上海市中山社区常住居民血脂异常情况分析

李静; 朱美英; 庄丽燕; 朱慧英; 赵琦; 刘星; 张铁军; 王娜; 江峰; 姜永根; 赵根明

doi:10.19428/j.cnki.sjpm.2018.18648

上海市中山社区常住居民血脂异常情况分析

Blood lipid status among permanent residents in Zhongshan Community of Songjiang District, Shanghai

摘要

摘要:
目的分析上海市松江区中山街道常住居民血脂分布及其相关因素。
方法采用整群随机抽样的方法，在中山街道抽取街道8个居委会，共6 938名18~74岁常住居民进行问卷调查和体格检查，并检测空腹血清血脂4项指标：三酰甘油(TG)、血清总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)，分析血脂水平异常率及其相关影响因素。
结果血脂总异常率为58.78%，其中高TC血症、高TG血症、高LDL-C血症以及低HDL-C血症异常率分别为39.6%、39.0%、20.6%和14.6%。调整性别、年龄、体质指数(BMI)、腰臀比和慢性病史后，多因素非条件logistic回归分析显示，血脂异常率的相关因素为超重(OR=1.572，95%CI:1.405~1.760)，肥胖(OR=1.963，95%CI：1.658~2.324)和腰臀比(OR=1.615，95%CI:1.445~1.805)。
结论上海市中山社区居民血脂异常率较高，需进一步加强重点人群血脂异常的筛查及健康教育工作。

Abstract:
Objective To analyze the blood lipid status and impact factors among permanent residents in Zhongshan Community, Songjiang District, Shanghai.
Methods Cluster sampling was used to select 8 neighborhood committees and residents were recruited aged 18-74 years old for questionnaire survey and physical examination.Fasting serum lipid triglyceride (TG), serum total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C) were measured to analyze the prevalence of dyslipidemia and its influencing factors.
Results A total of 6 938 participants were interviewed.The prevalence of dyslipidemia was 58.78%, while those of high TC, high TG, high LDL-C and low HDL-C were 39.6%, 39.0%, 20.6% and 14.6%, respectively.After adjustment for gender, age, body mass index and waist-to-hip ratio, multiple logistic regression analysis showed that overweight(OR=1.572, 95%CI:1.405-1.760), obesity (OR=1.963, 95%CI:1.658-2.324) and waist-to-hip ratio (OR=1.615, 95%CI:1.445-1.805) were significant independent risk factors of dyslipidemia.
Conclusion The prevalence of dyslipidemia among Zhongshan community residents is high.It is necessary to further strengthen the screening and health education of dyslipidemia among the high-risk population.

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