常熟市成年居民血脂异常流行病学研究

Epidemiological analysis of dyslipidemia among adult residents in Changshu City

目的了解常熟市成人居民的血脂异常现状,分析饮食习惯和生活方式对血脂水平的影响,为城乡居民血脂异常防治工作提供科学的依据。方法采用随机整群抽样的方法,于2007年9-10月,对常熟市1 708名18周岁及以上的城乡居民进行现况调查,检测血清总胆固醇、甘油三酯、高密度脂蛋白胆固醇。结果调查对象血脂异常率为37.1%,血脂异常率与年龄、性别有关,男性高于女性(P<0.01),异常率先随着年龄的增高而增加,到60岁后有所下降;Logistic回归分析结果显示,性别、体质指数为血脂异常的非膳食相关因素;血脂异常与脂肪摄入呈正相关,与膳食纤维和蔬菜水果摄入呈负相关(P<0.05)。结论常熟市成年居民血脂异常率较高,故应采取综合干预措施,对高脂血症患者加强健康干预,教育其注意饮食平衡,养成良好生活习惯,减少血脂异常及心血管疾病的发生。

Objective To investigate the distribution of dyslipidemia among adult residents in Changshu and analyze the im pact of their eating habits and lifestyle on blood lipid levels, in order to provide scientific basis for the prevention and treatment of dyslipidemia . Methods From September to October 2007, a total of 1 780 adults （≥18 years old） living in Changshu were selected with stratified cluster random sampling for a crosssectional investigation. Total cholesterol, triglycerides, high den sity lipoprotein were measured. Results The incidence of dyslipidemia was 37.1 ~. The proportion of dyslipidemia was related to age and sex. It was significantly higher in male group than in female group （P〈0.01） . The proportion of dyslipidemia in creased with age increasing. But it decreased in the group of over 60 years. The multifactor logistic regression analysis result showed that sex and BMI were risk factors for proportion of dyslipidemia. The proportion of dyslipidemia was positively asso ciated with dietary fat and negatively associated with dietary fiber, vegetable and fruit （P〈0.05）. Conclusion Adults resi dents in Changshu City had a higher rate of dyslipidemia. It was necessary for policy makers to give emphasis on publicity and education. Patients with hyperlipidemic may be care about balanced diet and acquiring good habits in order to reduce the inci dence of blood lipid abnormalities and cardiovascular diseases.