40岁以上飞行员心血管病生物危险因素分布与聚集情况831例分析

Distribution and aggregation analysis of biological risk factors for cardiovascular disease among 831 pilots over 40 years Old

目的了解中国民航40~59岁飞行员心血管病生物危险因素分布与聚集情况。方法 2011年中国民用航空局民用航空医学中心采用分层整群抽样的方法调查华北、华东、华南地区831名40~59岁飞行员的心血管病生物危险因素的流行病学特征及聚集情况。结果高糖化血红蛋白(Hb A1c),糖尿病,高总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白-胆固醇(LDL-C)、低高密度脂蛋白胆固醇(HDL-C)、超重和肥胖及高血压的年龄标化率分别为5.2%、3.8%、18.6%、19.8%、11.2%、29.2%、62.2%和19.5%。50~59岁飞行员平均Hb A1c、血糖、收缩压值以及高Hb A1c、糖尿病和高血压患病率[(5.9±0.7)%、(5.6±0.8)mmol/L、(125.6±10.8)mm Hg、9.1%、5.8%、28.6%]显著高于40~49岁[(5.5±0.4)%、(5.3±0.6)mmol/L、(121.8±10.1)mm Hg、2.6%、2.4%、13.5%]。而50~59岁飞行员的TG值及患病率[(1.4±0.9)mmol/L、14.9%)则低于40~49岁(1.8±1.2)mmol/L、23.1%]。结论应加强对40岁以上飞行员的心血管病危险因素的主动干预,减少此类疾病及相关事件的发生。

Objective To investigate the distribution and aggregation of biological risk factors for cardiovascular disease among in pilots. Methods 831 pilots aged 40~59 with stratified were cluster sampled in 2011 by the civil aviation general hospital from North, East, South of China. Epidemiological investigation of cardiovascular disease risk factors was carried and the risk factors gathered case was analyzed. Results The age standardized prevalence rates of high glycated hemoglobin(Hb A1c), diabetes mellitus, high total cholesterol(TC), triglyceride(TG), low density lipoprotein cholesterol(LDL-C), low high density lipoprotein cholesterol(HDL-C), overweight and obesity and hypertension were 5.2%, 3.8%, 18.6%, 19.8%, 11.2%, 29.2%, 62.2% and 19.5%, respectively. 0, 1, 2, 3, 4, 5 and 6 kinds of risk factors for cardiovascular disease accounted for 19.3%, 29.7%, 27.2%, 16.4%, 6.0%, 0.7% and 0.7%, respectively. Mean Hb A1 c, blood glucose, systolic blood pressure values and high Hb A1 c, diabetes and hepertention prevalence of pilots aged 50~59 [(5.9±0.7)%,(5.6±0.8) mmol/L,(125.6±10.8) mm Hg, 9.1%, 5.8%, 28.6%, respectively] were significantly higher than those aged 40~49 [(5.5±0.4)%,(5.3±0.6) mmol/L,(121.8±10.1) mm Hg, 2.6%, 2.4%, 13.5%]. Mean TG and high TG prevalence among pilots aged 50~59 [(1.4±0.9) mmol/L, 14.9%] were significantly lower than those aged 40~49 [(1.8±1.2) mmol/L, 23.1%]. Conclusion Middle-aged pilots should strengthen active intervention on biological risk factors for cardiovascular disease to prevent the incidence of this disease and relative crisis events.