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目的了解长春市朝阳区成人血脂异常的患病现状及其影响因素。方法以2010年《中国居民营养与健康状况监测》为依据,采用整群随机抽样法开展调查工作,调查内容包括询问调查、医学体检、实验室检测和膳食调查等。结果 1 063例吉林省长春市朝阳区居民中血脂异常者有386例,血脂异常粗患病率为36.31%(标准化患病率为36.51%),血脂异常患者与血脂正常人群体质指数(BMI)(χ2=25.618,P<0.001)、腹围(t=6.571,P<0.001)、收缩压(Z=-5.654,P<0.001)、舒张压(Z=-3.425,P=0.001)、空腹血糖(Z=-3.229,P=0.001)等方面差异均有统计学意义。参与膳食调查居民共392例,其中血脂正常人群与血脂异常患者在脂肪摄入量(Z=-2.291,P=0.022)及维生素B2的摄入量(Z=-2.815,P=0.005)方面差异均有统计学意义。多因素logistic回归分析显示,平均收缩压是长春市朝阳区居民血脂异常的危险因素(OR=1.022,P=0.001),而BMI在18.5~23.9kg/m2,维生素B2的高摄入量是血脂异常的保护因素(OR=0.493,P=0.005;OR=0.283,P=0.006)。结论长春市朝阳区成人血脂异常与BMI、血压、膳食生活方式等密切相关,应控制BMI以及血压的增长,使其保持在正常范围内,适量增加维生素B2的摄入。
Objective To investigate the prevalence and influencing factors of adult dyslipidemia in Chaoyang District, Changchun. Methods Based on the 2010 “Monitoring of Nutrition and Health Status of Chinese Residents”, a cluster random sampling method was used to carry out investigation. The investigation included inquiry investigation, medical examination, laboratory testing and dietary survey. Results A total of 1 063 cases of dyslipidemia among residents in Chaoyang District, Changchun City, Jilin Province, there were 386 cases, the crude prevalence of dyslipidemia was 36.31% (standardized prevalence rate was 36.51%), and the body mass index (BMI) (χ2 = 25.618, P <0.001), systolic blood pressure (Z = -5.654, P <0.001) and diastolic blood pressure (Z = -3.229, P = 0.001) and other aspects were statistically significant differences. A total of 392 residents participated in the dietary survey. Among them, there were differences in fat intake (Z = -2.291, P = 0.022) and vitamin B2 intake (Z = -2.815, P = 0.005) between patients with normal blood lipids and patients with dyslipidemia All have statistical significance. Multivariate logistic regression analysis showed that the average systolic blood pressure was a risk factor for dyslipidemia in residents of Chaoyang District, Changchun (OR = 1.022, P = 0.001), while the BMI ranged from 18.5 to 23.9 kg / m2. The high intake of vitamin B2 Abnormal protective factors (OR = 0.493, P = 0.005; OR = 0.283, P = 0.006). Conclusion Adult dyslipidemia in Chaoyang District of Changchun City is closely related to BMI, blood pressure, dietary lifestyle and so on. BMI and blood pressure should be controlled to keep within the normal range and increase the intake of vitamin B2.