2014年江苏省成年居民血脂异常流行特征及相关因素

Prevalence and related factors of dyslipidemia among the adult residents in Jiangsu Province in 2014

目的了解2014年江苏省成年居民血脂异常流行病学特征及相关因素。方法采用多阶段分层整群随机抽样法,于2014年在江苏省12个监测点抽取8677名18岁以上常住成年居民,进行问卷调查(人口学基本特征、健康生活行为方式和疾病史)、体格测量(身高、体重、腰围和血压)和血生化检测(空腹血糖和血脂)。结果最终分析了8299人,其中男性3732人(45. 0%),女性4567人(55. 0%),血脂异常率为38. 2%,标化率为38. 4%。甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、总胆固醇(TC)异常率分别为25. 8%(标化率为25. 9%)、13. 2%(标化率为13. 4%)和6. 0%(标化率为5. 9%)。随着年龄的增长,男性血脂异常率呈下降趋势(P<0. 05),女性呈上升趋势(P<0. 05)。城市和农村成年居民血脂异常患病率分别为42. 9%和36. 9%。多因素Logistic回归分析发现,重体力劳动和其他类型劳动为血脂异常的保护因素(OR值为0. 422和0. 749),小学及以上学历、中等类型职业劳动、超重及肥胖、中心性肥胖为血脂异常的危险因素,高血压、糖尿病、卒中与血脂异常呈正相关(OR值分别为1. 045、1. 927和1. 501)。结论江苏省成人血脂异常患病率呈上升趋势,以高TG血症和低HDL-C血症为主的血脂异常是该地区血脂异常的主要形式。

OBJECTIVE To understand the epidemiological characteristics and risk factors of dyslipidemia in adult residents of Jiangsu Province in 2014. METHODS A total of 8677 permanent residents over 18 years old were selected from 12 monitoring sites in Jiangsu Province in 2014 by multi-stage stratified cluster random sampling and were enrolled for questionnaire survey,physic examination and biochemical tests.RESULTS Totally,8299 cases were analyzed including 3732 males(45. 0%) and 4567 females(55. 0%). The rate of dyslipidemia was 38. 2%(standardized prevalence rate was38. 5%). Among the 8299 cases,25. 8% had high TG(standardized rate was 25. 9%),13. 2% had low HDL-C(standardized rate was 13. 4%), 6. 0% had high TC(standardized rate was 5. 9%). With the increase of age,the prevalence of dyslipidemia in males showed a downward trend(P<0. 05),and the dyslipidemia in females showed an increasing trend(P<0. 05).The prevalence of dyslipidemia in urban and rural adults was42. 9% and 36. 9%. The Logistic multivariate analysis showed that heavy physical and other types of labor were protective factors for dyslipidemia(OR = 0. 422 and 0. 749).Primary school education or above,occupational labor of medium type,overweight and obesity,central obesity were risk factors for dyslipidemia. Hypertension,diabetes,stroke were positively correlated with dyslipidemia(OR = 1. 045,1. 927,1. 927 and 1. 501).CONCLUSION The prevalence of dyslipidemia in adults in Jiangsu Province is on the rise. Hyperlipidemia and low HDL-C are the main forms of dyslipidemia in Jiangsu Province.