Zhang Jie, Wang Hao, Yu Min, Hu Ruying, Su Danting, Zhao Ming, He Qingfang, Wang Lixin, Fang Le
Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China.
Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China. Email:
Zhonghua Liu Xing Bing Xue Za Zhi. 2015 Feb;36(2):105-9.
To understand the prevalence of dyslipidemia among non-overweight adults and related factors in Zhejiang province.
A total of 10 868 non-overweight adults (aged ≥18 years and BMI<24.0 kg/m²) included in a population-based cross-sectional survey on metabolic syndrome in Zhejiang province in 2010 were selected to conduct questionnaire survey, health examination and blood fat detection.
The overall prevalence of dyslipidemia in this population was 41.38%. The prevalence was significantly higher in males (43.19%) than in females (39.84%) (χ² = 12.53, P < 0.001). The prevalence of dyslipidemia significantly decreased in males (trend χ² = 47.61, P < 0.001) but increased in females (trend χ² = 3.88, P < 0.05) with age. There was no significant difference in the prevalence between urban area (41.21%) and rural area (41.49%) (χ² = 0.08, P = 0.774). Multiple logistic regression analysis showed that sex, family history of chronic diseases, smoking, alcohol use, high meat and egg diet, cooking with animal oil, physical activity, central obesity and BMI were factors related to prevalence of dyslipidemia.
The prevalence of dyslipidemia was high among the non-overweight adults in Zhejiang, and family history, smoking, high-fat diet, physical inactivity, central obesity seemed to be the major risk factors.
了解浙江省非超重成年人血脂异常的患病率及其相关因素。
选取2010年浙江省一项基于人群的代谢综合征横断面调查中纳入的10868名非超重成年人（年龄≥18岁且BMI<24.0kg/m²），进行问卷调查、健康体检和血脂检测。
该人群血脂异常的总体患病率为41.38%。男性患病率（43.19%）显著高于女性（39.84%）（χ² = 12.53，P < 0.001）。随着年龄增长，男性血脂异常患病率显著下降（趋势χ² = 47.61，P < 0.001），而女性患病率上升（趋势χ² = 3.88，P < 0.05）。城区患病率（41.21%）与农村地区患病率（41.49%）之间无显著差异（χ² = 0.08，P = 0.774）。多因素logistic回归分析显示，性别、慢性病家族史、吸烟、饮酒、高肉蛋类饮食、用动物油烹饪、体力活动、中心性肥胖和BMI是与血脂异常患病率相关的因素。
浙江省非超重成年人血脂异常患病率较高，家族史、吸烟、高脂饮食、缺乏体力活动、中心性肥胖似乎是主要危险因素。
