长沙县成年居民血脂异常情况及影响因素分析

Analysis on prevalence and risk factors of dyslipidemia of adult residents in Changsha County

目的分析长沙县成年居民血脂异常情况及主要影响因素。方法采用多阶段整群随机抽样抽取长沙县成年居民作为调查对象,采用问卷调查方法对调查对象的个人基本情况和饮食状况进行调查,并对其进行体格检查,内容包括身高、体质量、腰围、血压和空腹血糖、血脂。结果共有效调查3 225人,总胆固醇(TC)平均水平为(5.57±1.17)mmol/L,甘油三酯(TG)平均水平为(1.83±1.57)mmol/L。调查人群血脂异常调整发现率为33.5%(95%CI:28.8%~33.6%)。年龄、地区、婚姻状况、吸烟、BMI、WC、高血压、糖尿病是血脂异常的影响因素。结论长沙县成年居民血脂异常患病率高于湖南省平均水平,且农村居民血脂异常患病率上升较城市居民更加明显,控烟和控制体重是有效控制居民血脂水平的重要手段。

Objective To understand the prevalence of dyslipidemia of adult residents in Changsha County and analyze the main risk factors of it. Methods Using multi-stage cluster random sampling method to select the investigate objectives. Survey personal basic conditions and dietary status by questionnaire investigation. The content of physical examination were height, weight, waist circumference, blood pressure and fasting blood-glucose and lipid. Results 3 225 objectives were investigated. The average level of total cholesterol(TC) was(5.57±1.17)mmol/L and the average level of triglyceride(TG) was(1.83±1.57)mmol/L. The adjusted prevalence of dyslipidemia was 33.5 %(95 %CI:28.8 %-33.6 %).Age, area, marital status, smoking, BMI, WC, hypertension and diabetes were the risk factors of dyslipidemia. Conclusions Prevalence of dyslipidemia of adults in Changsha County was higher than the average level of Hunan province, and the prevalence of rural residents increased more obviously compared with the city residents. Tobacco control and weight control were the important means to effectively control the blood lipid level of residents.