长春市某社区2015年798名老年人健康状况分析

The Health Conditions Analysis of Old People in a Community of Changchun city

目的:探讨长春市某社区60岁以上重点人群的高血压、糖尿病及高脂血症的患病现况,并分析其与体质量和腰围的关系,为社区老年人慢性病的预防与控制提供相关基础数据。方法:设计调查表,采用面对面问询及体格检查、生化指标检测的方法,并根据相关诊断标准设计表格计算率或构成比,进行描述性分析,并用SPSS 21.0进行统计学分析,计数资料采用卡方检验。结果:人群超重、肥胖、腹型肥胖率分别为40.98%、12.91%、61.80%;高血压、高三酰甘油血症、高胆固醇血症、糖尿病患病率依次为81.83%、37.84%、27.69%、6.02%;体质量消瘦、正常及超重/肥胖人群中高血压、糖尿病、高胆固醇血症、高三酰甘油血症患病率依次呈增高趋势;高血压、糖尿病、高胆固醇血症和高三酰甘油血症患病率腰围正常组均低于腹型肥胖组。结论:长春市某社区60岁以上老年人高血压、糖尿病、高脂血症患病率明显较高,肥胖及腹型肥胖是其重要影响因素,应该引起社区的高度重视并对其进行预防和控制,以提高社区老年人的生活质量及健康水平。

Objective To discuss the prevalence of hypertension,diabetes and hyperlipidemia of over 60 years old in a community of Changchun city,and to analyse the relationship of weight and waist,to provide basic data for prevention and control of chronic diseases of the elderly people in the communty. Methods Design the questionnaire,use the method of face-to-face inquiry,physical examination and biochemical indexes,and according to the relevant diagnotic standard to design the table calculation rate or composition ratio,give a descriptive analysis,and use SPSS 17.0 for statistical analysis,Chi-square test with count data. Results The rates of overweight,obesity and abdominal obesity were 40.98 %,12.91 % and 61.80%,respectively;The prevalence rates of hypertension,high TG,high TC and diabetes were 81.83 %,37.84 %,27.69 % and 6.02 %,respectively;The prevalence rates of hypertension,diabetes,high TC and high TG in weight loss,normal and overweight/obesity population were increased in turn;The prevalence rates of hypertension,diabetes,high TC and high TG in the group of normal waist circumference were lower than the group of abdominal obesity. Conclusion The prevalence rates of hypertension,diabetes,and dyslipidemias in a community of 60 years old or older in Changchun were higher signifi cantly,obesity and abdominal obesity were important infl uencing factors,the community should pay highly attention to its prevention and control,in order to improve the quality of life and health of the elderly in the community.