Wang Hai-Jun, Si Quan-Jin
The First Department of Senile Cardiology, Chinese PLA General Hospital, Beijing 100853, China.
Zhongguo Ying Yong Sheng Li Xue Za Zhi. 2012 Jan;28(1):89-93.
To investigate the relationship between the blood lipids and risk factors such as age in middle-aged and elderly men.
1603 men aged over 50 years old who took health examinations in June 2006 in the Chinese PLA General hospital were taken into the study. The total cholesterol (TC), triglyceride (TG), low density lipoprotein cholesterol (LDL-c), high density lipoprotein cholesterol (HDL-c), fasting serum glucose (FBG), serum creatinine (Cr) and blood uric acid (UA) were detected, and the clinical data such as age, body height, body weight and blood pressure were recorded.
(1) The detection rates of hyperlipidemia, abnormal TC, abnormal TG, abnormal HDL-c and abnormal LDL-c were 56.27%, 36.74%, 28.20%, 10.79% and 6.92% respectively, and the TC and/or TG abnormality were the majority. (2) Compared with the 50 59 years old group, the elderly men aged over 80 years old had lower detection rates of abnormal TC and abnormal HDL-c, lower levels of TC and TG and higher levels of HDL-c (P < 0.05). After adjusting for BMI, SBP, DBP, UA, FBG and CCr, the multiple regression analysis showed that the levels of TC and TG decreased by 0.097 mmol/L and 0.087 mmol/L respectively every 10 years older, while the level of HDL-c increased by 0.113 mmol/L.
The study showed that the majority types of hyperlipidemia in middle-aged and elderly men were abnormal TC and abnormal TG. The levels of TC, TG were correlated with age positively and the HDL-c was negatively correlated with age. The blood lipids metabolism characteristics of elderly men aged over 80 years old should be considered before the treatment of hyperlipidemia.
探讨中老年男性血脂与年龄等危险因素之间的关系。
选取2006年6月在中国人民解放军总医院进行健康体检的1603名50岁以上男性纳入研究。检测总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-c)、高密度脂蛋白胆固醇(HDL-c)、空腹血糖(FBG)、血清肌酐(Cr)和血尿酸(UA),并记录年龄、身高、体重和血压等临床资料。
(1)高脂血症、TC异常、TG异常、HDL-c异常和LDL-c异常的检出率分别为56.27%、36.74%、28.20%、10.79%和6.92%,以TC和/或TG异常为主。(2)与50~59岁组相比,80岁以上老年男性TC异常和HDL-c异常的检出率较低,TC和TG水平较低,HDL-c水平较高(P<0.05)。校正BMI、收缩压(SBP)、舒张压(DBP)、UA、FBG和肌酐清除率(CCr)后,多元回归分析显示,每增长10岁,TC和TG水平分别下降0.097 mmol/L和0.087 mmol/L,而HDL-c水平升高0.113 mmol/L。
研究表明,中老年男性高脂血症的主要类型为TC异常和TG异常。TC、TG水平与年龄呈正相关,HDL-c与年龄呈负相关。在治疗高脂血症前应考虑80岁以上老年男性的血脂代谢特点。