南京市成年居民血脂异常及影响因素分析

Analysis of dyslipidemia and its influencing factors in adult residents of Nanjing

目的了解南京市成年居民血脂异常状况,分析相关影响因素,为相关部门制定政策提供确切依据。方法在南京市各区随机抽取4 853名18岁以上居民作为调查对象,进行问卷调查和体格检查。采用SPSS18.0软件进行一般描述性分析,采用χ^2检验和多因素Logistic回归模型进行比较和分析。结果调查对象血浆总胆固醇(TC)平均水平为4.72mmol/L,其中男性为4.61mmol/L,女性为4.81mmol/L;城市为4.75 mmol/L,农村为4.66mmol/L。血浆甘油三酯(TG)平均水平为1.68mmol/L,其中男性为1.78mmol/L,女性为1.60mmol/L;城市为1.64 mmol/L,农村为1.77mmol/L。血浆高密度脂蛋白胆固醇(HDL-C)平均水平为1.42mmol/L,其中男性为1.36mmol/L,女性为1.48mmol/L;城市为1.40 mmol/L,农村为1.48mmol/L。血脂异常总患病率为32.6%,男性高于女性,农村高于城市,差异均有统计学意义(P<0.05)。多因素Logistic回归分析显示,年龄与体质指数(BMI)是血脂异常的危险因素(P<0.01)。高血压、糖尿病患者患血脂异常的风险较大,与正常人比较,差异有统计学意义(P<0.01)。结论 2012—2017年,南京市农村地区居民血脂异常患病率较高,应加强农村地区预防控制措施。

Objective To understand the status of dyslipidemia in adult residents in Nanjing,analyze the related influencing factors,and provide accurate basis for relevant departments to formulate policies.Methods Four thousand eight hundred and fifty-three residents aged 18 and over were randomly selected from Nanjing for questionnaire and physical examination.SPSS18.0 statistical software was used for general descriptive analysis,chi-square test and multivariate logistic regression analysis were used for comparision and analysis.Results The average plasma total cholesterol(TC) level was 4.72 mmol/L,4.61 mmol/L for males and 4.81 mmol/L for females,and 4.75 mmol/L for urban,4.66 mmol/L for rural areas.The average level of plasma triglyceride(TG) was 1.68 mmol/L,1.78 mmol/L for males and 1.60 mmol/L for females,and 1.77 mmol/L for urban,1.64 mmol/L for rural areas.The average level of plasma high density lipoprotein cholesterol(HDL-C) was 1.42 mmol/L,1.36 mmol/L in males and 1.48 mmol/L in females,1.40 mmol/L in urban 1.48 mmol/L in rural areas.The total prevalence rate of dyslipidemia was 32.6%.The prevalence of dyslipidemia in males was higher than that in females and that in rural areas was higher than that in cities(P<0.05).Multivariate logistic regression analysis showed that age and body mass index were the risk factors for dyslipidemia(P<0.01).The risk of dyslipidemia was higher in patients with hypertension and diabetes mellitus(P<0.01).Conclusion From 2012 to 2017,the prevalence of dyslipidemia in rural residents of Nanjing increased significantly.Preventive control measures should be strengthened in rural areas.