青岛地区35～64岁城乡居民血脂异常特点及其相关因素

Study on Prevalence Rate of Dyslipidemia and It's Influencing Factors among Urban and Rural residents aged 35～64 in Qingdao

目的了解青岛地区35～64岁城乡居民血脂异常患病特点及其影响因素。方法利用青岛市首次居民营养与健康状况调查资料分析702名35～64岁城乡居民的血脂异常患病特点及其影响因素。结果城乡居民血脂异常率达74.1%,以高胆固醇(TC)血症为主要类型。45～岁组男性高于女性(P<0.01),55～64岁组女性高于男性(P<0.01)。核黄素摄入不足(OR=0.480,95%可信区间0.277～0.832),饮酒(OR=1.585,95%可信区间1.024～2.455),体质指数(BMI)较高(OR=1.057,95%可信区间1.002～1.115),维生素E摄入不足(OR=0.986,95%可信区间0.971～1.002),收缩压偏高(OR=1.012,95%可信区间1.002～1.022),脂肪摄入较高(OR=1.009,95%可信区间1.002～1.017)和维生素C摄入不足(OR=0.996,95%可信区间0.992～1.000)是血脂异常的危险因素。结论应针对人群特点,进行适当的健康教育,改善膳食结构获得理想血脂。

Objective To learn the distribution character of the prevalence rate of dyslipidemia and it's influencing factors among urban and rural residents aged 35-64 in Qingdao. Methods Based on the data of 702 residents aged 35-64 from urban and rural areas in Qingdao, who participated in the first citywide nutrition and health survey, their serum lipids profile and the intakes of nutrients were analyzed. Results The prevalence rate of dyslipidemia of residents among urban and rural area in Qingdao was 74.1%, and hypercholesterolemia was the leading category. The prevalence rate of dyslipidemia in male was higher than that in female aged 45-54 years old, but the situation was reverse among the residents aged 55-64 years old. Results of Logistic regression analysis indicated that higher BMI, higher dietary fat intake and drink were the primary risk factors for dyslipidemia, while antioxidant nutrients such as vitamin E, C and riboflavin were protective factors. Conclusion Suitable health education should be proposed to improve dietary pattern and to keep ideal serum lipids status.