某医院体检人群血脂异常情况与饮食关系分析

Analysis of Dyslipidemia and Its Relationship with Eating Habits in Physical Examination Population in a Hospital

目的了解上海某医院体检人群的血脂异常水平及其与饮食的关系。方法采用整群抽样的方法抽取某院体检人群中的18周岁及以上成年人,分析其空腹血清三酰甘油(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)的水平。结果该体检人群中总的血脂异常率31.18%,其中TC、LDL-C、HDL-C和TG的异常率分别为6.93%、5.93%、16.25%和15.71%。按时吃三餐、适量吃水果、蔬菜与血脂异常呈负相关,为血脂异常的保护因素,OR值分别是0.888、0.933、0.852、0.957;吃红肉、喝含糖饮料与血脂异常呈正相关,为血脂异常的危险因素,OR值分别是1.192、1.091。结论该体检人群的血脂异常率较高,但低于全国平均水平。健康管理、健康教育有助于降低血脂异常患病率的发生,同时应注意性别差异,从而进行更有针对性地宣教。按时吃三餐、适量吃水果、蔬菜可以有效预防血脂异常的发生。

Objective To understand the prevalence of dyslipidemia and its relationship with eating habits in a hospital in Shanghai.Methods Using cluster sampling method,adults aged 18 and over in the physical examination population in a hospital were selected to analyze the levels of triglyceride(TG),serum total cholesterol(TC),low density lipoprotein cholesterol(LDL-C),and high density lipoprotein cholesterol(HDL-C).Results The total dyslipidemia rate was 31.18%,in which the abnormal rate of TC,LDL-C,HDL-C and TG were 6.93%,5.93%,16.25%and 15.71%.Eating three meals on time,eating fruits and vegetables were negatively correlated with dyslipidemia,which were protective factors of dyslipidemia,and OR values were 0.888,0.933,0.852 and 0.957,respectively;eating red meat and drinking sugary drinks were positively correlated with dyslipidemia,which were risk factors of dyslipidemia,and OR values were 1.192 and 1.091,respectively.Conclusion The dyslipidemia rate of this population is higher,but lower than the national average level.Health management and health education can help to reduce the incidence of dyslipidemia,and pay attention to gender differences so as to carry out more targeted education.Eating three meals on time,eating fruits and vegetables can effectively prevent the occurrence of dyslipidemia.