丽水城镇机关干部超重人群心脑血管病危险因素调查研究

目的监测城镇社区机关干部超重人群心脑血管病危险因素水平及变化趋势,为控制超重、防治心脑血管疾病提供依据。方法2001年抽取丽水市机关干部20～60岁人群中的7 614人进行基线调查,通过健康体检获得个体相关资料,经过3年对高血糖、高血脂、高血压等心脑血管病危险因素水平的监测研究和健康促进,于2004年对此人群进行第2次健康体检,将2次调查资料均完整的2 506人作为对象,进行统计分析。结果2001年与2004年同一机关干部超重人群伴随高血糖、高血脂、高血压的比率明显高于非超重人群,且男性高于女性,呈多危险因素个体高度聚集现象;2个年度队列人群高血糖、高血脂、高血压的发病率和多危险因素的个体聚集现象比较,大多呈下降趋势。但非超重男性干部的高血脂发病率和1个危险因素个体聚集现象仍呈现上升趋势;20～29岁干部的体质量明显升高;全部对象的血清总胆固醇均明显升高。结论应将机关干部作为重点防治人群,尤其要加强对年轻、非超重人群,特别是男性机关干部的健康促进工作,有效控制超重、减少机关干部人群的心脑血管病危险因素。

Investigation of Risk Factor of Cardial-cerebrovascular Disease in Ovetweight Group of Lishui Town Officers

Objective To monitor the level and variance tendency of risk factor of cardial-cerebrovascular disease in overweight group of Lishui town officers,and provide scientific evidence to control overweight and prevent cardial-cerebrovascular disease.Methods Seven thousand six hundred and fourteen cases from Lishui town officers aged 20 to 60 were performed baseline investigation in 2001.And individual related information was collected through healthy examination.After having monitored hyperglycemia,hyperlipemia,hypertension and having been experiencing health promotion for 3 years,this group was taken second healthy examination in 2004.The authors selected 2 506 cases which with 2 complete investigation informations as cohort investigation group,performed statistic analysis by software EPI INFO5.0.Results The rate of accompanying hyperglycemia,hyperlipemia,hypertension in overweight group was higher obviously than non-overweight group in 2001 and 2004 and male higher than female,which demonstrated a phenomenon of individual with multiple risk factors highly concentrated.The highly concentrated disease incidence of hyperglycemia,hyperlipemia,hypertension and phenomenon of individual with multiple risk factors in 2004 demonstrated downtrend when compared with that of 200l.But highly concentrated disease incidence of hyperlipemia in non-overweight male and phenomenon of individual with single risk factor still demonstrated upgrade tendency.BMl(body mass index) in cadres aged 20 to 29 were obviously improved.TC of all objects were obviously promoted.Conclusion Institution officers should be taken as focal point in the work of community prevention and cure of cardial-cerebrovascular disease,and healthy education and healthy promotion should be enhanced in young cadres,non-overweight group,especially male,so as to control overweight,decrease risk factors of cardial-cerebrovascular disease.