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目的研究云南省瑞丽市傣族景颇族地区居民血脂异常的流行规律、分布特点及其影响因素。方法 2014年采用多阶段分层随机整群抽样的方法,抽取云南省瑞丽市18岁及以上常住居民1551人,进行问卷调查(人口学基本特征、健康生活行为方式和疾病史)、体格测量(身高、体重、腰围和血压)和血生化检测(空腹血糖和血脂)。结果血脂异常的患病率为45.58%,标化患病率为44.48%。随着年龄的增加,患高血压的风险也相应增高;血脂异常男性高于女性,汉族高于少数民族。血糖异常(OR=2.799)、超重(OR=1.079)、肥胖(OR=2.607)、男性(OR=2.138)、中心性肥胖(OR=1.608)、受教育年限在7~12年(OR=1.277)、汉族(OR=1.269)和年龄45岁及以上(OR=1.110)是患血脂异常的独立危险因素。体质指数正常和食用杂粮是患血脂异常的保护因素。结论瑞丽市傣族景颇族地区居民具有较高的血脂异常患病率,不同特征人群的血脂异常患病水平有较大差异。
Objective To study the prevalence, distribution and influencing factors of dyslipidemia among residents of Dai and Jingpo ethnic groups in Ruili, Yunnan Province. Methods In 2014, a total of 1551 permanent residents aged 18 years and over were enrolled in the questionnaire survey (basic characteristics of demography, healthy life style and disease history), physical measurement Height, weight, waist circumference and blood pressure) and blood biochemical tests (fasting blood glucose and blood lipids). Results The prevalence of dyslipidemia was 45.58% and the standardized prevalence was 44.48%. With age, the risk of suffering from hypertension is also correspondingly higher; dyslipidemia is higher in males than females, Han is higher than ethnic minorities. (OR = 1.799), overweight (OR = 1.079), obesity (OR = 2.607), male (OR = 2.138), central obesity (OR = 1.608), educational years of 7-12 years ), Han (OR = 1.269) and age 45 and older (OR = 1.110) were independent risk factors for dyslipidemia. Normal body mass index and consumption of cereals is the protection of dyslipidemia. Conclusion The residents of Dai and Jingpo ethnic groups in Ruili City have a high prevalence of dyslipidemia, and the prevalence of dyslipidemia in different ethnic groups is quite different.