柳州市7660例成人血脂状况调查

评价柳州市人群中血脂状况,为人群干预作基线调查。整群抽取柳州市常住居民7660例,男性389b4例,女性3766例,年龄39.5±11.0岁,进行血脂、身高、体重、腰围及臀围等指标检测和统计分析。结果发现,男性和女性总胆固醇、甘油三酯和低密度脂蛋白胆固醇水平均有随年龄增大而增高的趋势。全组高总胆固醇、高甘油三酯、高低密度脂蛋白胆固醇和低高密度脂蛋白胆固醇检出率分别为20.76%、26.37%、17.75%及15.59%。男性高总胆固醇、高甘油三酯及高低密度脂蛋白胆固醇的检出率分别是女性的1.64、2.86及1.52倍。血脂异常率有随年龄增大而增高的趋势。超重和肥胖显著增高血脂异常率。其中以反映腹部脂肪积聚的腰围对血脂的影响更为显著。结果表明,本组人群中血脂异常率较高,高甘油三酯是最常见的血脂异常类型,腰围增大是影响血脂代谢异常的重要因素。

Investigation of Serum Lipids in 7 660 Adults in Liuzhou City

Aim To evaluate conditions of lipid metabolism in the population of Liuzhou. Methods A cohort of the 7 660 residents (3 894 male cases, 3 766 female cases) of Liuzhou, were selected in cluster sampling, average aged 39.5± 11.0 years. Total cholesterol (TC), low density lipoprotein cholesterol (LDLC), triglyceride (TG), high density lipoprotein cholesterol (HDLC), height, weight, waist and hip circumferences of the 7 660 cases were detected and analyzed. Results The average levels of TC, LDLC, TG of both sexes had trend of increasing with age growing. The detecting rate of high TC, high TG, high LDLC and low HDLC in this group were 20.76%, 26.37%, 17.75% and 15.59% , respectively. The dyslipidemia rate had trend of increasing with age growing. The dyslipidernia rate was obviously increased with overweight and obesity. The serum hpid was obviously affected by the waist circumference reflecting fat to accumulate in abdomen. Conclusion The dyslipidemia rate is higher, and the high TG is the most frequent type of the dyslipidemia in this population. Large waist circumference is the major factor affecting lipid metabolism.