Wang Yuanyuan, Dai Yue, Wang Shaokang, Zhang Jingxian, Zhu Qianrang, Xie Wei
Key Laboratory of Environment Medicine and Engineering of Ministry of Education, Department of Nutrition and Food Hygiene, School of Public Health, Southeast University, Nanjing 210009, China.
Key Laboratory of Environment Medicine and Engineering of Ministry of Education, Department of Nutrition and Food Hygiene, School of Public Health, Southeast University, Nanjing 210009, China Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China.
Wei Sheng Yan Jiu. 2019 Nov;48(6):945-952.
To understand the epidemiological characteristics and risk factors of dyslipidemia in adult residents of Jiangsu Province in 2014.
A total of 8677 permanent residents over 18 years old were selected from 12 monitoring sites in Jiangsu Province in 2014 by multi-stage stratified cluster random sampling and were enrolled for questionnaire survey, physic examination and biochemical tests.
Totally, 8299 cases were analyzed including 3732 males(45. 0%) and 4567 females(55. 0%). The rate of dyslipidemia was 38. 2%(standardized prevalence rate was38. 5%). Among the 8299 cases, 25. 8% had high TG(standardized rate was 25. 9%), 13. 2% had low HDL-C(standardized rate was 13. 4%), 6. 0% had high TC(standardized rate was 5. 9%). With the increase of age, the prevalence of dyslipidemia in males showed a downward trend(P<0. 05), and the dyslipidemia in females showed an increasing trend(P<0. 05). The prevalence of dyslipidemia in urban and rural adults was42. 9% and 36. 9%. The Logistic multivariate analysis showed that heavy physical and other types of labor were protective factors for dyslipidemia(OR = 0. 422 and 0. 749). Primary school education or above, occupational labor of medium type, overweight and obesity, central obesity were risk factors for dyslipidemia. Hypertension, diabetes, stroke were positively correlated with dyslipidemia(OR = 1. 045, 1. 927, 1. 927 and 1. 501).
The prevalence of dyslipidemia in adults in Jiangsu Province is on the rise. Hyperlipidemia and low HDL-C are the main forms of dyslipidemia in Jiangsu Province.
了解2014年江苏省成年居民血脂异常的流行病学特征及危险因素。
2014年通过多阶段分层整群随机抽样，从江苏省12个监测点选取8677名18岁以上常住居民，进行问卷调查、体格检查及生化检测。
共分析8299例，其中男性3732例（45.0%），女性4567例（55.0%）。血脂异常率为38.2%（标化患病率为38.5%）。8299例中，25.8%甘油三酯升高（标化率为25.9%），13.2%高密度脂蛋白胆固醇降低（标化率为13.4%），6.0%总胆固醇升高（标化率为5.9%）。随着年龄增长，男性血脂异常患病率呈下降趋势（P<0.05），女性血脂异常患病率呈上升趋势（P<0.05）。城乡成年居民血脂异常患病率分别为42.9%和36.9%。Logistic多因素分析显示，重体力劳动及其他类型劳动是血脂异常的保护因素（OR=0.422和0.749）。小学及以上文化程度、中等类型职业劳动、超重和肥胖、中心性肥胖是血脂异常的危险因素。高血压、糖尿病、脑卒中与血脂异常呈正相关（OR=1.045、1.927、1.927和1.501）。
江苏省成年居民血脂异常患病率呈上升趋势。高脂血症和低高密度脂蛋白胆固醇血症是江苏省血脂异常的主要形式。
