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目的了解天津市区体检人群甘油三酯(TG)水平及相关因素,为采取有效的防控措施提供依据。方法以2004-2012年参加天津市肿瘤医院预防医学中心健康体检的天津市中心城区居民为研究对象,收集一般资料,检测TG、总胆固醇(TC)和空腹血糖水平。结果 2004-2012年天津市区体检人群TG水平在中老年期普遍随着年龄的增长而显著升高,60岁以前男性的TG水平高于女性,60岁以后则是女性高于男性,差异均有统计学意义(P<0.05)。在中青年时期,体检人群的TG异常检出率随着年龄的增长而上升。其中,男性40~49岁组TG异常检出率最高(28.8%)而其后的年龄组TG异常检出率较之前有所下降;女性TG异常检出率则随年龄的增长呈升高趋势。多因素logistic回归分析结果显示,男性、高龄、高血糖和高TC水平与高TG水平呈正相关,体检年份与高TG水平呈负相关,差异均有统计学意义(P<0.05)。结论该体检人群TG水平和异常检出率较高,应针对高危人群,将TG、血糖和TC水平控制作为一个总体,开展健康促进工作。
Objective To understand the level of triglyceride (TG) and related factors in physical examination population in Tianjin, and to provide evidence for effective prevention and control measures. Methods From 2004 to 2012, Tianjin downtown urban residents who participated in the physical examination of Tianjin Cancer Hospital Preventive Medicine Center were selected as the research objects. The general data, TG, total cholesterol (TC) and fasting blood glucose level were collected. Results The prevalence of TG in Tianjin urban population increased significantly with the increase of age in 2004-2012. The level of TG in men before 60 was significantly higher than that in women, and was higher in women than in men after 60 years of age There was statistical significance (P <0.05). In middle-aged, the detection rate of TG abnormalities in the medical examination population increases with age. Among them, the detection rate of TG abnormalities was the highest among male 40-49 years old (28.8%) and the detection rate of TG abnormality was lower than that before; the detection rate of female TG abnormality increased with age . Multivariate logistic regression analysis showed that male, elderly, hyperglycemia and high TC levels were positively correlated with high TG levels, and negative correlation was found between years of physical examination and high TG levels (all P <0.05). Conclusions The detection rate of TG level and abnormality in this examination population is high. For the high-risk population, we should take the control of TG, blood glucose and TC levels as a whole to carry out health promotion.