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从事农业工作的绝经后女性的致动脉粥样硬化血脂谱及健康行为

Atherogenic lipid profile and health behaviours in women post-menopause working in agriculture.

作者信息

Krakowiak Jan, Raczkiewicz Dorota, Wdowiak Artur, Cichońska Dominika, Bojar Iwona

机构信息

Department of Social Medicine, Medical University of Lodz, Poland.

Institute of Statistics and Demography, Collegium of Economic Analysis, SGH Warsaw School of Economics, Poland.

出版信息

Ann Agric Environ Med. 2019 Dec 19;26(4):585-591. doi: 10.26444/aaem/105391. Epub 2019 Mar 11.

Abstract

INTRODUCTION AND OBJECTIVE

There is a significantly higher risk of lipid disorders occurrence, including atherogenic dyslipidemia in women after menopause than it is in general population. The aim of the work was to investigate the correlation between health behaviours and the occurrence of lipid disorders in women after menopause working in agriculture.

MATERIAL AND METHODS

The study was conducted in years 2015-2016 and included 843 post-menopausal women working in agriculture. The following were used: a questionnaire including socio-demographic data, laboratory lipid tests, inventory of health behaviours. The following were estimated: logistic regression models for serum lipids concentration versus frequency of health behaviours in the examined women.

RESULTS

Adverse lipid profile was found in over a half of post-menopausal women working in agriculture, whereas the frequency of health behaviours were estimated at the average level, although the frequency of correct eating habits and health practices was significantly lower than preventive behaviours and positive psychological attitudes. A correlation was found between the frequency of health behaviours and the occurrence of lipid disorders in women after menopause working in agriculture: more frequent health practices co-existed with the lower concentration of total cholesterol and a higher concentration of HDL-cholesterol, more frequent preventive behaviours co-existed with lower concentration of LDL-cholesterol. Women with higher concentration of triglycerides undertook pro-health practices relatively more often.

CONCLUSIONS

The study revealed a high prevalence of lipid disorders in postmenopausal women working in agriculture. More effective health education programmes are necessary in the area of reduction the risk factors of CVD in the population of women working in agriculture.

摘要

引言与目的

绝经后女性发生脂质紊乱(包括致动脉粥样硬化性血脂异常)的风险显著高于普通人群。本研究旨在调查从事农业工作的绝经后女性的健康行为与脂质紊乱发生之间的相关性。

材料与方法

本研究于2015 - 2016年进行,纳入了843名从事农业工作的绝经后女性。采用了以下方法:一份包含社会人口学数据的问卷、血脂实验室检测、健康行为量表。评估了以下内容:所研究女性血清脂质浓度与健康行为频率的逻辑回归模型。

结果

超过一半从事农业工作的绝经后女性存在不良血脂状况,尽管正确饮食习惯和健康行为的频率显著低于预防行为和积极心理态度,但健康行为频率估计处于平均水平。从事农业工作的绝经后女性的健康行为频率与脂质紊乱的发生之间存在相关性:更频繁的健康行为与较低的总胆固醇浓度和较高的高密度脂蛋白胆固醇浓度并存,更频繁的预防行为与较低的低密度脂蛋白胆固醇浓度并存。甘油三酯浓度较高的女性相对更频繁地采取促进健康的行为。

结论

该研究揭示了从事农业工作的绝经后女性中脂质紊乱的高患病率。在从事农业工作的女性人群中,有必要开展更有效的健康教育项目以降低心血管疾病的危险因素。

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