|
|
|
| Factors affecting dyslipidemia among residents in Chengdu City |
| YU Zhimiao1, HAN Mingming1, QIAN Wen1, WEI Yonglan1, WANG Liang2
|
1. Department of Chronic Non-Communicable Disease Control and Prevention, Chengdu Center for Disease Control and Prevention, Chengdu, Sichuan 610041, China;
2. Chengdu Center for Disease Control and Prevention, Chengdu, Sichuan 610041, China |
|
|
|
|
Abstract Objective To investigate the prevalence and influencing factors of dyslipidemia among residents in Chengdu City, so as to provide insights into improving the prevention and control of dyslipidemia. Methods Based on the baseline survey of the Natural Population Cohort Study in Southwest China, residents aged 30 to 79 years was selected from 34 towns (communities) in 5 counties (districts) of Chengdu City using the multi-stage stratified cluster random sampling method in 2018. Demographic information and lifestyle behaviors were collected through questionnaires. Blood pressure, fasting blood glucose, serum uric acid, total cholesterol (TC), triglyceride (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) were collected through physical examination and laboratory tests. A multivariable logistic regression model was used to identify the factors affecting dyslipidamia. Results A total of 21 113 participants were surveyed, including 9 331 males (44.20%) and 11 782 females (55.80%), and had a mean age of (50.80±12.32) years. The prevalence rate of dyslipidemia was 35.64%, and the prevalence rates of high TG, low-HDL-C, high TC and high LDL-C were 17.25%, 11.88%, 10.11% and 7.35%, respectively. Multivariable logistic regression analysis identified gender (male, OR=1.584, 95%CI: 1.463-1.716), age (50 to 79 years old, OR：1.221-1.444, 95%CI: 1.079-1.632), residence (urban, OR=1.123, 95%CI: 1.052-1.198), marital status (not married, OR=1.246, 95%CI: 1.128-1.376), educational level (high school and above, OR=0.914, 95%CI: 0.849-0.983), current smoking (OR=1.220, 95%CI: 1.121-1.327), drinking (1 to 2 d/week, OR=1.525, 95%CI: 1.368-1.700; 3 to 5 d/week, OR=1.857, 95%CI: 1.575-2.191; almost every day, OR=1.512, 95%CI: 1.269-1.801), sedentary time in leisure time (>2 h/d, OR=1.123, 95%CI: 1.046-1.206), central obesity (OR=2.212, 95%CI: 1.986-2.265), hypertension (OR=1.489, 95%CI: 1.388-1.598), diabetes (OR=1.998, 95%CI: 1.833-2.157) and hyperuricemia (OR=2.012, 95%CI: 1.848-2.192) as factors affecting dyslipidemia. Conclusion The prevalence of dyslipidemia among residents in Chengdu City was mainly associated with smoking, drinking, sedentary time, central obesity, hypertension, diabetes and hyperuricemia.
|
|
Received: 05 March 2024
Revised: 07 May 2024
Published: 19 July 2024
|
|
|
|
|
|
[1] 世界华人检验与病理医师协会.血脂异常疾病检验诊断报告模式专家共识[J].中华医学杂志,2018,98(22):1739-1742.
[2] 施明明,张晓,李娜,等.居民血脂异常影响因素的列线图分析[J].预防医学,2019,31(5):460-464.
[3] 颜芳,杨昭,张茂镕,等.昆明市2020年成人血脂水平与血脂异常分布特征及影响因素分析[J].中国慢性病预防与控制,2023,31(7):534-538.
[4] 马丽媛,王增武,樊静,等.《中国心血管健康与疾病报告2022》要点解读[J].中国全科医学,2023,26(32):3975-3994.
[5] 李苏宁,张林峰,王馨,等.2012—2015年我国≥35岁人群血脂异常状况调查[J].中国循环杂志,2019,34(7):681-687.
[6] 马祥,刘雅,欧阳凌云,等.成都市居民血脂现况及危险因素分析[J].四川医学,2012,33(4):579-581.
[7] 韩明明,魏咏兰.成都市30~79岁居民被动吸烟现状及影响因素分析[J].华南预防医学,2023,49(1):45-47.
[8] 中国成人血脂异常防治指南修订联合委员会.中国成人血脂异常防治指南(2016年修订版)[J].中国循环杂志,2016,31(10):937-950.
[9] 陶寄,盛敏阳,许云峰,等.海宁市居民血脂异常的影响因素分析[J].预防医学,2022,34(8):821-825.
[10] 国家心血管病中心,国家基本公共卫生服务项目基层高血压管理办公室,国家基层高血压管理专家委员会.国家基层高血压防治管理指南2020版[J].中国循环杂志,2021,36(3):209-220.
[11] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2020年版)[J].中华糖尿病杂志,2021,13(4):315-409.
[12] 高尿酸血症相关疾病诊疗多学科共识专家组.中国高尿酸血症相关疾病诊疗多学科专家共识[J].中华内科杂志,2017,56(3):235-248.
[13] 李辉,段东辉,王永,等.宁波市居民血脂异常及影响因素分析[J].预防医学,2019,31(5):474-477.
[14] 许昊,陈一佳,吴洁,等.南京市成人高血压、糖尿病和血脂异常共病现状及影响因素分析[J].中国慢性病预防与控制,2023,31(7):539-544.
[15] 张友琴,许秀娟,李祥微,等.杭州市健康体检人群血脂异常及影响因素分析[J].华南预防医学,2022,48(3):286-289.
[16] 赵园园,薛晓嘉,陶然,等.2020年青岛市成年居民血脂异常现状调查分析[J].中国预防医学杂志,2023,24(9):979-985.
[17] ZHANG M,DENG Q,WANG L H, et al.Prevalence of dyslipidemia and achievement of low-density lipoprotein cholesterol targets in Chinese adults:a nationally representative survey of 163,641 adults[J].Int J Cardiol,2018,260:196-203.
[18] 孙锋,张磊,王茜,等.合肥市成年居民血脂异常的影响因素分析[J].预防医学,2022,34(12):1251-1256.
[19] 刘璇. 长春市成年居民血脂异常患病情况及影响因素分析[D].长春:吉林大学,2016.
[20] 刘蓉,刘晨越,飒日娜,等.陕西省成年居民肥胖测量指标与血脂异常患病关系[J].中国公共卫生,2023,39(11):1383-1387.
[21] 朱婧,蒋晓红,项守奎,等.1型糖尿病患者尿酸水平与血脂异常的相关性研究[J].国际内分泌代谢杂志,2020,40(1):16-20.
[22] 丁贤彬,唐文革,陈莉玲,等.重庆市30~79岁居民高血压、高血脂、高血糖共患情况及相关影响因素[J].中国慢性病预防与控制,2023,31(1):31-34. |
|
|
|
