上海市某社区居民血脂异常及影响因素分析

Analysis of dyslipidemia and the influencing factors among the residents in a community of Shanghai

目的 :分析上海市某社区居民血脂异常情况及影响因素,为社区健康教育提供依据。方法 :以上海某社区35岁及以上且自愿参加体检的1 199名常住居民为调查对象,其中男性360名(30.0%),女性839名(70.0%);年龄中位数60岁。分析血脂(总胆固醇、甘油三脂、低密度脂蛋白胆固醇和高密度脂蛋白胆固醇)异常情况及影响因素。结果 :有713例被检出血脂异常,异常检出率占59.5%。以甘油三酯升高和总胆固醇升高为主,检出率分别为37.5%和35.7%。多因素Logistics回归分析显示,性别(OR=1.411,95%CI:1.091-1.825)、年龄(OR=1.468,95%CI:1.157-1.864)、空腹血糖(OR=1.522,95%CI:1.181-1.962)、体重指数(BMI)(OR=1.294,95%CI:1.084-1.546)、腰围(OR=1.301,95%CI:0.970-1.623)、腰臀比(OR=1.405,95%CI:1.012-1.985)是血脂异常的独立危险因素。结论 :在上海某社区居民中有较高的血脂异常检出率,提示血脂异常的防治工作亟待加强,以降低动脉粥样硬化性心血管疾病发生风险。

Objective： To analyze dyslipidemia and the influencing factors among the residents in a community ofShanghai to provide the basis for community health education. Methods： A total of 1 199 permanent residents aged 35 and overin a community of Shanghai, who volunteered for physical examination, were as the survey objects, including 360 males （30%）and 839 females （70%）, whose median age was 60 years old. The abnormal situation of blood lipid （total cholesterol, triglyceride,low-density lipoprotein cholesterol and high-density lipoprotein cholesterol） and the influencing factors were analyzed. Results：Dyslipidemia was detected in 713 cases, and the abnormal detection rate was 59.5%. Elevated triglyceride and total cholesterolwere the main factors and the detection rates were 37.5% and 35.7%, respectively. Multivariate Logistics regression analysisshowed that gender （OR=1.411, 95%CI：1.091-1.825）, age （OR=1.468, 95%CI：1.157-1.864）, fasting blood glucose （OR=1.522,95%CI：1.181-1.962）, body mass index （BMI） （OR=1.294, 95%CI：1.084-1.546）, waist circumference （OR=1.301, 95% CI：0.970-1.623） and waist hip ratio （OR=1.405, 95%CI：1.012-1.985） were independent risk factors of dyslipidemia. Conclusion： Thedetection rate of dyslipidemia is higher among the residents in a community of Shanghai, and it is suggested that the preventionand treatment of dyslipidemia should be strengthened so as to reduce the risk of atherosclerotic cardiovascular disease.