河南省某农村地区中老年女性人群高甘油三酯腰围患病率及其危险因素

Prevalence and risk factors of hypertriglyceridemic-waist phenotype for the middle and elderly females in a rural area from Henan Province

目的：分析农村中老年女性人群中高甘油三酯腰围（HTGW）的患病率及其危险因素。方法：于2013年7~8月,采用整群抽样的方法,对河南省新安县某镇4 573名40岁及以上的常住女性人群进行横断面调查,调查内容包括人口学特征、行为危险因素、人体测量及空腹脂质谱检测。结果：1 642人（35.91%）患有HTGW。在调整了年龄、受教育程度和婚姻状况后,用logistic回归分析筛选出的HTGW患病危险因素有超重、肥胖和高血压,其OR（95%CI）分别是5.27（4.46~6.23）、8.89（7.37~10.72）和1.23（1.07~1.42）,而重体力活动为保护性因素,其OR（95%CI）为0.84（0.73~0.96）。结论：该农村中老年女性人群具有较高的HTGW患病率,超重、肥胖和高血压为其主要危险因素。

Aim：To investigate the prevalence and risk factors of hypertriglyceridemic-waist phenotype（HTGW） for the middle and elderly females in a rural area from Henan Province .Methods：With a clustered sampling method , 4 573 middle and elderly females were chosen from a county of Henan Province to complete this cross -sectional study .Demographic characteristics , behavioral risk factors , anthropometric measurements , and fasting plasma lipid profiles were analyzed.Results：A total of 1 642 females（35.91%） suffered from HTGW.After adjusting age, education level, and marital status, the risk factors of HTGW screened by logistic regression were overweight [OR（95%CI） =5.27 （4.46 -6.23）], obesity [OR（95%CI） =8.89 （7.37-10.72）], and hypertension [OR（95%CI） =1.23 （1.07-1.42）], meanwhile the protective factor was heavy physical work [OR（95%CI） =0.84（0.73-0.96）].Conclusion： HTGW is prevalent in these middle and elderly rural females , and overweight, obesity, and hypertension are its main risk factors .