Wang Z H, Zou Z Y, Yang Y D, Wang S, Dong Y H, Yang Z G, Yang Z P, Wang X J, Li Y H, Gao D, Ma J
School of Public Health & Institute of Child and Adolescent Health, Peking University, Beijing 100191, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2018 Aug 6;52(8):798-801. doi: 10.3760/cma.j.issn.0253-9624.2018.08.005.
To investigate the prevalence and related factors of dyslipidemia among children and adolescents aged 6-17 years in 7 provinces in China. Using the method of stratified cluster random sampling, 93 primary and secondary schools were selected from Guangdong, Hunan, Liaoning provinces, Shanghai, Chongqing, Tianjin municipalities and Ningxia Hui Autonomous Region in China, 2012. A total of 16 434 students aged 6-17 years old with completed physical and lipid profiles parameters were selected into this study from above 93 primary and secondary schools. Dyslipidemia was determined by the definition of Expert Advice on Prevention and Treatment of Dyslipidemia in Children and Adolescents in 2009. Logistic regression model was used to explore the factors related to dyslipidemia. The prevalence of elevated total cholesterol, elevated triglyceride, elevated low-density lipoprotein cholesterol, low high-density lipoprotein cholesterol, and dyslipidemia was 5.4% (887 cases), 15.7% (2 578 cases), 3.0% (492 cases), 13.5% (2 221 cases) and 28.5% (4 679 cases) among children and adolescents aged 6-17 years, respectively. Sugary drinks intake ≥once per week (1.14; 95: 1.05-1.24), sedentary time >10 hours per day (1.14, 95: 1.01-1.28), overweight (1.50, 95: 1.33-1.70), and obesity (2.62, 95: 2.31-2.96) were significantly associated with the prevalence of dyslipidemia. The prevalence of dyslipidemia was high among children and adolescents aged 6-17 in 7 provinces in China, 2012. Sugary drinks intake ≥once per week, sedentary time >10 hours per day, overweight and obesity might be the risk factors of dyslipidemia among children and adolescents.
调查中国7个省份6至17岁儿童青少年血脂异常的患病率及其相关因素。2012年，采用分层整群随机抽样方法，从中国广东省、湖南省、辽宁省、上海市、重庆市、天津市和宁夏回族自治区选取了93所中小学。从上述93所中小学中，共选取了16434名6至17岁且完成了体格检查和血脂参数检测的学生纳入本研究。血脂异常根据《儿童青少年血脂异常防治专家建议（2009版）》的定义来判定。采用逻辑回归模型探讨血脂异常的相关因素。在6至17岁的儿童青少年中，总胆固醇升高、甘油三酯升高、低密度脂蛋白胆固醇升高、高密度脂蛋白胆固醇降低以及血脂异常的患病率分别为5.4%（887例）、15.7%（2578例）、3.0%（492例）、13.5%（2221例）和28.5%（4679例）。每周饮用含糖饮料≥1次（比值比：1.14；95%置信区间：1.05 - 1.24）、每天久坐时间>10小时（比值比：1.14，95%置信区间：1.01 - 1.28）、超重（比值比：1.50，95%置信区间：1.33 - 1.70）和肥胖（比值比：2.62，95%置信区间：2.31 - 2.96）与血脂异常患病率显著相关。2012年，中国7个省份6至17岁儿童青少年的血脂异常患病率较高。每周饮用含糖饮料≥1次、每天久坐时间>10小时、超重和肥胖可能是儿童青少年血脂异常的危险因素。
