摘要
目的:对奉浦社区2020年老年人体检数据进行分析,探讨老年人群血清尿酸(SUA)水平与其他代谢指标的相关性。方法:采用整群抽样法选取2020年6-12月参加体检的10066名老年人作为研究对象,根据其体检数据,分析其SUA水平与其他代谢指标的关系。结果:女性高尿酸血症(HUA)患病率低于男性,差异有统计学意义(P<0.01);女性老年人群收缩压(SBP)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)高于男性,空腹血糖(FBG)、舒张压(DBP)、SUA均低于男性,差异有统计学意义(P<0.01)。女性、男性、总老年人群的SUA水平与年龄、BMI、FBG、SBP、DBP、TC、TG、LDL-C呈正相关,与HDL-C呈负相关,差异有统计学意义(P<0.01)。女性与男性老年人群每增加1岁发生HUA的概率增加7.3%和3.7%;影响因素指标异常的老年人群发生HUA的风险与指标正常的老年人群呈倍数关系。结论:应加强对老年人群SUA水平的定期检测,并采取综合性干预措施保持SUA的水平稳定,从而降低HUA的发生率。
Objective:To analyze the physical examination data of the elderly in Fengpu community in 2020 and to explore the correlation between serum uric acid(SUA)levels and other metabolic indicators in the elderly population.Methods:10066 elderly people who attended physical examinations from June to December 2020 were selected as the study subjects using the wholegroup sampling method,and the relationship between their SUA levels and other metabolic indicators was analyzed based on their physical examination data.Results:The prevalence of hyperuricemia(HUA)was lower in female than in male,and the difference was statistically significant(P<0.01).Systolic blood pressure(SBP),total cholesterol(TC),triglycerides(TG),high-density lipoprotein cholesterol(HDL-C),and low-density lipoprotein cholesterol(LDL-C)were higher in female elderly population than in male,and fasting blood glucose(FBG),diastolic blood pressure(DBP),and SUA were lower than in male,with statistically significant differences(P<0.01).SUA levels were positively correlated with age,BMI,FBG,SBP,DBP,TC,TG,and LDL-C,and negatively correlated with HDL-C in female,male,and total elderly population,with statistically significant differences(P<0.01).The probability of HUA increased by 7.3%and 3.7%for each additional year in the female and male elderly population.The risk of HUA in the elderly population with abnormal impact factor indicators was multiply related to that in the elderly population with normal indicators.Conclusion:Regular testing of SUA levels in the elderly population should be strengthened,and comprehensive interventions should be taken to maintain stable SUA levels,thus reducing the incidence of HUA.
作者
张文
俞英
李百臣
吴晓盈
金胤娟
Zhang Wen;Yu Ying;Li Bai-chen;Wu Xiao-ying;Jin Yin-juan(Department of Preventive Health Care,Xidu Street Community Health Service Center,Fengxian District,Shanghai 201401,China;Department of Nursing,Xidu Street Community Health Service Center,Fengxian District,Shanghai 201401,China)
出处
《中国社区医师》
2022年第35期156-158,共3页
Chinese Community Doctors
基金
上海市卫生和计划生育委员会(编号:20184Y0287)。
关键词
老年人群
健康体检
血尿酸
代谢指标
Elderly population
Health checkup
Blood uric acid
Metabolic indexes