首页|北京市东城区社区体检居民部分代谢相关指标控制情况及影响因素分析

北京市东城区社区体检居民部分代谢相关指标控制情况及影响因素分析

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目的:了解北京市东城区社区体检居民部分代谢相关指标控制情况及其影响因素,为做好社区居民健康管理服务提供参考.方法:采用整群分层抽样方法,选取 2022 年 6 月到 2023 年 6 月在北京市东城区下属 7 家社区卫生站进行化验检查的 828名居民进行问卷调查、体格检查,其中男性 358例(43.24%),女性 470例(56.76%),平均年龄(67.82±9.74)岁.检验平台收集居民低密度脂蛋白胆固醇(LDL-C)、空腹血糖(FBG)、尿酸(UA)、同型半胱氨酸(Hcy)等代谢相关指标,分析各项指标与影响因素的相关性.结果:北京市东城区社区体检居民的LDL-C、FBG、UA、Hcy控制率分别为 49.76%、33.33%、86.47%和 71.98%.多因素logistic分析提示糖尿病、冠心病、脑梗死、锻炼时长、中心性肥胖、就诊次数是LDL-C控制的影响因素(P<0.05);性别、高血压、脑梗死、吸烟、锻炼时长是FBG控制的影响因素(P<0.05);性别、年龄、饮酒、锻炼时长、体质量指数(BMI)是UA控制的影响因素(P<0.05);性别、年龄、高血压、吸烟是Hcy控制的影响因素(P<0.05).结论:北京市东城区社区居民代谢相关指标控制率有待提高,应做好合并危险因素居民的健康管理,及时干预可控的危险因素,阻止心脑血管疾病的发生发展.
Analysis of the control status and the influencing factors of some metabolic related indexes among community residents for a medical examination in Dongcheng District,Beijing
Objective:To understand the control status and influencing factors of some metabolism related indexes among community residents in Dongcheng District of Beijing,and to provide reference for improvement of health management services for the community residents.Methods:A total of 828 residents who underwent medical examination at 7 community health service stations in Dongcheng District of Beijing from June 2022 to June 2023 were recruited for questionnaire survey and physical examination with a stratified sampling method,and among them there were 358 males(43.24%),and 470 females(56.76%),and the average age was(67.82±9.74)years.The metabolic related indexes of low-density lipoprotein cholesterol(LDL-C),fasting blood glucose(FBG),uric acid(UA),and homocysteine(Hcy)were collected on the test platform to analyze the correlation between indexes and influencing factors.Results:The control rates of LDL-C,FBG,UA and Hcy were 49.76%,33.33%,86.47%and 71.98%in the community residents for a medical examination in Dongcheng District,Beijing,respectively.Multivariate logistic analysis indicated that diabetes,coronary heart disease,cerebral infarction,exercise length,central obesity,and the number of visits were the influencing factors for LDL-C control(P<0.05);gender,hypertension,cerebral infarction,smoking and exercise length were the influencing factors for FBG control(P<0.05);gender,age,drinking,exercise length and body mass index(BMI)were the influencing factors for UA control(P<0.05);gender,age,hypertension and smoking were the influencing factors for Hcy control(P<0.05).Conclusion:The control rate of the metabolic-related indexes among community residents in Dongcheng District of Beijing needs to be improved,and the health management of residents combined with risk factors should be done well,timely intervention of controllable risk factors should be done to reduce the occurrence and development of cardiovascular and cerebrovascular diseases.

metabolismindicatorcontrolinfluencing factor

田艳、丁林、栗娜、马力

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北京市东城区社区卫生服务管理中心全科,北京 100010

首都医科大学附属北京天坛医院全科医学科,北京 100070

代谢 指标 控制 影响因素

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(16)
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