摘要
目的了解常州市30～59岁农村人群高脂血症的现患率,评价该地区高脂血症的流行现况。方法采用随机整群抽样方法,对常州市农村地区10 018名常住居民进行流行病学调查并测定血清总胆固醇(TC)、血甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)等指标,根据2000年第5次全国人口普查资料对现患率进行年龄标化。结果该人群高脂血症的现患率为32.3%,标化率为31.3%,男性现患率高于女性(χ2=35.76,P<0.01);随着年龄的增加,高TC、高TG现患率逐渐上升(χ2趋势=70.98,P<0.01及χ2趋势=15.44,P<0.01)。且高脂血症现患率随着体力劳动程度的加重而逐渐降低(χ2趋势=80.70,P<0.01)。体质指数(BMI)与TC、TG值呈正相关(r=0.19,P<0.01;r=0.28,P<0.01),但与HDL-C值呈负相关(r=-0.22,P<0.01);腰围值(WC)与TC、TG值之间也呈正相关(r=0.19,P<0.01;r=0.32,P<0.01),但与HDL-C值也呈负相关(r=-0.26,P<0.01)。结论常州市30～59岁农村人群高脂血症现患率较高,并且有随年龄增加而增加的趋势;肥胖与TC、TG值均呈正相关,与HDL-C值呈负相关,证实肥胖可导致血脂升高,需要在该地区加强健康教育,倡导健康的生活方式,提倡合理的膳食结构,从而控制和预防高脂血症的发生。
Objective To study the status of prevalence of hyperlipidaemia among rural residents aged from 30 to 59 in Changzhou and provide evidence for taking prevention measures. Methods By the means of the cluster random sampling, a questionnaire survey and medical examination were conducted among 10 018 permanent residents in rural areas of Changzhou. The fasting plasma cholesterin （TC）, triglycerides （TG）, high density lipoprotein-C （HDL-C） were measured. Age-standardized prevalence rates were calculated by using the direct standardization method according to 2000 China population census. Results The prevalence of hyperlipidaemia of this population was 32.3%, the age-standardized prevalence was 31.3%, and the prevalence among men was significantly higher than women （P 〈 0.01 ）. The prevalence of hypercholesterolemia gradually increased with aging （Ptrend 〈 0.01 ）, and it increased with the aggravation of physical labor（ Ptrend 〈 0.01 ）. Body mass index （BMI） and waist circumference （WC） were positive correlation with the TC and TG, but they were negative correlation with the HDL-C. Conclusions The prevalence rates of hyperlipidaemia in the investigated population in Changzhou is 32,3 % and the age-standardized prevalence is 31.3 %. It all increases gradually as age increases. In addition, obesity is positive correlation with the TC and TG and negative correlation with the HDL-C. This means obesity might induce the elevation of blood lipoid. Therefore, health life intervention, good habit and reasonable dietary structure may provide an effective program for prevention and control of hyperglycemia and hyperlipidemia.
出处
《中华疾病控制杂志》
CAS
2009年第3期240-243,共4页
Chinese Journal of Disease Control & Prevention
关键词
高脂血症
现患率
流行病学
Hyperlipidemia
Prevalence
Epidemiology
