河南农村社区居民血脂异常的分布特征及危险因素分析

Distribution characteristics of dyslipedemia and their related-risk factors in Henan rural residents

目的:了解河南农村社区居民血脂异常的分布特征及其危险因素。方法:在河南省选择2个农村社区,整群抽取18岁及以上人群进行问卷调查、体格检查和生化检测。应用Logistic回归分析,探讨血脂异常的危险因素。结果:研究对象共984人,血脂异常粗患病率为31.91%,男性29.34%,女性33.74%,年龄标化患病率为28.51%。18～岁、35～岁、50～岁、65～岁年龄组血脂异常患病率分别为20.37%、31.12%、35.09%和39.85%,患病率随年龄的增加而升高。调整性别、年龄、婚姻状况、文化水平和经济收入等影响因素后,腹型肥胖(OR=2.05,95%CI=1.23～3.42)、血压升高(OR=2.39,95%CI=1.43～4.02)和空腹血糖升高(OR=2.26,95%CI=1.37～3.72)是血脂异常的独立危险因素。结论:河南农村社区血脂异常患病率高,控制腰围、血压和血糖水平在正常范围内可预防血脂异常的发生。

Aim ：To investigate the distribution characteristics of dyslipedemia and their related - risk factors in Henan rural residents. Methods：Subjects over 18 years old were recruited by cluster sampling from two Henan rural communities. Data were collected by questionnaire, physical examination and laboratory examination. Logistic regression was used to ana- lyze the independent risk factors for dyslipidemia. Results： A total of 984 individuals were participated in the study. The crude prevalence of dyslipidemia was 31.91% （29.34% for men and 33.74% for women,respectively） and the age-adjusted prevalence was 28.51%. Data indicated that the prevalence of dyslipedemia increased significantly with age,and the prevalence rates for 18 - , 35 - , 50 - , and 65 - years old were 20.37% , 31.12% , 35.09% and 39.85% respectively. Results of Logistic regression showed that central obesity, increased blood pressure and elevated fasting plasma glucose were independent risk factors for dyslipidemia after adjusted for sex, age, martial status, education status, and income status. Conclusion ： Higher level of dyslipidemia prevalence is blood pressure and fasting plasma glucose levels within found in Henan rural communities. Control of waist circumference normal ranges may prevent the occurrence of dyslipidemia.