摘要
目的 调查2010年我国成年人血脂水平,分析流行特点。方法2010年在中国内地31个省(市、自治区)的162个监测点,采用多阶段整群随机抽样方法,对90395名成年人的一般情况进行了问卷调查,并抽取空腹静脉血,检测血清中TC、TG、HDL—C和LDL—C的水平。进行复杂加权计算后,分析不同年龄、性别、区域及城乡成年人血清中相关指标检测结果的差异。结果经复杂加权计算后,我国成年人血清TC水平为(4.04±1.08)mmol/L,18—44、45~59和≥60岁成年人分别为(3.86±1.03)、(4.29±1.11)、(4.33±1.09)mmol/L(F=177.56,P〈0.01);男性和女性分别为(4.06±1.09)、(4.03±1.07)mmol/L(F=2.38,P〉0.05);城市和农村成年人分别为(4.08±1.13)、(4.03±1.06)mmol/L(F=0.51,P〉0.05);东、中和西部成年人分别为(4.13±1.11)、(4.03±1.01)、(3.93±1.11)mmol/L(F=2.56,P〉0.05)。血清TG水平为(1.33±1.28)mmol/L,18~44、45—59和/〉60岁成年人分别为(1.26±1.24)、(1.48±1.46)、(1.35±1.05)mmol/L(F=85.98,P〈0.01);男性和女性分别为(I.45±1.48)、(1.21±1.01)mmol/L(F=172.01,P〈0.01);城市和农村分别为(1.34±1.26)、(1.33±1.28)mmol/L(F=0.16,P〉0.05);东、中和西部分别为(1.30±1.25)、(1.35±1.23)、(1.35±1.36)mmol/L(F=0.69,P〉0.05)。血清HDL—c水平为(1.11±0.31)mmol/L,18~44、45~59和≥60岁成年人分别为(1.09±0.30)、(1.13±0.33)、(1.14±0.33)mmol/L(F=27.81,P〈0.01);男性和女性分别为(1.08±0.32)、(1.14±0.30)mmol/L(F=178.66,P〈0.01);城市和农村分别为(1.11±0.31)、(1.11±0.32)mmol/L(F=0.09,P〉0.05);东、中和西部分别为(1.12±0.32)、(1.12±0.31)、(1.09±0.32)mmol/L(F=1.06,P〉0.05)。血清LDL—C水平为(2.27±0.78)mmol/L,18~44、45—59和/〉60岁成年人分别为(2.15±0.74)、(2.42±0.80)、(2.46±0.81)mmol/L(F=129.84,P〈0.01);男性和女性分别为(2.30±0.78)、(2.24±0.78)mmol/L(F=25.06,P〈0.01);城市和农村分别为(2.33±0.82)、(2.24±0.76)mmol/L(F=3.48,P〉0.05);东、中和西部分别为(2.35±0.80)、(2.25±0.74)、(2.17±0.77)mmol/L(F=4.58,P〈0.05)。结论我国东部地区、中年男性和更年期以后女性血脂水平较高,应及早采取有效措施进行控制。
Objective To study the levels of blood lipid among Chinese adults in 2010 and analyze the epidemiological features. Methods Fasting serum levels of total cholesterol ( TC ), triglyceride ( TG ), high density lipoprotein-cholesterol (HDL-C) and low density lipoprotein-cholesterol (LDL-C) were determined for 90 395 subjects aged 18 and over who were selected by multi stage cluster random sampling method from 162 surveillance sites of 31 provinces of China mainland in 2010. After complex weighting, the differences of levels of serum total TC, TG, HDL-C and LDL-C were analyzed in different age, gender and geographic regions. Results After complex weighting, the levels of serum TC in Chinese adults was ( 4. 04 ± 1.08 ) mmol/L, with (3.86 ±1.03 ) , (4. 29 ± 1.11 ) and (4. 33± 1.09) mmol/L in the groups of 18 -44, 45 -59 and over 60 years old ( F = 177.56, P 〈0.01 ) ,respectively. The level of serum TC was (4.06± 1.09) mmol/L and (4.03± 1.07) mmol/L in males and females (F =2.38, P 〉0.05), respectively ; ( 4.08 ±1.13 ) mmol/L and ( 4. 03±1.06) mmol/L in urban and rural areas ( F = 0. 