广东省18岁及以上城市居民血脂异常分布特征及影响因素

目的了解广东省城市≥18岁居民血胆固醇、甘油三酯、高密度脂蛋白的水平、分布及其影响因素。方法对2974名18岁及以上调查对象采集空腹血浆血脂进行检测。结果广东省城市18岁及以上居民血浆TG、TC和HDL-C平均水平分别为1.56、5.03和1.41mmol/L,TG、TC和HDL-C的水平随年龄增加而增加,其中60岁以上的人群中女性TG（1.84±1.16）mmol/L和TC（5.58±1.01）mmol/L水平,均分别高于男性TG（1.60±1.02）mmol/L和TC（5.20±0.99）mmol/L,而HDL-C的平均水平在各年龄组均为女性高于男性。高TG血症的患病率随年龄增加呈先升后降的分布特征,而低HDL-C血症的患病率随年龄增加呈先降后升的趋势,高TC血症的最高患病率为60岁以上人群组。年龄是高TG（OR=1.16）、高TC血症（OR=1.93）的危险因素,但是低HDL-C血症（OR=0.84）的保护因素;女性是高TG（OR=0.62）、低HDL-C血症（OR=0.53）的保护因素;婚姻状况（OR=1.41）、民族（OR=3.06）、家庭年人均收入（OR=1.09）是低HDL-C血症的危险因素。结论随着生活水平的提升,广东城市居民的血脂异常患病率较高,尤其是45岁以上的男性以及60岁以上的女性人群应纳入血脂异常防治的重点人群。年龄、婚姻状况、家庭年人均收入、民族和性别等因素是血脂异常的主要影响因素。

Distribution of plasma lipids level and associated impacts in urban residents aged 18 and older in Guangdong Province

Objective To know the levels and impact factors of cholesterol, triglyceride and high density lipoprorein among urban residents aged 18 and older in Guangdong Province. Methods Plasma lipids of 2974 subjects aged 18 and older were determinedl Results The mean of TG, TC and HDL-C were 1.56 mmol/L, 5.03 mmol/L and 1.41 retool/L, respectively. The levels of TG, TC and HDL-C were increased with the increasing of age. The mean of TG （ 1.84 ± 1.16 ） mmoL/L and TC （5.58 - 1.01 ） mmol/L in women among urban residents aged 60 and older were higher than those in men （ 1.60 ± 1.02） mmol/L and （5.20 ±0. 99） mmol/L, respectively. The mean of HDL-C in women among every age group was higher than that in men. The prevalence of high TC among aged 60 and older is highest. Age was risk factor of high TG （ OR = 1.16 ） and high TC （ OR = 1.93 ）, but was a protective factor of low HDL-C （ OR = 0. 84）. Female was a protective factor of high TG （ OR = 0. 62） and low HDL-C （ OR = 0. 53 ）. Relationship status （ OR = 1.41 ）, ethnic （ OR = 3.06） and family income （ OR = 1.09 ） were risk factors of low HDL-C. Conclusion The levels of plasma lipids in urban residents in Guangdong Province were increased. Men groups aged 45 and over and women groups aged 60 and over should be paid more attention to monitor. Age, relationship status, family income, ethnic and gender were major risk factors of abnormal plasma lipids.