中老年女性血脂变化及影响因素分析

Analysis of the change of blood lipid and its influencing factor in middle-aged and elderly women

目的分析中老年女性血脂水平变化及影响因素。方法选取2022年4月1至5月30日在新疆医科大学第一附属医院健康管理中心健康体检的1749名中老年女性作为研究对象。采用单因素、多因素logistic回归分析中老年女性血脂异常的影响因素。结果1749名中老年女性中血脂异常921名(52.66%)。单因素分析显示,月经状态、体重指数、腰围、尿酸、血糖及脂肪肝情况是中老年女性血脂异常的影响因素(P<0.05)。多因素logistic回归分析显示,腰围、超重、肥胖、月经状态、尿酸、脂肪肝为老年女性血脂异常的危险因素(P<0.05)。结论建议中老年女性定期进行健康体检,以保障血脂管理的持续性、有效性,提高健康管理意识,保障充足的睡眠、合理膳食、适当运动,维持正常体重,以降低血脂异常的发生。

Objective To analyze the change of blood lipid level and its influencing factor in middle-aged and elderly women.Methods A total of 1749 middle-aged and elderly women who underwent physical examination in the Health Management Center of the First Affiliated Hospital of Xinjiang Medical University from April 1 to May 30,2022 were selected as the research subjects.Univariate and multivariate logistic regression were used to analyze the influencing factor of dyslipidemia in middle-aged and elderly women.Results Among 1749 middle-aged and elderly women,921(52.66%)had dys lipidemia.Univariate analys is showed that m enstrual status,body m ass index,wais t circumference,uric acid,blood glucose and fatty liver were the influencing factors of dyslipidemia in middle-aged and elderly women(P<0.05).Multivariate logistic regression analysis showed that waist circumference,overweight,obesity,menstrual status,uric acid and fatty liver were risk factors for dyslipidemia in elderly women(P<0.05).Conclusion It is recommended that middle-aged and elderly women should undergo regular health examination to ensure the continuity and effectiveness of blood lipid management,improve health management awareness,ensure adequate sleep,reasonable diet,appropriate exercise,and maintain normal weight,so as t o reduce the incidence of abnormal blood lipid.