Xu W, Xing X Y, He Q, Dai D, Li R, Xu J Q, Chen Y J, Liu Z R
Department of Chronic and Non-communicable Disease Control and Prevention, Anhui Provincial Center for Disease Control and Prevention, Hefei 230601, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2020 Feb 10;41(2):195-200. doi: 10.3760/cma.j.issn.0254-6450.2020.02.011.
Based on the data of chronic diseases and nutrition surveillance among Chinese adults in 2015, dyslipidemia and related factors were analyzed. Multi-stage stratified cluster random sampling was used to select participants who were aged 18 and over, with questionnaire survey and related measurements conducted. Prevalence rates of dyslipidemia among participants by different characteristics and influencing factors were analyzed, using the method of complex weighting and post-weighted stratification. In all, 7 404 participants were included. The overall prevalence of dyslipidemia was 30.5 among the adults. The overall prevalence of dyslipidemia were 36.5 in males and 24.4 in females (<0.05). The prevalence rates of hypercholesterolemia, hypertriglyceridemia, high LDL-C, and low HDL-C were 3.7, 12.2, 5.3, and 19.4, respectively. Results from the multivariate logistic regression model analysis showed that age (=1.009, 95: 1.000-1.018), female (=0.501, 95: 0.397-0.632), College degree or above (=1.728, 95: 1.257-2.374), alcohol consumption 3 (=0.711, 95: 0.536-0.943), central obesity (=1.868, 95: 1.547-2.257), BMI (=1.141, 95: 1.098-1.186), hypertension (=1.259, 95: 1.077-1.473) and diabetes (=2.025, 95: 1.446-2.835) were influencing factors on dyslipidemia. The prevalence of dyslipidemia seemed high among adults in Anhui. Risk factors should be closely monitored and under control, including those people with unhealthy lifestyles or being overweight, obesity, hypertensive and diabetic.
基于2015年中国成年人慢性病与营养监测数据,对血脂异常及其相关因素进行了分析。采用多阶段分层整群随机抽样方法选取18岁及以上的参与者,并进行问卷调查和相关测量。运用复杂加权和事后加权分层方法,分析了不同特征和影响因素的参与者血脂异常患病率。共纳入7404名参与者。成年人血脂异常总体患病率为30.5%。男性血脂异常总体患病率为36.5%,女性为24.4%(P<0.05)。高胆固醇血症、高甘油三酯血症、高LDL-C和低HDL-C的患病率分别为3.7%、12.2%、5.3%和19.4%。多因素logistic回归模型分析结果显示,年龄(β=1.009,95%CI:1.000-1.018)、女性(β=0.501,95%CI:0.397-0.632)、大专及以上学历(β=1.728,95%CI:1.257-2.374)、饮酒3天及以上(β=0.711,95%CI:0.536-0.943)、中心性肥胖(β=1.868,95%CI:1.547-2.257)、BMI(β=1.141,95%CI:1.098-1.186)、高血压(β=1.259,95%CI:1.077-1.473)和糖尿病(β=2.025,95%CI:1.446-2.835)是血脂异常的影响因素。安徽省成年人血脂异常患病率似乎较高。应密切监测并控制危险因素,包括那些生活方式不健康或超重、肥胖、高血压和糖尿病患者。