广西恭城县瑶族老年人体重指数 尿酸与血脂异常的相关性调查分析

Study on the correlation between body mass index,uric acid and dyslipidemia on the elderly of Yao nationality in Gongcheng,Guangxi

目的调查并分析广西恭城县瑶族老年人体重指数(BMI)、尿酸与血脂水平之间的关系。方法采用整群随机抽样的方法,对1 223例恭城县常住瑶族老年居民的身高、体重进行测量,并对其尿酸、血脂水平进行实验室检测;统计分析体重指数、尿酸与血脂水平之间的相关性。结果 1 223名调查对象中血脂异常率为29.44%(360/1 223),体重超重率为11.93%(146/1 223),高尿酸血症患病率为19.71%(241/1 223);其中男性血脂异常率、体重超重率、高尿酸患病率均明显高于女性(34.82%vs 23.74%、14.31%vs 9.43%、25.91%vs 13.13%,P均<0.05)。随着BMI增加,血脂异常患病率逐渐升高(P<0.05),且BMI与TG、TC、LDL-C呈正相关,与HDL-C呈负相关。高尿酸组血脂异常患病率明显高于尿酸正常组(P<0.05),且尿酸与TG、TC、LDL-C呈正相关,与HDL-C呈负相关。结论广西恭城县瑶族老年人血脂异常患病率高,超重、肥胖及高尿酸是瑶族老年人血脂异常的危险因素。

Objective To investigate the relationship between body mass index(BMI),uric acid and blood lipid on the elderly of Yao nationality in Gongcheng county,Guangxi Zhuang Autonomous Region.Methods 1 223 elderly community residents of Yao nationality were selected by cluster random sampling.Their height and weight were measured,and the levels of uric acid and lipid were detected,and the correlation between the body mass index,uric acid and dyslipidemia on them was analyzed.Results The abnormal rate of blood lipid was 29.44%(360/1 223),and the overweight rate was 11.93%(146/1 223)and the prevalence rate of hyperuricemia was 19.71%(241/1 223)in the respondents.The dyslipidemia rate,overweight rate,high uric acid rates of the males were significantly higher than those of the females(34.82%vs 23.74%,14.31%vs 9.43%,25.91%vs 13.13%,P<0.05).With the increase of BMI,the prevalence of dyslipidemia increased gradually(P<0.05),and BMI was positively correlated with TG,TC and LDL-C,and negatively correlated with HDL-C.The prevalence of dyslipidemia in the hyperuricemia group was significantly higher than that in the uric acid group(P<0.05),and uric acid was positively correlated with TG,TC and LDL-C,and negatively correlated with HDL-C.Conclusion The prevalence of dyslipidemia is high in the elderly of Yao nationality in Gongcheng county,Guangxi Zhuang Autonomous Region.Overweight,obesity and hyperuricemia are the risk factors of dyslipidemia in the elderly of Yao nationality.