谢建嵘, 徐伟, 邢秀雅, 陈叶纪, 戴丹, 吴庆生, 查震球, 贾尚春, 刘志荣. 2013年安徽省成年人血脂水平和血脂异常分布特征分析[J]. 疾病监测, 2016, 31(12): 1064-1071. DOI: 10.3784/j.issn.1003-9961.2016.12.020
引用本文: 谢建嵘, 徐伟, 邢秀雅, 陈叶纪, 戴丹, 吴庆生, 查震球, 贾尚春, 刘志荣. 2013年安徽省成年人血脂水平和血脂异常分布特征分析[J]. 疾病监测, 2016, 31(12): 1064-1071. DOI: 10.3784/j.issn.1003-9961.2016.12.020
XIE Jian-rong, XU Wei, XING Xiu-ya, CHEN Ye-ji, DAI Dan, WU Qing-sheng, ZHA Zhen-qiu, JIA Shang-chun, LIU Zhi-rong. Serum lipid levels and prevalence of dyslipidemia in adults in Anhui, 2013[J]. Disease Surveillance, 2016, 31(12): 1064-1071. DOI: 10.3784/j.issn.1003-9961.2016.12.020
Citation: XIE Jian-rong, XU Wei, XING Xiu-ya, CHEN Ye-ji, DAI Dan, WU Qing-sheng, ZHA Zhen-qiu, JIA Shang-chun, LIU Zhi-rong. Serum lipid levels and prevalence of dyslipidemia in adults in Anhui, 2013[J]. Disease Surveillance, 2016, 31(12): 1064-1071. DOI: 10.3784/j.issn.1003-9961.2016.12.020

2013年安徽省成年人血脂水平和血脂异常分布特征分析

Serum lipid levels and prevalence of dyslipidemia in adults in Anhui, 2013

  • 摘要: 目的 了解安徽省成年人血脂异常流行水平,为制定血脂异常防治卫生政策提供依据。方法 利用2013年中国成年人慢性病及其危险因素监测项目中安徽省的调查数据,采用多阶段整群随机抽样方法,以面对面询问方式收集调查对象的相关信息,采集空腹静脉血,测定血清总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C),并使用事后分层权重调整和复杂抽样设计方法进行统计分析。结果 有效样本量为7120人,成年人血脂异常患病率为29.56%,其中男性为34.91%,女性为24.26%,男性血脂异常率随年龄增加而降低(2=13.907,P=0.000),女性则随年龄增加而增加(2=73.366,P=0.000)。血清TC、TG、HDL-C和LDL-C水平分别为4.53、1.43、2.73和1.39 mmol/L,男性血清TG和HDL-C水平与文化程度分别呈正相关和负相关(t=5.938,P=0.000;t=-12.641,P=0.000),女性血清TC、TG和LDL-C水平均随年龄增长而增加(t=10.060,P=0.000;t=12.531,P=0.000;t=8.058,P=0.000),不同职业间4种指标差异均有统计学意义。高TC血症、高TG血症、高LDL-C血症和低HDL-C血症患病率分别为5.14%、12.36%、5.18%和16.94%,高TC、高LDL-C和低HDL-C血症患病率随年龄增加而升高(2=13.631,P=0.000;2=14.684,P=0.000;2=8.893,P=0.003),男性高TG和低HDL-C血症患病率与文化程度呈正相关(2=40.386,P=0.000;2=70.480,P=0.000),不同职业间的高LDL-C血症和低HDL-C血症患病率差异有统计学意义(2=28.783,P=0.000;2=14.687,P=0.040)。结论 血脂异常是安徽省成年人居民中常见的健康危险因素,应根据血脂异常的年龄、性别、文化程度和职业等差异实施针对性的防控措施。

     

    Abstract: Objective To understand the level of serum lipids and the prevalence of dyslipidemia in adults in Anhui province, and provide evidence for the prevention and control of dyslipidemia. Methods On the basis of China Non-communicable and Chronic Disease Risk Factor Surveillance in Anhui in 2013, multi-stage stratified cluster random sampling survey was conducted, the levels of total cholesterol (TC), triglyceride(TG), low density lipoprotein-cholesterol (LDL-C) and high density lipoprotein-cholesterol (HDL-C) of 7120 adults selected were detected by using their fasting blood samples, and stratified weighted adjusting the complex sampling design were used for statistical analysis. Results The prevalence of dyslipidemia in the adults was 29.56%, with 34.91% in males and 24.26% in females. The dyslipidemia prevalence increased in males but decreased in females with age (2=13.907,P=0.000; 2=73.366, P=0.000). The overall levels of serum TC, TG, LDL-C and HDL-C were 4.53, 1.43, 2.73 and 1.39 mmol/L, respectively. The levels of serum TG in males increased with the increase of education level (t=5.938, P=0.000), while HDL-C reversed (t=-12.641, P=0.000). The levels of serum TC, TG and LDL-C in females increased with age (t=10.060, P=0.000; t=12.531, P=0.000; t=8.058, P=0.000), and the four specific serum lipids level varied among different occupations. The prevalence of hypercholesterolemia, hypertriglyceridemia, high blood LDL-C and low blood HDL-C were 5.14%, 12.36%, 5.18% and 16.94%, respectively, and the prevalence of hypercholesterolemia, high blood LDL-C and low blood HDL-C increased with age (2=13.631, P=0.000; 2=14.684, P=0.000; 2=8.893, P=0.003). The prevalence of hypertriglyceridemia and low blood HDL-C increased with the increase of educational level in males (2=40.386, P=0.000; 2=70.480, P=0.000), and the occupation specific prevalence of high blood LDL-C and low blood HDL-C varied (2=28.783,P=0.000; 2=14.687, P=0.040). Conclusion As a risk factor, dyslipidemia was common in adults in Anhui. It is necessary to take targeted prevention and control measures according to the age, gender, educational level and occupation specific prevalence of dyslipidemia in adults.

     

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