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目的 :了解长沙市北区儿童血脂水平及其影响因素。方法 :检测 4 34例 9～ 14岁健康儿童血清甘油三酯、胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇浓度 ,并与年龄、性别、家族史、饮食习惯、运动习惯、被动吸烟、身高、体重、体重指数、空腹血糖、收缩压、舒张压等相关和多因素回归分析。结果 :本年龄组儿童血脂水平较稳定 ,性别差异无显著性 ,血脂异常总检出率为2 3.72 %。家族史、饮食习惯、被动吸烟、运动习惯、体重指数、血糖和血压等因素与血脂浓度有不同程度的相关性。结论 :冠心病的独立危险因素———血脂异常在儿童时期已经存在 ,因此动脉粥样硬化的预防应从儿童时期开始。
Objective: To understand the blood lipid level and its influencing factors in children in North District of Changsha City. Methods: Serum triglyceride, cholesterol, high density lipoprotein cholesterol, and low density lipoprotein cholesterol were measured in 434 healthy children aged 9-14 years and compared with age, gender, family history, diet, exercise habits, passive smoking, Height and weight, body mass index, fasting blood glucose, systolic blood pressure, diastolic blood pressure and other related and multivariate regression analysis. Results: The level of blood lipids was stable in this age group with no significant gender difference. The total detection rate of dyslipidemia was 23.72%. Family history, dietary habits, passive smoking, exercise habits, body mass index, blood glucose and blood pressure and other factors with different levels of blood lipids related. CONCLUSIONS: The independent risk factor for coronary heart disease, dyslipidemia, is present in childhood and prevention of atherosclerosis should therefore start in childhood.