福建省居民血脂异常流行特征与影响因素

Epidemiological characteristics of dyslipidemia and the influencing factors in Fujian residents

目的了解福建省居民血脂异常的流行病学特征及影响因素,为制定防控策略提供依据。方法用多阶段分层整群随机抽样法,在全省10个监测点抽取居民6 016人进行调查。结果居民总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)分别为(4.62±1.18)、(1.40±1.26)、(1.24±0.38)和(2.72±0.87)mmol/L;血脂异常患病率61.4%,并随年龄增长呈上升趋势,男性(67.3%)高于女性(57.3%);高TC、高TG、低HDL-C和高LDL-C血症患病率分别为8.6%、12.1%、31.0%和6.4%;年龄、性别、体质指数、中心性肥胖、高血压和糖尿病是血脂异常主要影响因素。结论福建省居民血脂水平和血脂异常患病率较高,中壮年男性和更年期后女性是干预的重点人群,改变行为危险因素是预防血脂异常的重要措施。

Objective To investigate epidemiological characteristics of dyslipidemia and the influencing factors in Fujian adult residents for the disease control and prevention.Methods Totally 6 016 residents were investigated with questionnaire by using multi stage cluster random sampling method from 10 surveillance sites of Fujian.Resutls The levels of total cholesterol（TC）,triglyceride（TG）,high density lipoprotein-cholesterol（HDL-C）and low density lipoprotein-cholesterol（LDL-C）were（4.62±1.18）,（1.40±1.26）,（1.24 ±0.38）and（2.72±0.87）mmol/L.The prevalence rates of dyslipidemia increased with age groups,and the rate in male（67.3%）was higher than that in females（57.3%）.The prevalence rates of high TC,high TG,low HDL-C and high LDL-C were 8.6%,12.1%,31.0% and 6.4%,respectively.The age,gender,BMI,central obesity,hypertension and diabetes were the main influencing factors of dyslipidemia.Conclusion The level of blood lipid and the prevalence rate of dyslipidemia were at higher level in Fujian adult residents.The main intervention objects should focus on the middle-aged male and female after menopause.The behavior changing of risk factors is very important for dyslipidemia prevention.