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目的了解中国民航40~59岁现役飞行员心血管疾病危险因素的地区分布与聚集情况。方法调查2011年华北、华东、华南地区831名40~59岁现役飞行员的心血管疾病危险因素,比较不同危险因素在各地区分布及聚集情况的差异。结果华北地区40~59岁现役飞行员的糖化血红蛋白(Hb A1c)和总胆固醇(TC)水平(分别为5.7%±0.5%、5.6±1.1mmol/L)高于华东、华南地区,而高TC的标化率达23.6%,明显高于其他两个地区;华东地区40~59岁现役飞行员的高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)和收缩压(SBP)控制显著较差(分别为1.1±0.2mmol/L、3.6±0.7mmol/L、125.7±9.4mm Hg),其中,低HDL-C和高LDL-C的标化率分别为37.9%、24.6%,明显高于其他两个地区;华南地区40~59岁现役飞行员的空腹血糖(FPG)水平(5.5±0.5mmol/L)明显高于华北和华东地区。三个地区1项和2项危险因素的聚集情况具有显著性差异。三个地区1项、2项和≥3项危险因素聚集排名第一的组合分别为超重和肥胖、低HDL-C+超重和肥胖、高TG+低HDL-C+超重和肥胖。结论三个地区40~59岁飞行员的心血管疾病危险因素地区分布与聚集情况具有显著差异,地区间防控重点应不同。控制体重对40~59岁现役飞行员来说刻不容缓。
Objective To understand the regional distribution and aggregation of risk factors of cardiovascular disease among pilots aged 40 to 59 in China Civil Aviation. Methods To investigate the risk factors of cardiovascular diseases among 831 active duty pilots aged 40-59 in North China, East China and South China in 2011, and to compare the distribution and aggregation of different risk factors in different regions. Results The Hb A1c and TC levels of active pilots aged 40-59 years in North China were 5.7% ± 0.5% and 5.6 ± 1.1mmol / L, respectively, higher than those in East China and South China while the high TC The standardization rate was 23.6%, which was significantly higher than the other two regions. The HDL-C, LDL-C and SBP ) Were significantly poorer (1.1 ± 0.2 mmol / L, 3.6 ± 0.7 mmol / L, 125.7 ± 9.4 mm Hg, respectively). The standardization rates of low HDL-C and high LDL-C were 37.9% and 24.6 %, Which was significantly higher than the other two regions. The fasting blood glucose (FPG) level of active duty pilots aged 40-59 years in South China (5.5 ± 0.5mmol / L) was significantly higher than that in North China and East China. There were significant differences in the aggregation of 1 risk factor and 2 risk factors in three regions. The first group of 1, 2, and 3 risk factors aggregated in the three regions were overweight and obesity, low HDL-C + overweight and obesity, high TG + low HDL-C + overweight and obesity. Conclusion There are significant differences in the distribution and aggregation of risk factors of cardiovascular diseases among pilots aged 40-59 years in the three regions, with different prevention and control priorities in different regions. Weight control of 40 to 59-year-old active duty pilot is urgent.