新疆生产建设兵团第四师30岁以上常住居民血脂异常调查分析

Investigation and Analysis of Dyslipidemia Among Residents over 30 Years Old in the Fourth Division of Xinjiang Production and Construction Corps

目的:探讨新疆生产建设兵团(以下简称兵团)第四师常住居民血脂异常的患病率及影响因素,为预防血脂异常提供依据。方法:选取兵团第四师30岁以上常住居民(居住时间超过6个月),采用多阶段分层随机抽样调查,最终纳入4624人为调查对象,对其进行问卷调查、体格检查和实验室检查,采用多因素logistic回归分析兵团第四师居民血脂异常的影响因素。结果:总调查对象血脂异常的患病率为34.56 %,且男性血脂异常的患病率明显高于女性(39.97 % vs 26.29 %),差异具有统计学意义(P<0.05)。女性总胆固醇(TC)和高密度脂蛋白胆固醇(HDL-C)水平高于男性,三酰甘油(TG)水平低于男性,差异具有统计学意义(P<0.05)。30 ~ 50岁年龄段男性TC、TG、低密度脂蛋白胆固醇(LDL-C)水平随年龄增长而升高,≥50岁年龄段男性TC、TG水平随年龄增长而降低;≥30岁年龄段女性TC、TG、LDL-C水平随年龄增长而升高。血脂异常组的超重和肥胖、糖尿病、高血压、慢性肾病患病率均高于血脂正常组,差异具有统计学意义(P<0.05)。性别(男性)、超重和肥胖、糖尿病、高血压和慢性肾病均是调查对象发生血脂异常的独立危险因素(P<0.05)。结论:兵团第四师居民血脂异常以TG升高和HDL-C降低为主,且性别(男性)、超重和肥胖、糖尿病、高血压和慢性肾病均是其发生血脂异常的独立危险因素。

Objective To investigate the prevalence rate and related factors of dyslipidemia among the residents of the Xinjiang Production and Construction Corps (referred to as the XPCC),and provide evidence for preventing dyslipidemia.Methods A multi-stage stratified random sampling survey was used to select permanent residents over 30 years old (residence time over 6 months) of the Fourth Division of the Corps.Finally,4624 people were included in the survey.Questionnaire survey,physical examination and laboratory examination were conducted among them.And the influencing factors of dyslipidemia in the residents of the Fourth Division of the Corps were analyzed by multifactor logistic regression.Results The prevalence of dyslipidemia was 34.56 %,and the prevalence of dyslipidemia in males was significantly higher than that in females (39.97 % vs 26.29 %),and the difference was statistically significant (P < 0.05).The levels of total cholesterol (TC) and high density lipoprotein cholesterol (HDL-C) in women were higher than those in men,while the levels of triglyceride (TG) was lower in women than that in men,and the differences were statistically significant (P < 0.05).The levels of TC,TG and low-density lipoprotein cholesterol (LDL-C) in men aged 30-50 years increased with increasing age,while the levels of TC and TG in men aged ≥ 50 years decreased with increasing age.The levels of TC,TG and LDL-C in women aged ≥ 30 years increased with increasing age.The prevalence of overweight and obesity,diabetes,hypertension and chronic kidney disease in dyslipidemia group were higher than those in the normal blood lipid group,and the differences were statistically significant (P < 0.05).Gender (male),overweight and obesity,diabetes mellitus,hypertension and chronic kidney disease were independent risk factors for dyslipidemia (P < 0.05).Conclusion High TG and low HDL-C were the main dyslipidemia in the residents of the Fourth Division of the Corps.Gender (male),overweight and obesity,diabetes mellitus,hypertension and chronic kidney disease were the independent risk factors for dyslipidemia.