中国医学前沿杂志(电子版)2017,Vol.9Issue(12):58-62,5.DOI:10.12037/YXQY.2017.12-13
广州市城乡居民血脂异常的横断面调查及其危险因素分析
Cross-sectional survey and analysis of the risk factors of dyslipidemia in urban and rural residents in Guangzhou
摘要
Abstract
Objective To investigate the cross-sectional survey and risk factors of dyslipidemia in urban and rural residents in Guangzhou. Method From September 2015 to June 2016, stratified selected 10 communities and 10 towns in Guangzhou city as the survey point, 2 villages and towns (or streets) were extracted from the distance of the survey, and each town (or street) draws 3 villages (or neighborhood committees) according to the distance of the population. A total of 318 cases of urban and rural residents in Guangzhou were selected as research subjects, included 159 males and 159 females, aged 20 ~ 79 years old, with an average of (45.41±10.32) years old, 159 urban residents and 159 rural residents. Compared the prevalence of dyslipidemia in the subjects of different sex, urban and township residents, and analyzed the risk factors of dyslipidemia. Result There were no significant differences in ages, education levels, family history of dyslipidemia, total cholesterol (TC) and fasting blood glucose (FPG) levels between male and female subjects (P > 0.05). The body mass index (BMI), waist circumference, smoking history, drinking history ratio ratio, systolic blood pressure and diastolic blood pressure, triglyceride (TG), low density lipoprotein cholesterol (LDL-C) levels of males were significantly higher than that of females (P<0.05), high density lipoprotein cholesterol (HDL-C) level was significantly lower than that of females (P < 0.05). In study group the prevalence of dyslipidemia was 52.43%, the prevalence of dyslipidemia in male was 58.54%, female was 46.34%, male prevalence of dyslipidemia was significantly higher than that of female (P<0.05); abnormal male patients with low HDL-C blood type proportion was significantly higher than that of female patients (P<0.05), and high TC and high LDL-C hyperlipidemia were not related to gender (P > 0.05). The levels of serum TC and LDL-C in urban residents were significantly higher than that in township residents (P<0.05), and the level of serum HDL-C and TG were significantly lower than that of township residents (P<0.05). There was no significant difference in prevalence of total dyslipidemia between urban and township residents (P > 0.05). The prevalence of dyslipidemia in urban residents with high TC, LDL-C and HDL-C were significantly higher than that in rural residents (P<0.05). Male, age<60 years old, history of smoking, overweight or obese (BMI≥24 kg/m2), history of hypertension, history of diabetes were the independent risk factors for the occurrence of dyslipidemia (P<0.05). Conclusion The incidence of dyslipidemia in urban and rural residents in Guangzhou is 51.22%, significantly higher than the national average, but the incidence of dyslipidemia in urban and rural areas has its own characteristics, and strengthen the prevention and control of high risk groups of blood lipids.关键词
血脂异常/患病率/危险因素Key words
Dyslipidemia/Prevalence/Risk factors引用本文复制引用
黄嘉年,叶远区,梁子敬..广州市城乡居民血脂异常的横断面调查及其危险因素分析[J].中国医学前沿杂志(电子版),2017,9(12):58-62,5.基金项目
广东省社会发展领域科技计划(20120318012) (20120318012)