浙江省舟山市普陀山中青年僧尼人群心血管疾病危险因素特点

目的了解浙江省舟山市普陀山中青年僧尼人群心血管疾病危险因素流行现状及特点。方法对浙江省舟山市普陀山僧尼人群进行常规体格检查和心血管疾病相关实验室检查,对检查结果进行分析。结果本次实际调查僧尼679人,应答率为84.98%(679/799),排除60岁以上(62名)僧尼以及个别缺失的资料,最终纳入581名中青年僧尼为本研究实际研究对象,男性448名,平均年龄为(37.5±9.5)岁,女性133名,平均年龄为(34.3±9.0)岁。男性血压水平、体质指数(BMI)、血清总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)和空腹血糖水平明显高于女性(P<0.05或<0.01),而高密度脂蛋白胆固醇(HDL-C)水平明显低于女性(P<0.01)。男性高血压、高TC血症、高TG血症、糖尿病、肥胖患病率分别为24.33%、12.28%、25.22%、3.79%、20.09%,女性分别为11.32%、3.76%、9.77%、0.75%、9.77%。随着年龄的升高,高血压、高TC血症、高TG血症、糖尿病(男性)、超重(女性)、肥胖(女性)及超重+肥胖患病率均呈显著增加趋势。不论男性女性人群,低TC发生情况有随年龄增长而降低的趋势。结论普陀山中青年僧尼人群中,主要心血管病危险因素水平男性高于女性,且随年龄增加,危险因素水平呈上升趋势。应对这类人群开展更为有针对性的危险因素干预和管理。

Risk factors of cardiovascular diseases among young and mid-aged buddhist monks and nuns in Putuo mountain of Zhoushan

Objective To explore the risk factors of cardiovascular diseases （CVD） among buddhist monks and nuns in Putuo mountain in Zhe]iang province. Methods Monks and nuns were required to have a physical check-up and blood samples were collected for cardiovascular diseases related laboratory test. Results Even tually, a total of 581 subjects were included in the study with the average age of 36.7±9.5 years old （448 male, 133 female） . The blood pressure, body mass index （BMI）, total serum cholesterol （TC）, triglycer- ide （TG）, low density lipid cholesterol （LDL-C） and fasting glucose of male were all statistically higher than those of female （P〈0.05 or P〈0.01）, while the high density lipid cholesterol （HDL-C） level of male was lower than that of female （P〈0.01） . The prevalence of hypertension, high TC and TG, diabetes and obesi- ty in male subjects were 24.5%, 12. 40%, 25.3%, 3.9%, 20.0%, respectively, while in female those numbers were 10.6%, 4.2%, 9.7%, 0.7% and 9.7%. It also showed that the above incidences all increased along with the age, However, only the low TC rate decreased. Conclusions Young and mid aged monks are at higher risk of cardiovascular diseases than female nuns, and the major CVD risk factors become worse along with age in both monks and nuns, indicating that intervention and management for risk factor should be carried out purposefully.