摘要
目的调查浙江省居民血脂异常状况。方法将调查对象按性别、年龄分组,分析各组的血脂异常分布状况及其与高血压、糖尿病和肥胖的聚集性,并用多因素Logistic回归分析与其相关因素。结果女性高甘油三酯(TG)、男女高总胆固醇(CHOL)的异常发生率有随着年龄增加而增高的趋势,且45岁以前男性高于女性,45岁以后则女性高于男性。血脂异常与高血压、糖尿病有不同程度的聚集性,与超重肥胖和腹部肥胖的聚集性尤其明显。多因素Logistic回归分析表明,吸烟、文化程度、收入、舒张压(DBP)、空腹血糖(FBG)、体质指数(BMI)、腰围(WC)对高TG的发生有显著意义;文化程度、收入、FBG、BMI、年龄与高CHOL的发生有显著意义;而与低高密度脂蛋白胆固醇(HDL—C)的发生有显著正相关的则是WC,文化程度、年龄、性别、饮酒是低HDL-C的保护因素。结论浙江省居民血脂异常状况严重,防治血脂异常应从相关的多个因素综合控制。
Objective To investigate the distribution of lipid disorders in Zhejiang province. Methods Subjects were divided into groups according to the gender and age. The differences of lipid disorders among these groups were studied. The clustering of lipid disorders with hypertension, diabetes mellitus and obesity was also analyzed. The factors of lipid disorders were selected by multifacor Logistic regression. Results The prevalence rates of triglyceride（TG）abnormity in women and total cholesterol（CHOL）abnormity both in men and women grew with the age, and they were higher in men than those in women before 45 years old, but it went inverse way after 45 years old. Lipid disorders clustered varying degrees with hypertension and diabetes mellitus, and significantly with overweight obesity and abdomen obesity. The results of multifactor Logistic regression showed that smoking, education, income, diastolic blood pressure（DBP）, fasting blood glucose（FBG）, body mass index（BMI）, waist circumference （WC）affected significantly to TG abnormity, and education, income, FBG, BMI, age to CHOL abnormity and WC to HDL-C abnormity, but education, age, gender, drinking were protective factors to HDL-C abnormity. Conclusion The status of lipid disorders in Zhejiang province was urgent. To control the related factors synthetically was the best way to prevent and control lipid disorders.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2005年第8期912-914,共3页
Chinese Journal of Public Health
