北京地区青年人群心血管病危险因素10年变化趋势

目的 :探讨北京地区青年人群心血管病危险因素 10年 (1992年至 2 0 0 2年 )变化趋势。方法 :1992年在北京大学和首钢地区建立了年龄为 35～ 6 4岁人群的心血管病危险因素研究队列 ,取得了基线调查数据 ,在 2 0 0 2年对该人群再次进行了心血管病危险因素调查。该研究对 1992年参加调查的 35～ 4 4岁人群 ,同时参加了 2 0 0 2年调查且资料完整的 12 0 3人的 10年心血管病危险因素变化情况进行流行病学分析。结果 :1 1992年至 2 0 0 2年北京地区 35～ 4 4岁青年人的主要心血管病危险因素均呈上升趋势。其中甘油三酯 (TG)变化幅度最大 ,10年间上升了 5 0 . 3%。其次为总胆固醇 (TC) ,增加了 16 . 6 %。2 10年间男女两性危险因素水平均呈增加变化 ,但女性多个危险因素增加的幅度大于男性。 3 心血管疾病的危险因素普遍存在 ,具有一个或一个以上危险因素的比例由 1992年的 4 1 9%上升到 2 0 0 2年的6 9. 8%。青年人群超重肥胖率由 4 7. 4 %上升到 6 8. 3%。结论 :北京地区 35～ 4 4岁青年人随着年龄的增加 ,10年间心血管病危险因素水平均呈上升变化 ,其中血脂水平增加的幅度最大。女性心血管病危险因素平均水平上升的幅度大于男性。心血管病危险因素在北京地区的青年人群中普遍存在。应该更加重视控制青年人?

The trends of CVD risk factors changes among young people in Beijing in ten years

Objective:To explore the trends of cardiovascular disease (CVD) risk factors changes among young people of Beijing in ten years(1992～2002).Method:In 1992, a cohort was established in Beijing, including 35～64 year old males and females, and a baseline survey on CVD risk factors was carried out. In 2002, these individuals were re-examined in the second survey. 1203 subjects who were 35～44 year old in 1992 and attended both surveys were analyzed.Result:1. All of the major CVD risk factors increased from 1992 to 2002 in young people (35～44 year old in 1992). The most significant change was noticed for triglyceride, which increased by 50.3% in ten years. Total cholesterol (TC) increased 16.6% and ranked the second. 2. The risk factor levels increased in both sexes, whereas most risk factors increased faster in females than in males. 3. CVD risk factors were getting more prevalent among young people. From 1992 to 2002, the proportion of people with one or more risk factors increased form 41.9% to 69.8%. The prevalence of obesity or overweight among young people increased from 47.4% to 68.3%.Conclusion:CVD risk factors increased fast among young people aged 35 to 44 years in Beijing lipid levels increased faster than other risk factors, and most risk factors increased faster in female. Risk factors for CVD were getting more prevalent among young people in Beijing. Further steps on CVD risk factor control among young people should be emphasized.