摘要
目的血脂异常是老年人心脑血管疾病的危险因素。通过对海门市乡镇≥60岁老年人的健康体检数据进行分析,了解老年人的血脂异常现状及危险因素。方法2019-09整群选取海门市7个乡镇卫生院(三厂镇、常乐镇、正余镇、余东镇、四甲镇和三星镇卫生院及海门市第六人民医院)2016-2018年体检的≥60岁老年人健康体检数据。描述性分析75346名受检者血脂等体检指标异常检出率,单因素χ2检验分析组间差异,多因素Logistic回归分析血脂异常影响因素。结果海门市乡镇老年人的血脂异常检出率为29.79%。女性的总胆固醇(TC)、三酰甘油(TG)和高密度脂蛋白(HDL)异常检出率分别为13.33%、18.26%和43.06%,高于男性的7.56%、13.76%和41.68%,差异有统计学意义,均P<0.05。60~69岁老年人TC和TG的异常率分别为10.84%和18.73%,高于70~79岁组的9.39%和13.65%,及≥80岁年龄组的10.44%和11.30%,差异有统计学意义,均P<0.05。多因素分析结果表明,超重、肥胖老年人血脂异常率是正常体质指数老年人的1.90倍(OR=1.90,95%CI为1.78~2.04)、2.55倍(OR=2.26,95%CI为2.31~2.81);与血压正常的老年人相比,2级高血压的老年人血脂异常率上升了15%(OR=1.15,95%CI为1.05~1.25);与血糖正常的老年人相比,血糖异常的老年人血脂异常率上升了50%(OR=1.50,95%CI为1.39~1.63)。男性的血脂异常率比女性低10%(OR=0.90,95%CI为0.84~0.96)。结论海门市乡镇老年人血脂异常率较高,应加强对血糖、血压控制不佳、超重肥胖、女性及60~69岁老年人的生活方式干预。
Objective Dyslipidemia is a risk factor for heart,cerebral,blood and brain diseases in the elderly.This study analyzed the health examination data among residents over 60 years old in Haimen City and studied the status of dyslipidemia and risk factors among the elderly.Methods In September 2019,the whole group selected the health examination data of the elderly over 60 years old from the 2016-2018 physical examination of 7 township health centers in Haimen City,including Sanchang Town,Changle Town,Zhengyu Town,Yudong Town,Sijia Town,Sanxing Town Health Center and Sixth People’s Hospital.Descriptive analysis was used to analyze the 75346 subjects with abnormal detection rate of blood lipids and other physical examination indicators,single factorχ2 test was used to analyze the differences between groups,multivariate Logistic regression analyzed dyslipidemia influencing factors.Results The detection rate of dyslipidemia among the elderly in Haimen City was 29.79%.The abnormal detection rates of total cholesterol TC,triglyceride TG and HDL in women were 13.33%,18.26%,and 43.06%,respectively,which were higher than those of men in 7.56%,13.76%,and 41.68%.There were statistical differences between groups(all P<0.05).The abnormal rates of total cholesterol TC and triglyceride TG in the 60-69-year-old people were 10.84%and 18.73%,respectively,which were higher than the 9.39%and 13.65%in the 70-79-year-old group,and 10.44%and 11.30%in the 80-yearold group.The abnormal rates of TC and TG were statistically significant between groups(all P<0.05).Multivariate analysis showed that the dyslipidemia rate of overweight and obese elderly people was 1.90 times(OR=1.90,95%CI:1.78-2.04)and 2.55 times(OR=2.26,95%CI:2.31-2.81)of those with normal body mass index;Compared with the elderly with normal blood pressure,the dyslipidemia rate of the elderly with grade 2 hypertension increased by 15%(OR=1.15,95%CI:1.05-1.25).Compared with the elderly with normal blood sugar,the dyslipidemia rate of the elderly with abnormal blood sugar increased by 50%(OR=1.50,95%CI:1.39-1.63).The dyslipidemia rate of men was 10%lower than that of women(OR=0.90,95%CI:0.84-0.96).Conclusions The dyslipidemia rate of the elderly in Haimen is relatively high.It is necessary to strengthen the lifestyle intervention of blood sugar,poor blood pressure control,overweight and obesity,female elderly and elderly 60-69 years old.
作者
邱敏
邹鑫
金慧
唐泽黾
韩亚蓉
朱文娟
高月霞
QIU Min;ZOU Xin;JIN Hui;TANG Ze-min;HAN Ya-rong;ZHU Wen-juan;GAO Yue-xia(Department of Chronic Disease Prevention and Control,Haimen Center for Disease Control and Prevention,Haimen226100,China;Public Health,Nantong University,Nantong226019,China)
出处
《社区医学杂志》
CAS
2021年第7期410-413,共4页
Journal Of Community Medicine
基金
国家自然科学基金(71603137)
江苏省高校自然科学研究基金(16KJD330001)
关键词
血脂异常
肥胖
高血压
高血糖
老年人
dyslipidemia
obesity
hypertension
hyperglycemia
old people
