吉林省德惠市40岁及以上人群高TG血症-腰围表型与心血管危险因素聚集的关系

Relationship between hypertriglyceridemic⁃waist phenotype and clustering of cardiovascular risk factors among residents aged 40 and above in Dehui City,Jilin Province

目的探讨吉林省德惠市≥40岁人群高三酰甘油血症-腰围表型(hypertriglyceri⁃demic⁃waist phenotype,HTWP)与心血管危险因素(cardiovascular risk factors,CRFs)聚集的关系。方法采用多阶段分层随机整群抽样方法于2016年1―3月对吉林省德惠市≥40岁人群进行横断面调查。将HTWP定义为空腹血清三酰甘油(triglyceride,TG)≥1.7 mmol/L,男性腰围(waist circumference,WC)≥90 cm或女性WC≥80 cm。采用logistic回归分析模型评估该人群HTWP与CRFs聚集的相关性。结果吉林省德惠市40岁及以上人群HTWP检出率为33.98%。HTWP组和正常腰围-正常三酰甘油(normal waist⁃normal triglycerides,NWNT)组CRFs聚集检出率分别为71.68%和20.90%。多因素logistic回归分析模型分析结果显示HTWP组CRFs聚集检出风险为NWNT组的12.01倍(OR=12.01,95%CI:9.83~14.67,P<0.001)。结论HTWP与CRFs聚集密切相关,可用于≥40岁人群CRFs聚集的筛查。

Objective This study aimed to explore the relationship between hypertriglyceridemic⁃waist phenotype(HTWP)and clustering of cardiovascular risk factors(CRFs)among residents aged 40 and above in Dehui City,Jilin Province.Methods A cross⁃sectional survey was conducted among residents aged 40 and above in Dehui City,Jilin Province,from January to March 2016,using a multistage stratified,random cluster sampling method.The HTWP was defined by serum triglyceride(TG)levels of≥1.7 mmol/L and waist circumference(WC)of≥90 cm in males or≥80 cm in females.The logistic regression model was conducted to assess the relationship between the HTWP and the clustering of CRFs.Results The prevalence of HTWP was 33.98%among residents aged 40 and above in Dehui City,Jilin Province.The detection rates of CRFs clustering in the HTWP group and normal waist⁃normal triglycerides(NWNT)group were 71.68%and 20.90%,respectively.The multivariate logistic regression analysis indicated that the risk of detecting CRFs clustering in the HTWP group was 12.01 times greater than that in the NWNT group(OR=12.01,95%CI:9.83-14.67,P<0.001).Conclusion The HTWP is strongly correlated with the clustering of CRFs,making it a convenient tool for screening CRFs clustering in residents aged 40 and above.