摘要
目的了解北京市某地区居民高血压合并血脂异常的患病率及其影响因素,为有针对性地制定策略提供依据。方法采用随机整群分层抽样的调查方法对北京市某地区18岁以上常住居民进行膳食、生活习惯及个人健康状况问卷调查,测量其血压、血浆总胆固醇、甘油三酯、高密度脂蛋白胆固醇和低密度脂蛋白胆固醇,比较血压血脂正常人群与高血压合并血脂异常患者在膳食营养素摄入方面的差异,及不同性别和年龄的调查对象高血压和血脂异常的患病率差异,采用多因素logistic回归分析高血压合并血脂异常的影响因素。结果该区503名18岁以上的成年人中有130名居民患高血压合并血脂异常,检出率为25.84%(其中高血压检出率为44.93%,血脂异常的检出率为49.70%)。膳食结构中,高血压合并血脂异常患者钠、胆固醇摄入量超过了推荐摄入量,在能量、碳水化合物摄入量方面明显高于血压血脂正常的人群,而不溶性膳食纤维、钾及锌的摄入量明显低于后者,差异有统计学意义(P<0.05)。多因素logistic回归分析显示,性别(女性)和不溶性膳食纤维是高血压合并血脂异常保护因素,体质指数(BMI)和年龄是其危险因素;年龄、BMI、钠是该区居民高血压的危险因素,锌和性别(女性)是高血压的保护因素;性别(女性)和不溶性膳食纤维是血脂异常的保护因素,BMI是其危险因素。结论该区居民膳食结构不合理,是高血压合并血脂异常发病的重要原因。
Objective To understand the prevalence of hypertension with dyslipidemia and risk factors among residents in a region of Beijing. Methods A stratified cluster random sampling was used in this study to select residents aged above 18 years old in a region of Beijing,and a well-designed questionnaire survey was conducted.Besides physical examination,the blood pressure,cholesterol（TC）,triglycemide（TG）,low density lipoprotein cholesterol（LDL-C）and high density lipoprotein cholesterol（HDL-C） were also measured.Statistical analysis was performed and multivariate logistic regression was used for analysis of risk factors. Results One hundred and thirty out of 503 residents were diagnosed of hypertension with dyslipidemia and the prevalence was 25.84%（the prevalence of hypertension alone was 44.93%,and the prevalence of dyslipidemia alone was 49.70%）.The amount of sodium and cholesterol consumed by patients exceeded the recommended norm,and compared to normal controls,residents with hypertension and dyslipidemia took in more calorie,carohydrate and less insoluble dietary fiber,potassium and zinc,the difference was statistically significant（P〈0.05）.Multi-factor logistic regression analysis showed that age,BMI and sodium were risk factors,while,female gender and insoluble dietary fiber were protective factors of hypertension combined with dyslipidemia. Conclusions Unbalanced diet is the major contribution to hypertension with dyslipidemia among residents in the region.
出处
《中国预防医学杂志》
CAS
2016年第1期6-10,共5页
Chinese Preventive Medicine
基金
国家自然科学基金(81472970)
关键词
高血压合并血脂异常
患病率
危险因素
保护因素
Hypertension combined with dyslipidemia
Prevalence
Risk factors
Protective factors
