空腹血糖受损人群血脂水平变化及低密度脂蛋白胆固醇升高的相关因素分析

Risk factors to low-density lipoprotein cholesterol and lipid levels of impaired fasting glucose population

目的分析空腹血糖受损人群血脂代谢状况及低密度脂蛋白胆固醇升高的危险因素。方法对2 656例30～80岁汉族居民进行横断面调查,筛查血糖、血脂等相关项目,筛查空腹血糖受损人群,分析该人群血脂代谢状况及低密度脂蛋白胆固醇升高相关危险因素。结果空腹血糖受损人群中,高甘油三酯血症患病率34.7%,男性（38.2%）高于女性（28.3%）（P〈0.05）;高胆固醇血症患病率59.2%,男性（61.2%）、女性（53.9%）,差异无统计学意义（P〉0.05）;高低密度脂蛋白血症患病率29.4%,男性（33.2%）高于女性（22.3%）（P〈0.05）;低高密度脂蛋白血症患病率22.7%,男性（18.7%）低于女性（30.1%）（P〈0.05）。血脂代谢紊乱的总患病率63.7%。Logistic回归分析显示低密度脂蛋白胆固醇升高的危险因素为性别和胆固醇。结论空腹血糖受损人群存在血脂代谢紊乱低密度脂蛋白胆固醇升高的危险因素有性别和胆固醇。

Objective To analyze lipid metabolism and the risk factors associated with low-density lipoprotein cholesterol of impaired fasting glucose（IFG）in Xinjiang Han nationality.Methods A cross-sectional survey was conducted in 2 656 cases of Han nationality residents during 30 to 80years old in Xinjiang.Results In IFG crowd,the prevalence of hypertriglyceridemia was 34.7%,male（38.2%）more than female（28.3%）（P 〈0.05）;the prevalence of hypercholesterolemia was 59.2%,male（61.2%）,female（53.9%）,the difference showed no significance（P 〉0.05）;the prevalence of high low-density lipoprotein was 29.4%,male（33.2%）more than female（22.3%）（P 〈0.05）;the prevalence of low high-density lipoprotein was 22.7%,male（18.7%）less than female（30.1%）（P 〈0.05）.The overall prevalence of dyslipidemia was 63.7%.The risk factors of high low-density lipoprotein cholesterol were age and cholesterol by logistic regression analysis.Conclusion The high low-density lipoprotein hyperlipidemia in IGF people is related with risk factors gender and cholesterol.