江苏省22083名心血管病高危人群健康生活方式的现状分析

Analysis of healthy lifestyle status of 22083 high-risk populations of cardiovascular disease in Jiangsu Province

目的了解江苏省城乡居民心血管病(cardiovascular disease,CVD)高危人群的健康生活方式的分布特征。方法在2015—2018年度全国CVD高危人群筛查与综合干预项目江苏省研究数据基础上,分析全省CVD高危人群的健康生活方式状况及其三间分布。结果22083名CVD高危人群中,当前不吸烟、不过量饮酒、健康饮食、积极体力活动、健康体重和健康体脂等健康生活方式的比例分别为79.85%、91.55%、8.31%、25.02%、24.41%和28.24%。全部研究对象健康生活方式评分为(2.57±1.05)分,84.96%的对象同时具有2~4种健康生活方式因素,但所有生活方式因素均健康的个案所占比例仅0.20%。相比而言,女性、低年龄组、农村地区、高文化程度者同时具备≥4项健康生活方式的比例更高(均有P<0.05)。4种高危类型中,血压高型高危人群的健康生活方式评分最高,为(2.58±1.04)分,CVD患病风险≥20%型的健康生活方式评分最低,仅(2.38±1.04)分。结论江苏省CVD高危人群中相关生活方式均健康的比例很低,健康生活方式存在人群和城乡差异,应对高危人群采取有针对的综合干预措施,阻止其由"高危"向"患病"状态转变。

Objective To investigate the distribution characteristics of healthy lifestyle in urban and rural high-risk populations of cardiovascular disease(CVD)in Jiangsu Province.Methods Based on the data of national CVD screening and comprehensive intervention project during 2015-2018 in Jiangsu Province,we analyzed the healthy lifestyle status and its distribution among high-risk population of CVD in Jiangsu province.Results Among the 22083 high-risk populations of CVD,the proportions of participants with non-smoking,non-excessive drinking,healthy diet,active physical activity,healthy weight and healthy body fat were 79.85%,91.55%,8.31%,25.02%,24.41%and 28.24%,respectively.The average score of healthy lifestyle was(2.57±1.05)points among all participants.84.96%of the participants had 2-4 healthy lifestyles,and only 0.20%had all healthy lifestyles.The results indicated that participants of female,in low age group,of rural residents and with high education were more likely having high proportion of 4 or more healthy lifestyles when compared with its corresponding groups(all P<0.05).Among the 4 types of high risk,participants with high blood pressure had the highest score(2.58±1.04),and participants with the risk of CVD≥20%had the lowest score(2.38±1.04).Conclusion Participants with high risk of CVD had extremely low proportion of related lifestyles that are healthy in Jiangsu Province.Different groups and regions of participants with high risk of CVD had a statistical different healthy lifestyle.Comprehensive intervention measures should be taken to prevent the transition of participants from high-risk to disease.