内蒙古地区成人血脂状况及影响因素

Serum lipids and influencing factors of adults in Inner Mongolia area

目的了解内蒙古地区蒙古族与汉族成人血脂状况及相关因素,为早期预防与干预血脂异常提供科学依据。方法于2010年,按照整群分层抽样的原则,选取内蒙古地区18岁以上蒙古族与汉族人群4 439人为研究对象,进行问卷调查、体格测量和实验室检测,对血脂水平及相关因素进行调查。结果蒙古族与汉族总胆固醇(TC)水平分别为(4.86±1.08)、(4.95±1.09)mmol/L,甘油三酯(TG)水平分别为(1.55±1.53)和(1.81±1.71)mmol/L,高密度脂蛋白胆固醇(HDL-C)水平分别为(1.40±0.29)、(1.34±0.28)mmol/L,低密度脂蛋白胆固醇(LDL-C)水平分别为(2.78±1.33)、(2.65±0.86)mmol/L。内蒙古地区成人血脂异常检出率为47.06%,其中蒙古族和汉族血脂异常检出率分别为40.36%和49.95%,高胆固醇血症检出率分别为10.69%和11.74%,高甘油三酯血症检出率分别为15.10%和21.44%,低高密度脂蛋白胆固醇血症检出率分别为8.45%和11.77%,高低密度脂蛋白胆固醇血症检出率分别为6.13%和5.00%。多因素分析表明,内蒙古地区人群的血脂异常与性别、吸烟、年龄、文化程度和腰围有关。结论蒙古民族和汉族人群的血脂水平和血脂异常患病率存在差异,其中性别、吸烟、年龄、文化程度、腰围是本地区血脂异常的危险因素。

Objective To compare the serum lipid levels, the incidence rate of hyperlipidemia and the influencing factors between Mongolian and Han nationalities in the Inner Mongolia region, and to provide a scientific basis for prevention and early intervention. Methods Based on the principle of stratified cluster sampling method in 2010, the serum lipid levels and influencing factors were analysed in 4 439 adults over 18 years between Mongolian and Han nationalities in the Inner Mongolia region. Results The total cholesterol(TC) concentrations of Mongolian and Han were(4.86±1.08) and(4.95±1.09) mmol/L; triglyceride(TG) concentrations were(1.55±1.53) and(1.81±1.71) mmol/L; high-density lipoprotein cholesterol(HDL- C) concentrations were(1.40 ± 0.29) and(1.34 ± 0.28) mmol/L; low- density lipoprotein cholesterol(LDL- C) were(2.78 ± 1.33) and(2.65 ± 0.86) mmol/L. The total prevalence rate of hyperlipidemia was47.06%, and the prevalence rates were 40.36% in Mongolian and 49.95% in Han. The rates of hypercholesteremia, hypertriglyceridemia, low HDL- C, high LDL- C were 10.69% vs. 11.74%, 15.10% vs.21.44%, 8.45% vs. 11.77%, and 6.13% vs. 5.00% between Mongolian and Han. Multi- factor analysis showed that the prevalence of dyslipidemia was correlated with sex, smoking, age, culture level, and waistline. Conclusions There are significant differences in the lipid profiles and the prevalence of dyslipidemia between Mongolia and Han nationalities. Sex, smoking, age, culture level, and waistline are risk factors of the dyslipidemia in Inner Mongolia.