无锡市社区居民理想心血管健康因素分布及影响因素  

Distribution and influencing factors of ideal cardiovascular health metrics among community residents in Wuxi

作　　者：申倩 陈海 钱云[1] 董昀球[1] 刘佳 杨志杰[1] 杨曼 刘雅琦 刘泳超 王璐[1] SHEN Qian;CHEN Hai;QIAN Yun;DONG Yun-qiu;LIU Jia;YANG Zhi-jie;YANG Man;LIU Ya-qi;LIU Yong-chao;WANG Lu(Wuxi Municipal Center for Disease Control and Prevention,Jiangsu Wuxi 214023,China)

机构地区：[1]无锡市疾病预防控制中心,江苏无锡214023

出　　处：《江苏预防医学》2022年第2期135-139,共5页Jiangsu Journal of Preventive Medicine

基　　金：无锡市卫健委项目[青年项目(Q202044,Q201944);重大项目(Z201905);面上项目(M202001);中青年拔尖人才资助计划(BJ2020096);高端人才资助计划];无锡市科技局项目(N20192041);江苏省老年健康科研项目(LK2021033)。

摘　　要：目的了解无锡市社区居民理想心血管健康因素分布情况及影响因素。方法从2019年无锡市慢性病防控社会因素调查数据中,筛查符合本次研究要求的研究对象,最终纳入分析7804人。采用美国心脏协会提出的“理想心血管健康”标准,纳入7项理想心血管健康因素(吸烟、体质指数、体力活动、膳食、总胆固醇、血压和空腹血糖),每项因素分为理想、一般、差3个等级,分析其分布情况及影响因素。结果7804人中,保持7项因素均为理想水平仅占2.9%,男性为0.6%,女性为5.1%。7项心血管健康因素为理想状态比例,依次为总胆固醇68.6%、空腹血糖68.4%、吸烟76.6%、体力活动76.6%、BMI 51.1%、血压27.3%、膳食21.3%。除总胆固醇外(χ^(2)=5.10,P>0.05),女性的各项因素情况均好于男性,差异均有统计学意义(χ^(2)值为19.70~2500.00,P值均<0.05);不同年龄中除体力活动外,其他因素20~44岁组情况均好于其他年龄组,差异均有统计学意义(χ^(2)值为81.92~1300.00,P值均<0.05)。保持6~7项理想因素的数量,女性是男性的58.13(38.63~87.47)倍,20~44岁、45~59岁组分别是≥60岁组的8.00(5.07~12.62)、1.73(1.14~2.62)倍,初高中、大学及以上者分别是小学及以下者的2.47(1.62~3.75)、9.30(5.34~16.18)倍(P值均<0.05)。结论无锡市社区居民保持理想心血管健康水平比例较低,应采取针对性干预策略,提升居民理想心血管健康水平。Objective To study the distribution and influencing factors of ideal cardiovascular health metrics among community residents in Wuxi.Methods A total of 7804 qualified participants from the Nonchronic Diseases and Health Survey in Wuxi were selected.According to the 7 health metrics(smoking,body mass index,physical activity,diet,total cholesterol,blood pressure,fasting blood glucose)defined by American Heart Association were included in the study.Each metric was categorized as ideal,intermediate,or poor.The distribution and influencing factors were analyzed.Results Among the 7804 subjects,the prevalence of ideal cardiovascular health for all seven metrics was 2.9%,the corresponding prevalence rate was 0.6%for males and 5.1%for females.The descending ranking order of 7 cardiovascular health metrics in ideal state were 68.6%of total cholesterol,68.4%of fasting blood glucose,76.6%of smoking,76.6%of physical activity,51.5%of BMI,27.3%of blood pressure and 21.3%of diet.Except for total cholesterol(χ^(2)=5.10,P>0.05),female showed better condition compared to male for the rest 6 metrics,all differences were statistically significant(χ^(2) values were19.70-2500.00,all P<0.05).Except for physical activity,the 20-44 year age group showed better condition for other 6 metrics compared to other age groups,all differences were statistically significant(χ^(2) values were 81.92-1300.00,all P<0.05).For subjects keeping 6 to 7 metrics in ideal state,women were 58.13(38.63-87.47)times higher than men;the age group of 20-44 years and 45-59 years were 8.00(5.07-12.62)and 1.73(1.14-2.62)times higher compared to age group≥60 years,respectively;the junior and senior high school,university or above groups were 2.47(1.62-3.75)and 9.30(5.34-16.18)times higher than that of primary school and below group,respectively(all P<0.05).Conclusion The prevalence of cardiovascular health in ideal state was low among residents in Wuxi.Targeted measures should be carried out to promote cardiovascular health management level among residents in Wuxi

关 键 词：社区居民 理想心血管健康 生活方式 危险因素 

分 类 号：R54[医药卫生—心血管疾病]