吉林省德惠市40岁及以上人群高TG血症-腰围表型与心血管危险因素聚集的关系  

Relationship between hypertriglyceridemic⁃waist phenotype and clustering of cardiovascular risk factors among residents aged 40 and above in Dehui City,Jilin Province

作　　者：任远 邱子涵 张付良[2] 郭珍妮[2] 张鹏[2] 孙欣[2] 靳航[2] 李凤娥[3] REN Yuan;QIU Zihan;ZHANG Fuliang;GUO Zhenni;ZHANG Peng;SUN Xin;JIN Hang;LI Feng′e(Department of Postgraduate Students,Clinical Medical College of Beihua University,Jilin 132013,China;Department of Neurology,The First Hospital of Jilin University,Changchun 130061,China;Department of Neurology,The Affiliated Hospital of Beihua University,Jilin 132011,China)

机构地区：[1]北华大学临床医学院研究生部,吉林132013 [2]吉林大学第一医院神经内科,长春130061 [3]北华大学附属医院神经内科,吉林132011

出　　处：《中华疾病控制杂志》2023年第8期968-973,共6页Chinese Journal of Disease Control & Prevention

基　　金：国家卫生和计划生育委员会脑卒中高危人群筛查和干预项目(GN-2016R0010);吉林省教育厅科学技术研究项目(JJKH20210064KJ)。

摘　　要：目的探讨吉林省德惠市≥40岁人群高三酰甘油血症-腰围表型(hypertriglyceri⁃demic⁃waist phenotype,HTWP)与心血管危险因素(cardiovascular risk factors,CRFs)聚集的关系。方法采用多阶段分层随机整群抽样方法于2016年1―3月对吉林省德惠市≥40岁人群进行横断面调查。将HTWP定义为空腹血清三酰甘油(triglyceride,TG)≥1.7 mmol/L,男性腰围(waist circumference,WC)≥90 cm或女性WC≥80 cm。采用logistic回归分析模型评估该人群HTWP与CRFs聚集的相关性。结果吉林省德惠市40岁及以上人群HTWP检出率为33.98%。HTWP组和正常腰围-正常三酰甘油(normal waist⁃normal triglycerides,NWNT)组CRFs聚集检出率分别为71.68%和20.90%。多因素logistic回归分析模型分析结果显示HTWP组CRFs聚集检出风险为NWNT组的12.01倍(OR=12.01,95%CI:9.83~14.67,P<0.001)。结论HTWP与CRFs聚集密切相关,可用于≥40岁人群CRFs聚集的筛查。Objective This study aimed to explore the relationship between hypertriglyceridemic⁃waist phenotype(HTWP)and clustering of cardiovascular risk factors(CRFs)among residents aged 40 and above in Dehui City,Jilin Province.Methods A cross⁃sectional survey was conducted among residents aged 40 and above in Dehui City,Jilin Province,from January to March 2016,using a multistage stratified,random cluster sampling method.The HTWP was defined by serum triglyceride(TG)levels of≥1.7 mmol/L and waist circumference(WC)of≥90 cm in males or≥80 cm in females.The logistic regression model was conducted to assess the relationship between the HTWP and the clustering of CRFs.Results The prevalence of HTWP was 33.98%among residents aged 40 and above in Dehui City,Jilin Province.The detection rates of CRFs clustering in the HTWP group and normal waist⁃normal triglycerides(NWNT)group were 71.68%and 20.90%,respectively.The multivariate logistic regression analysis indicated that the risk of detecting CRFs clustering in the HTWP group was 12.01 times greater than that in the NWNT group(OR=12.01,95%CI:9.83-14.67,P<0.001).Conclusion The HTWP is strongly correlated with the clustering of CRFs,making it a convenient tool for screening CRFs clustering in residents aged 40 and above.

关 键 词：高三酰甘油血症 腰围 心血管危险因素 横断面研究 

分 类 号：R181.2[医药卫生—流行病学]