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目的了解湖北省城乡居民超重和肥胖现状及其对血脂水平、血脂异常患病率的影响。方法以“2002年中国居民营养与健康状况调查”湖北省城乡不同年龄居民为调查对象,共3738人。以现场测定身高、体重、空腹血脂水平为主要诊断指标,确定超重/肥胖、高脂血症患病状况。结果全省城乡居民超重率男性为25.0%,女性为26.3%;肥胖率男性为7.1%,女性为6.6%。湖北省城乡低体重、体重正常、超重、肥胖居民的甘油三酯平均水平分别为0.77mmol/L、0.98mmol/L、1.33mmol/L、1.63mmol/L,高密度脂蛋白胆固醇平均水平分别为1.45mmol/L、1.43mmol/L、1.31mmol/L、1.18mmol/L,总胆固醇水平分别为3.54mmol/L、3.88mmol/L、4.19mmol/L、4.31mmol/L,高脂血症患病率分别为3.5%、9.7%、25.8%、45.5%;其中18岁以下未成年居民为3.2%、8.1%、21.7%、14.3%,18岁及以上成年居民分别为8.8%、10.1%、26.0%、47.1%。全省城乡居民超重率女性高于男性,肥胖率男性略高于女性。甘油三酯和总胆固醇水平随着体质指数的增加而上升,高密度脂蛋白胆固醇随着体质指数的增加而下降。结论高脂血症患病率随着体质指数的增加而上升,超重、肥胖居民的高脂血症患病率明显高于低体重和正常体重的居民。
Objective To understand the status of overweight and obesity in urban and rural residents in Hubei Province and its influence on the level of blood lipid and the prevalence of dyslipidemia. Methods The survey of nutrition and health status of Chinese residents in 2002 was conducted to investigate the population of urban and rural residents of different ages in Hubei Province for a total of 3738 people. To determine the height, weight, fasting blood lipid levels in the field as the main diagnostic indicators to determine the prevalence of overweight / obesity, hyperlipidemia. Results The overweight rate of urban and rural residents in the province was 25.0% for males and 26.3% for females; the obesity rate was 7.1% for males and 6.6% for females. The average levels of triglycerides in urban residents in Hubei province with low weight, normal weight, overweight and obesity were 0.77mmol / L, 0.98mmol / L, 1.33mmol / L and 1.63mmol / L, respectively. The average levels of HDL cholesterol were 1.45mmol / L, 1.43mmol / L, 1.31mmol / L, 1.18mmol / L, total cholesterol levels were 3.54mmol / L, 3.88mmol / L, 4.19mmol / L, 4.31mmol / L, The prevalences were 3.5%, 9.7%, 25.8% and 45.5% respectively. Among them, the number of underage residents under 18 years of age was 3.2%, 8.1%, 21.7% and 14.3% respectively. The adult residents aged 18 and above were 8.8% and 10.1% 26.0%, 47.1%. The percentage of overweight women in urban and rural areas in the province is higher than that in men, and the rate of obesity in men is slightly higher than that in women. Triglycerides and total cholesterol increased with the increase of body mass index, high density lipoprotein cholesterol decreased with the increase of body mass index. Conclusion The prevalence of hyperlipidemia increased with the increase of body mass index. The prevalence of hyperlipidemia in overweight and obese residents was significantly higher than that of residents with low body weight and normal body weight.