【摘要】：目的:了解三峽農(nóng)村地區(qū)人群血脂異常的流行特點(diǎn)和影響因素。方法:于2007年在湖北省宜昌市夷陵區(qū)(以下統(tǒng)稱三峽)農(nóng)村地區(qū)的35歲及以上自然人群中進(jìn)行現(xiàn)況調(diào)查,采用標(biāo)準(zhǔn)化的問卷收集一般人口學(xué)情況、社會(huì)經(jīng)濟(jì)狀況和生活方式與行為等因素,采集空腹靜脈血測定血清總膽固醇(TC)、低密度脂蛋白膽固醇(LDL-C)、高密度脂蛋白膽固醇(HDL-C)和甘油三酯(TG)等指標(biāo)。根據(jù)中國成人血脂異常防治指南確定血脂異常的診斷標(biāo)準(zhǔn)。結(jié)果:調(diào)查資料完整者9 840人(應(yīng)答率為83.1%)。高膽固醇血癥[TC≥6.22 mmol/L和(或)LDL-C≥4.14 mmol/L]、高TG血癥(TG≥2.26 mmol/L)、低HDL-C血癥(HDL-C1.04 mmol/L)和總血脂異常(至少有一種類型血脂異常)的患病率在男性分別為10.5%、11.9%、7.1%和23.4%,在女性分別為11.0%、10.6%、5.9%和22.8%。隨著年齡的增加,男性各類型血脂異�；疾÷食氏陆第厔�(趨勢檢驗(yàn)P值0.05或0.01);而在女性除低HDL-C血癥患病率呈下降趨勢外,其他類型血脂異�；疾÷示噬仙厔�(所有趨勢檢驗(yàn)P值0.01)。男性35~44歲年齡組、女性65歲及以上年齡組總血脂異�；疾÷首罡�。多元Logistic回歸分析發(fā)現(xiàn),與總血脂異常有顯著性關(guān)聯(lián)的因素在男性中包括年齡、移民、體重指數(shù)和綠色蔬菜/水果的攝入量,在女性中包括年齡、移民、教育水平、體重指數(shù)和體力活動(dòng)量。結(jié)論:三峽農(nóng)村地區(qū)人群血脂異�；疾÷拭黠@高于全國農(nóng)村人群的水平。應(yīng)大力加強(qiáng)健康教育和健康促進(jìn)等措施預(yù)防和控制血脂異常,超重肥胖人群及中青年男性和老年女性是干預(yù)的重點(diǎn)人群。
[Abstract]:Objective: to investigate the epidemic characteristics and influencing factors of dyslipidemia in three Gorges rural area. Methods: a survey was conducted in Yiling District, Yichang City, Hubei Province, in 2007, among the natural population aged 35 years or older in the rural areas of Yichang City, Hubei Province. Standardized questionnaires were used to collect the general demography. The serum total cholesterol (TC),) and low density lipoprotein cholesterol (LDL-C) were measured by fasting venous blood samples, such as socio-economic status, lifestyle and behavior, and so on. High density lipoprotein cholesterol (HDL-C) and triglyceride (TG). The diagnostic criteria for dyslipidemia were determined according to the guidelines for prevention and treatment of dyslipidemia in Chinese adults. Results: 9 840 people (the response rate was 83.1%) had complete survey data. Hypercholesterol [TC 鈮，

本文編號(hào)：2470374