上海某社区老年人血尿酸水平及其影响因素分析

Analysis of blood uric acid level and the influencing factors in the elderly people in a community of Shanghai

目的 :调查上海市嘉定区外冈镇社区老年人血尿酸水平及与体质指数(BMI)、血糖、血脂和血压的关系。方法 :对8 435例60岁及以上老年人进行体检,其中男性3 779例,女性4 656例。测量血尿酸水平,分析血尿酸升高的影响因素。结果 :血尿酸异常率为20.20%(1 704/8 435),高血尿酸组的体重指数、腰臀比、糖化血红蛋白、血脂平均水平都高于血尿酸正常组,差异具有显著意义(P均<0.05)。结论 :老年人群中高血尿酸与肥胖、高血糖、高血脂和高血压有关,在进行高尿酸血症防治的同时应加强血糖、血脂、血压的系统化健康管理。

Objective： To investigate blood uric acid levels and the relationship between blood uric acid level and body mass index（BMI）, blood sugar, blood lipid and blood pressure in the elderly people in the community of Waigang Town, Jiading District, Shanghai. Methods： A total of 8 435 cases aged 60 and above were examined, and among them, there were 3 779 men and 4 656 women. The level of blood uric acid was measured and the influencing factors of elevated serum uric acid were analyzed. Results： The abnormal rate of blood uric acid was 20.20%（1 704/8 435）. The body mass index, waist hip ratio, glycosylated hemoglobin and blood lipid level of the hyperuricemia group were higher than those of the normal group and all the differences were significant（P〈0.05）. Conclusion： High blood uric acid in the elderly population is associated with obesity, hyperglycemia, hyperlipidemia and hypertension, and in the prevention and treatment of hyperuricemia, systemic health management of blood glucose, blood lipids and blood pressure should be strengthened.