51, P 〉 0.05), respectively, and (4. 13 ±1.11),(4.03 ±1.01)and (3.93±1.11) mmol/L in areas of east, middle and west respectively( F = 2. 56,P 〉 0. 05 ). The levels of serum TG was ( 1.33 ±1.28)retool/L, with (1.26±1.24),(1.48 ± 1.46) and (1.35± 1.05)mmol/L in the groups of 18 -44,45 -59 and over 60 years old( F =85.98, P 〈 0. 01 ) , respectively. The level of serum TG was ( 1.45 ± 1.48 ) mmol/L and ( 1.21 ± 1.01 ) mmol/L in males and females ( F = 172. 01, P 〈 0. 01 ) , respectively, ( 1.34 ±1.26 ) mmol/L and ( 1.33 ± 1.28 ) mmol/L in urban and rural areas ( F = 0. 16, P 〉 0. 05 ) , respectively, and ( 1.30±1.25 ), ( 1.35 ± 1.23 ) and ( 1.35 ± 1.36 ) mmol/L in areas of east, middle and west ( F = 0. 69, P 〉 0. 05 ) respectively. The levels of serum HDL-C was ( 1.11 ± 0. 31 ) mmol/L,with ( 1.09 ± 0. 30) , ( 1.13 ± 0. 33 ) and ( 1.14 ± 0. 33 ) mmol/L in the groups of 18 - 44,45 - 59 and over 60 years old( F = 27.81, P 〈 0.01 ), respectively. The level of serum HDL-C was ( 1.08 ± 0. 32 ) mmol/L and ( 1.14 ± 0. 30 ) mmol/L in males and females ( F = 178.66, P 〈 0. 01 ), respectively, ( 1.11 ± 0. 31 ) mmol/L and ( 1.11 ±0. 32 ) mmol/L in urban and rural areas ( F = 0. 09, P 〉 0. 05 ), respectively, and ( 1.12 ± 0. 32 ) , ( 1.12 ± 0. 31 ) and ( 1.09± 0. 32) mmol/L in areas of east, middle and west ( F = 1. 06, P 〉 0. 05 ) respectively. The levels of serum LDL-C was (2. 27 +0. 78) mmol/L,with (2. 15 ±0. 74), (2. 42 ±0. 80) and (2. 46±0. 81 ) mmol/L in the groups of 18 - 44,45 - 59 and over 60 years old ( F = 129.84,P 〈 0. 01 ) , respectively. The level of serum LDL-C was (2.30 ± 0. 78 ) mmol/L and (2. 24 ± 0. 78 ) mmol/L in males and females ( F = 25.06, P 〈 0. 01 ) ,respectively, (2. 33 ±0. 82) mmol/L and (2. 24 ± 0. 76) mmol/L in urban and rural areas ( F = 3.48,P 〉 0. 05 ) ,respectively, and (2. 35± 0. 80) , (2.25 ± 0. 74 ) and (2. 17 ± 0. 77 ) mmol/L in areas of east, middle and west ( F = 4. 58, P 〈 0. 05 ) respectively. Conclusion The levels of serum lipid of middle aged male, female after menopause and people living in eastern region were higher than other Chinese adults. Effective measures should be taken earlier to control serum lipid levels.
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2012年第7期607-612,共6页
Chinese Journal of Preventive Medicine
基金
中央财政转移支付地方项目
中国疾病预防控制中心青年科研基金
关键词
成年人
横断面研究
血脂水平
分布特征
Adults
Cross-sectional sludies
Levels of lipids
Distribution