宁波市奉化区居民血脂异常患病率及影响因素分析

Analysis on prevalence and influencing factors of dyslipidemia in residents of Fenghua district in Ningbo

目的调查宁波市奉化区居民血脂异常患病率及其影响因素,为制定有针对性的血脂异常预防与干预措施提供依据。方法2017年12月采取多阶段整群随机抽样方法在全区11个镇(街道)中抽取6个镇(街道),每个镇(街道)中抽取2个村,每个样本村抽取部分15~74岁常住居民进行调查,最终完成调查1049人。利用调查数据对奉化区血脂异常现状及影响因素进行分析。结果调查对象血脂异常患病率为35.27%,其中男性患病率为34.10%,女性患病率为35.97%。随着年龄增长血脂异常患病率呈增加趋势。不同类型血脂异常患病率结果显示高胆固醇(TC)血症患病率为10.17%(105例),高低密度脂蛋白(LDL)血症患病率为6.87%(71例),低高密度脂蛋白(HDL)血症患病率为17.92%(188例),高甘油三酯(TG)血症患病率为19.15%(198例),高非高密度脂蛋白(Non-HDL)血症患病率为9.82%(103例)。logistic回归分析结果显示,性别、年龄、体质指数和腰围为血脂异常的影响因素。结论体质指数和腰围为血脂异常的危险因素,居民应控制腰围和体重以预防血脂异常的发生。

Objective To investigate the prevalence and its influencing factors in residents of Fenghua district of dyslipidemia,provide evidence for the prevention and control of dyslipidemia.Methods A multi-stage cluster random sampling method was used to randomly select participants in December 2017 Firstly,6 towns were randomly selected in Fenghua district.Secondly,2 villages were randomly selected in each town that was chosen already.Finally,part residents aged 15~74 years were randomly selected in each sample village for this survey and eventually 1049 residents finished the survey.We used this survey data to analyze the prevalence of dyslipidemia and its influencing factors in Fenghua district.Results The prevalence of dyslipidemia among the subjects was 35.27%,34.10%among males and 35.97%among females.The prevalence of dyslipidemia increased with age.Considering diverse dyslipidemia subtypes,the prevalence of high hypercholesterolemia(TC),high low density lipoprotein hyperlipidemia(LDL),low high density lipoprotein hyperlipidemia(HDL),high hypertriglyceridemia(TG)and high Non high density lipoprotein hyperlipidemia(Non-HDL)were 10.17%(105 cases),6.87%(71 cases),17.92%(188 cases),19.15%(198 cases),9.82%(103 cases),respectively.Multivariate logistic regression analysis showed that gender,age,body mass index and waist circumference were risk factors for dyslipidemia.Conclusion BMI and waist circumference are the risk factors for dyslipidemia,we should take target measures to control residents waist circumference and obesity to prevent dyslipidemia.