广西壮族自治区35~<75岁居民血脂异常现状及影响因素

The prevalence and influencing factors of dyslipidemia in aged 35-<75 years Zhuang minority adults in Guangxi

目的了解广西壮族自治区35~<75岁壮族居民血脂异常现状及影响因素,为心脑血管疾病防控提供科学依据。方法基于2018―2019年广西壮族自治区少数民族自然人群队列,开展基线问卷调查、体格检查和血液生化检测等,采用因子分析提取膳食模式,采用logistic回归分析模型分析血脂异常的影响因素。结果共纳入研究对象11175名,平均年龄55.00(47.00,64.00)岁,男性占45.30%,农村居民占85.70%,血脂异常患病率为30.26%。调整了性别、年龄和职业的影响后,吸烟(OR=1.47,95%CI:1.37~1.61)、超重(OR=1.43,95%CI:1.28~1.59)、肥胖(OR=1.78,95%CI:1.52~2.09)、腹型肥胖(OR=1.78,95%CI:1.59~1.99)、无高血压病史但检测为高血压(OR=1.22,95%CI:1.10~1.35)、有高血压病史但目前未治疗(OR=1.29,95%CI:1.12~1.48)、高尿酸血症(OR=1.82,95%CI:1.63~2.04)、高血糖和有糖尿病病史是血脂异常的危险因素;而消瘦为保护因素(OR=0.47,95%CI:0.37~0.61)。结论广西壮族自治区35~<75岁壮族居民血脂异常发生水平较高,应加大对戒烟、控制体重等相关知识的健康宣教,加强对超重、肥胖、高血压、高血糖、高尿酸血症人群的血脂监测和控制。

Objective To investigate the prevalence and influencing factors of dyslipidemia in Zhuang minority adults aged 35-<75 years in Guangxi,providing scientific evidences for the prevention and control of cardiovascular and cerebrovascular diseases.Methods A structure questionnaire,physical examination and blood biochemical test were conducted based on the Guangxi minority population cohort.Factor analysis was used to explore the dietary patterns and the logistic regression analysis model was used to explore the influencing factors.Results A total of 11175 subjects were included,the median age was 55.00(47.00,64.00)years,45.30%were males,85.70%were rural residents,and the prevalence of dyslipidemia was 30.26%.After adjusted for the gender,age,and occupation,smoking(OR=1.47,95%CI:1.37-1.61),overweight(OR=1.43,95%CI:1.28-1.59),obesity(OR=1.78,95%CI:1.52-2.09),abdominal obesity(OR=1.78,95%CI:1.59-1.99),no hypertension history but being detected as high blood pressure in this study(OR=1.22,95%CI:1.10-1.35),ever diagnosed as hypertension but currently without medication(OR=1.29,95%CI:1.12-1.48),hyperuricemia(OR=1.82,95%CI:1.63-2.04),detected as hyperglycemia and ever diagnosed as diabetes were risk factors of dyslipidemia;while as a protective factor(OR=0.47,95%CI:0.37-0.61).Conclusions The prevalence of dyslipidemia in Zhuang minority adults was high.Smoking cessation,weight control,etc.should be focused on the health education.The blood aged 35-<75 years lipid monitoring and control should be strengthened in those overweight,obesity,hypertension,hyperglycemia and hyperuricemia population.