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目的了解如皋市18岁及以上居民血脂水平、血脂异常状况及其关联因素,为血脂异常的社区综合干预提供资料。方法采用多阶段随机抽样法,从如皋市所辖14个镇抽取若干家庭,调查该家庭中18岁及以上常住居民,对血脂水平、血脂异常的检出情况及关联因素进行分析。结果如皋市18岁及以上居民总胆固醇(TC)和三酰甘油(TG)分别为(5.02±1.06)、(1.57±1.12)mmol/L;血脂异常检出率为49.79%,TC升高率为38.56%,TG升高率为26.52%;两水平logistic回归分析发现不吸烟和戒烟、极重体力劳动、每天牛奶摄入量超过400 m L是血脂异常升高的保护因素;而静坐时间过长(>2.0 h)、豆制品摄入频率过高(>4次/周)是血脂异常升高的危险因素。结论如皋市18岁及以上居民血脂异常率较高,应通过调整生活方式,适当运动,合理膳食进行早期预防。
Objective To understand the levels of blood lipids, dyslipidemia and related factors in residents aged 18 years and above in Rugao and provide information for the community-based intervention of dyslipidemia. Methods A multistage random sampling method was used to select a number of families from 14 towns under the jurisdiction of Rugao and to survey the permanent residents aged 18 years and over in this family. The levels of blood lipids, the detection of dyslipidemia and the related factors were analyzed. Results The total cholesterol (TC) and triglyceride (TG) were (5.02 ± 1.06) and (1.57 ± 1.12) mmol / L respectively in Rugao residents aged 18 years and over. The detection rate of dyslipidemia was 49.79% Was 38.56%. The rate of TG increase was 26.52%. Two-level logistic regression analysis showed that non-smoking and smoking cessation, heavy manual labor, daily milk intake more than 400 m L was the protective factor of dyslipidemia; Long (> 2.0 h), soy product intake is too high (> 4 times / week) is a risk factor for dyslipidemia. Conclusion Rugao residents aged 18 years and over have higher rates of dyslipidemia. Early prevention should be achieved through adjustment of life style, proper exercise, and reasonable diet.