甘肃省成人血脂异常患病率及其危险因素调查

Prevalence of dyslipidemia and associated risk factors in adults in Gansu province

目的调查甘肃省成人血脂异常的患病率及危险因素。方法采用分层整群随机抽样的方法,选取中国甘肃省汉族、回族、藏族、裕固族、东乡族、保安族的31 417人为研究对象,对甘肃省成人血脂异常患病率及其危险因素进行分析。结果本调查高总胆固醇(TC)标化后患病率为6.6%,高甘油三酯(TG)标化后患病率为20.3%,高低密度脂蛋白胆固醇(LDL-C)标化后患病率为3.6%,低高密度脂蛋白胆固醇(HDL-C)标化后患病率为19.7%,血脂异常标化后患病率为36.8%。城市人口血脂异常患病率明显高于农村人口(P<0..05)。汉族、回族、藏族、裕固族、东乡族、保安族的成人血脂异常发病率分别为38.3%、38.5%、25.8%、40.3%、27.0%、30.7%。Logistic回归分析显示,血脂各组分异常与性别、年龄、超重、肥胖、腹部肥胖、吸烟、家族史、城市、糖尿病、高血压相关。结论甘肃省成人血脂异常患病率较高,且血脂异常的主要类型为低HDL-C和高TG。需要有效策略防治这一地区血脂异常的流行。

Objective To investigate the prevalence and risk factors of adult dyslipidemia in Gansu province.Methods A total of 31,417people from the Han,Hui,Tibetan,Yugu,Dongxiang and Baoan ethnic groups in Gansu province,China were selected by stratified cluster random sampling,and the prevalence and risk factors of adult dyslipidemia were analyzed based on such sample.Results Of the recruits studied,the standardized rate of high total cholesterol (TC)was 6.6%,of high triglyceride (TG)was 20.3%,of high low density lipoprotein cholesterol (LDL-C)was 3.6%,and of low high density lipoprotein cholesterol (HDL-C)was 19.7%.The standardized rate of prevalence of dyslipidemia was 36.8%.The prevalence of dyslipidemia was higher in urban population than in rural population with statistical significance (P<0.05).The prevalence of dyslipidemia in adults of Han,Hui,Tibetan,Yugu, Dongxiang and Baoan were 38.3%,38.5%,25.8%,40.3%,27.0%and 30.7%,respectively.Logistic regression analysis showed that dyslipidemia was associated with gender,age,overweight,obesity,abdominal obesity,smoking,family history,urban region,diabetes and hypertension.Conclusions The prevalence of dyslipidemia in adults of Gansu province is higher.The majority of dyslipidemia is high TG and low HDL-C.An effective strategy is urgently needed to prevent the prevalence of dyslipidemia in this area.