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目的探讨2014年北京市朝阳区成年居民血脂异常的流行特征和主要危险因素。方法采用整群随机抽样的方法对北京市朝阳区33 647例常住居民进行问卷调查,并进行体格检查和血脂检测,使用SPSS17.0统计软件对数据进行描述性分析、χ~2检验和logistic回归分析。结果本调查共33 647例,年龄(51.38±15.62)岁,男性14 054例(41.77%),女性19 593例(58.23%);血脂异常患病率41.69%(标化率37.95%,患病13 234例),男性血脂异常患病率高于女性,差异有统计学意义(χ~2=98.75,P<0.01),其中男性血脂异常在18~、30~、40~年龄组均处于较高水平,且高于女性年龄组(P均<0.01),随年龄的升高血脂异常患病率有升高趋势(χ~2趋势=694.76,P<0.01);血脂异常自报患病率10.92%(3 673例),女性(11.94%)高于男性(9.48%)(χ~2=62.93,P<0.01);血脂异常知晓率27.75%(3 673例),女性(31.94%)高于男性(22.56%)(χ~2=143.46,P<0.01)。男性(OR=1.060)、农村户籍(OR=1.095)、60岁及以上老人(OR=1.097)、吸烟(OR=1.144)、过量饮酒(OR=1.123)、超体质量肥胖(OR=1.569)、中心性肥胖(OR=1.546)、高血压(OR=1.578)、糖尿病(OR=1.931)是其危险因素,适量的主食(OR=0.277)和在婚/同居(OR=0.962)是其保护因素。结论 2014年北京市朝阳区血脂异常患病率较高,在男性例群中有年轻化趋势;男性、农村户籍、高年龄组、吸烟、过量饮酒、高血压、糖尿病、超体质量肥胖、中心性肥胖均是血脂异常的危险因素;而适量的主食摄入和在婚/同居是其保护因素。
Objective To investigate the prevalence and major risk factors of dyslipidemia among adult residents in Chaoyang District, Beijing in 2014. Methods A cluster random sampling method was used to survey 33 647 residents in Chaoyang District, Beijing. Physical examination and blood lipids were performed. Descriptive analysis was performed using SPSS17.0 statistical software. Chi-square test and logistic regression analysis. Results A total of 33 647 patients aged 51.38 ± 15.62 years were enrolled in this study. Among them, 14 054 (41.77%) were male and 19 593 (58.23%) were female. The prevalence of dyslipidemia was 41.69% (standardized rate was 37.95% 13 234 cases). The prevalence of dyslipidemia in males was higher than that in females (χ ~ 2 = 98.75, P <0.01). The prevalence of dyslipidemia in males was higher than that in females (P <0.01). The prevalence of dyslipidemia increased with age (χ ~ 2 trend = 694.76, P <0.01). The prevalence of dyslipidemia The prevalence of dyslipidemia was significantly higher than that of males (10.92%, 36.7%) and females (11.94%, 9.48%) (χ ~ 2 = 62.93, P <0.01) In males (22.56%) (χ ~ 2 = 143.46, P <0.01). (OR = 1.060), rural household registration (OR = 1.095), 60 years old and above (OR = 1.097), smoking (OR = 1.144), excessive drinking , Central obesity (OR = 1.546), hypertension (OR = 1.578) and diabetes (OR = 1.931) were the risk factors. The moderate staple food (OR = 0.277) and marriage / cohabitation (OR = 0.962) factor. Conclusion The prevalence of dyslipidemia is high in Chaoyang District of Beijing in 2014, and tends to become younger in male cases. The incidence of dyslipidemia is higher in males, rural residents, senior citizens, smoking, excessive alcohol consumption, hypertension, diabetes mellitus, Sexual obesity is a risk factor for dyslipidemia; and adequate staple food intake and marriage / cohabitation are the protective factors.