脂异常 低密度脂蛋白胆固醇 糖尿病 高血压 

分 类 号：R195.4[医药卫生—卫生统计学]