摘要
目的 了解深圳市成年人血脂异常流行现况及其影响因素,为制定深圳市血脂异常防控策略提供参考依据.方法 采用多阶段分层随机抽样方法,于2021年4-12月对深圳市10个区≥18岁常住居民进行问卷调查、体格检查和实验室检测.采用多因素logistic回归分析血脂异常影响因素.结果 本研究共纳入6 285名成年人,平均年龄(40.27±14.24)岁,男女性别比为0.99∶1.血脂异常2 300例,患病率为36.60％(标化患病率38.35％).多因素分析结果显示,女性(OR=0.758)、体重过低(OR=0.446)是深圳市成年人血脂异常的保护因素;35～64岁年龄组(OR=1.832)、65～94 岁年龄组(OR=1.811)、超重(OR=1.719)、肥胖(OR=2.289)、现在吸烟(OR=1.409)、高血压(OR=1.575)、糖尿病(OR=2.285)、高尿酸(OR=1.953)是深圳市成年人血脂异常的危险因素.结论 深圳市成年人血脂异常患病率较高,需加强大龄男性、超重肥胖、吸烟及患有慢性疾病等高危人群血脂的监测和生活行为方式的干预,从而预防血脂异常的发生.
Abstract
Objective To understand the prevalence and influencing factors of dyslipidemia in adults in Shen-zhen,and to provide reference for the prevention and control strategy of dyslipidemia in Shenzhen.Methods A multi-stage stratified random sampling method was used to conduct questionnaire survey,physical examination,and laboratory testing among permanent residents aged ≥18 years in 10 districts of Shenzhen from April to December 2021.Multivariate logistic regression was used to analyze the influencing factors of dyslipidemia.Results A total of 6 285 adults were includ-ed,with a mean age of(40.27±14.24)years old,and male to female ratio was 0.99∶1,2 300 of the participants were dyslip-idemia,the prevalence rate was 36.60％(the standardized prevalence rate was 38.35％).The results of multivariate analy-sis showed that females(OR=0.758)and underweight(OR=0.446)were protective factors for dyslipidemia of adults in Shenzhen,and 35-64 years old(OR=1.832),65-94 years old(OR=1.811),overweight(OR=1.719),obesity(OR=2.289),current smoking(OR=1.409),hypertension(OR=1.575),diabetes(OR=2.285),hyperuricemia(OR=1.953)were the risk factors.Conclusions The prevalence of dyslipidemia in adults in Shenzhen is high,and it is necessary to strength-en the monitoring of blood lipids and intervention of lifestyle in high-risk groups such as older men,overweight and obese,smoking and chronic diseases,so as to prevent the occurrence of dyslipidemia.
基金项目
深圳市医疗卫生三名工程项目(SZSM201811093)
深圳市医学重点学科建设项目(SZXK065)
NETL
NSTL
万方数据