深圳市罗湖区老年人血脂异常患病情况及影响因素分析

Prevalence and risk factors of dyslipidemia among residents over 65 years old in Luohu district,Shenzhen city

目的了解深圳市罗湖区老年人血脂异常情况和相关危险因素,为社区老年人群的综合防控措施提供依据。方法收集10 488例65岁及以上常住老年人体检数据,将年龄分为65~69岁、70~74岁、75~79岁、80岁及以上4组,分析不同年龄、性别的血脂异常患病情况,并采用多因素logistic回归分析血脂异常的影响因素。结果调查人群血脂异常患病率为37.92%,高TC患病率为20.57%,高TG患病率为16.20%,高LDL-C患病率为9.23%,低HDL-C患病率为8.10%。血脂异常、高TC、高TG、高LDL-C患病率在年龄分布上无差异(P>0.05),仅低HDL-C患病率在不同年龄分布差异有统计学意义(P<0.05)。在调查的65岁及以上老年人群中,影响血脂异常的主要危险因素有超重/肥胖、高血压、糖尿病[OR=1.21(1.12~1.32)、1.29(1.19~1.40)、1.50(1.35~1.66)]。结论 65岁及以上老年人血脂异常情况普遍,超重/肥胖、高血压和糖尿病是65岁及以上老年人血脂异常的危险因素。

Objective To investigate the prevalence of dyslipidemia and the influencing factors among people over 65 years old in Luohu district of Shenzhen city. Methods The physical examination data of 10 488 residents over 65 years old were collected and investigated. The residents were divided into65-69 years old group, 70-74 years old group, 75-79 years old group, 80 years old and above group to analysis of dyslipidemia in different ages and genders. The influencing factors of dyslipidemia were analyzed by multivariate logistic regression analysis. Results The prevalence of dyslipidemia,high TC, high TG, high LDL-C, low HDL-C were 37.92%, 20.57%, 16.20%, 9.23%, 8.10%, respectively. There was no significant difference between male and female groups(all P<0.05). Except for low HDL-C, there was no significant difference between different ages. For overweight/obesity,hypertension and diabetes, the risk value of OR(95%CI) were 1.21(1.12-1.32), 1.29(1.19-1.40),1.50(1.35-1.66), respectively. Conclusions The prevalence of dyslipidemia in elderly is common.Overweight/obesity, hypertension and diabetes were the major risk factors of dyslipidemia in residents over 65 years old.