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广西白裤瑶族和汉族人群的高脂血症及其危险因素。

Hyperlipidaemia and its risk factors in the Guangxi Bai Ku Yao and Han populations.

作者信息

Ruixing Yin, Dezhai Yang, Shuquan Li, Yuming Chen, Hanjun Yang, Qiming Feng, Shangling Pan, Weixiong Lin, Jing Tan, Yiyang Li

机构信息

Department of Cardiology, Institute of Cardiovascular Diseases, The First Affiliated Hospital, Guangxi Medical University, 22 Shuangyong Road, Nanning 530021, Guangxi, People's Republic of China.

出版信息

Public Health Nutr. 2009 Jun;12(6):816-24. doi: 10.1017/S1368980008003273. Epub 2008 Jul 23.

DOI:10.1017/S1368980008003273
PMID:18647432
Abstract

OBJECTIVE

To compare the differences in hyperlipidaemia prevalence and its risk factors between the Guangxi Bai Ku Yao and Han populations.

DESIGN

Cross-sectional study of hyperlipidaemia.

SETTING

Both populations were from Lihu and Baxu villages in Nandan County, Guangxi Zhuang Autonomous Region, People's Republic of China.

SUBJECTS

A total of 1170 healthy subjects of Bai Ku Yao and 1173 participants of Han Chinese aged 15-89 years were surveyed by a stratified randomized cluster sampling. Information on demographic, dietary and lifestyle characteristics was collected by standard questionnaires. Blood pressure, height, weight, waist circumference, serum lipids and apolipoproteins were measured, and BMI (kg/m2) was calculated as weight divided by the square of height.

RESULTS

The prevalence rates of hypercholesterolaemia, hypertriacylglycerolaemia and hyperlipidaemia in Bai Ku Yao and Han were 12.4 % v. 26.2 % (P < 0.001), 15.0 % v. 14.8 % (P > 0.05) and 24.4 % v. 33.9 % (P < 0.001), respectively. Hyperlipidaemia was positively correlated with BMI, waist circumference, total energy and total fat intakes, and negatively associated with physical activity and total dietary fibre intake in Bai Ku Yao (P < 0.05 to 0.001). Hyperlipidaemia was positively associated with age, alcohol consumption, BMI, waist circumference, total energy and total fat intakes, and inversely correlated with physical activity and total dietary fibre intake in Han (P < 0.05 to 0.001).

CONCLUSIONS

The prevalence of hypercholesterolaemia and hyperlipidaemia was significantly lower in the Bai Ku Yao than in the Han population, which might result from different dietary habits, lifestyle choices and physical activity level, as well as genetic factors between the two ethnic groups.

摘要

目的

比较广西白裤瑶族和汉族人群高脂血症患病率及其危险因素的差异。

设计

高脂血症横断面研究。

地点

研究对象来自中华人民共和国广西壮族自治区南丹县的里湖村和八圩村。

研究对象

采用分层随机整群抽样法,对1170名15 - 89岁的白裤瑶族健康受试者和1173名汉族参与者进行了调查。通过标准问卷收集人口统计学、饮食和生活方式特征等信息。测量血压、身高、体重、腰围、血脂和载脂蛋白,并计算体重指数(BMI,kg/m²),即体重除以身高的平方。

结果

白裤瑶族和汉族人群高胆固醇血症、高甘油三酯血症和高脂血症的患病率分别为12.4%对26.2%(P < 0.001)、15.0%对14.8%(P > 0.05)和24.4%对33.9%(P < 0.001)。在白裤瑶族中,高脂血症与BMI、腰围、总能量和总脂肪摄入量呈正相关,与体力活动和总膳食纤维摄入量呈负相关(P < 0.05至0.001)。在汉族中,高脂血症与年龄、饮酒、BMI、腰围、总能量和总脂肪摄入量呈正相关,与体力活动和总膳食纤维摄入量呈负相关(P < 0.05至0.001)。

结论

白裤瑶族高胆固醇血症和高脂血症的患病率显著低于汉族,这可能是由于两个民族不同的饮食习惯、生活方式选择、体力活动水平以及遗传因素所致。

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