CAJ | 학술논문

目的调查理想心血管健康行为和因素的分布情况.方法选择2008-2009年度开滦集团公司健康体检职工为研究对象,采用横断面研究的方法,分析研究人群中理想心血管健康行为和因素的分布及影响因素.结果(1)研究人群的一般情况:男性的体质指数、收缩压、舒张压、血总胆固醇、甘油三酯、低密度脂蛋白胆固醇高于女性,高密度脂蛋白胆固醇低于女性,两性间比较差异有统计学意义(P＜0.05)；大学及以上学历和家庭人均月收入≥1000元者在女性人群中所占的比例高于男性人群中相应的比例,两性间比较差异亦有统计学意义(P＜0.05).(2)心血管健康行为和因素的分布情况:在可改变的心血管健康行为(吸烟、体质指数、体育锻炼、盐摄入量)中处于理想状态的分别只占55.8％、41.4％、18.9％、14.0％；在可定量评估的心血管健康因素(空腹血糖、总胆固醇、血压)中处于理想状态的分别占80.9％、61.8％和18.5％.其中体育锻炼、低盐饮食、血压处于理想状态的比例较少,均不足20％.(3)理想心血管健康行为和因素组合分布情况:研究人群中,只有0.1％、1.9％、9.1％、20.3％的个体分别具有7项、6项、5项、4项理想心血管健康行为和因素,合计仅占31.4％.(4)影响心血管健康行为和因素的logistic回归分析显示:女性、年龄＜55岁、大学及以上学历、家庭人均月收入＞ 1000元者具备理想心血管健康的RR值(95％可信区间)分别为4.52(4.32～4.72),1.46(1.39～1.53),2.23(2.10～2.37),1.00(0.91～1.09).结论(1)研究人群具有理想心血管的健康行为和因素的人数量较少,多数处于非理想心血管健康状态.(2)女性、年龄＜55岁、大学及以上学历者是理想心血管健康的保护性因素.
목적 조사이상심혈관건강행위화인소적분포정황.방법선택2008-2009년도개란집단공사건강체검직공위연구대상,채용횡단면연구적방법,분석연구인군중이상심혈관건강행위화인소적분포급영향인소.결과(1)연구인군적일반정황:남성적체질지수、수축압、서장압、혈총담고순、감유삼지、저밀도지단백담고순고우녀성,고밀도지단백담고순저우녀성,량성간비교차이유통계학의의(P＜0.05)；대학급이상학력화가정인균월수입≥1000원자재녀성인군중소점적비례고우남성인군중상응적비례,량성간비교차이역유통계학의의(P＜0.05).(2)심혈관건강행위화인소적분포정황:재가개변적심혈관건강행위(흡연、체질지수、체육단련、염섭입량)중처우이상상태적분별지점55.8％、41.4％、18.9％、14.0％；재가정량평고적심혈관건강인소(공복혈당、총담고순、혈압)중처우이상상태적분별점80.9％、61.8％화18.5％.기중체육단련、저염음식、혈압처우이상상태적비례교소,균불족20％.(3)이상심혈관건강행위화인소조합분포정황:연구인군중,지유0.1％、1.9％、9.1％、20.3％적개체분별구유7항、6항、5항、4항이상심혈관건강행위화인소,합계부점31.4％.(4)영향심혈관건강행위화인소적logistic회귀분석현시:녀성、년령＜55세、대학급이상학력、가정인균월수입＞ 1000원자구비이상심혈관건강적RR치(95％가신구간)분별위4.52(4.32～4.72),1.46(1.39～1.53),2.23(2.10～2.37),1.00(0.91～1.09).결론(1)연구인군구유이상심혈관적건강행위화인소적인수량교소,다수처우비이상심혈관건강상태.(2)녀성、년령＜55세、대학급이상학력자시이상심혈관건강적보호성인소.
Objective To observe the prevalence and distribution of ideal cardiovascular health behavior.Methods Health examination data between 2008 to 2009 from the employees of Kailuan Group were analyzed.Results A total of 101 333 subjects took part in the health examination,subjects with previous myocardial infarction(n =871),stroke(n =2255),myocardial infarction and stroke(n =162)and subjects with incomplete examination data(n =9311)were excluded and 88 534 subjects were included for final analysis[mean age(50.6 ± 12.3)years,male 69 916].(1)Body mass index(B MI),systolic and diastolic pressure,cholesterol(TC)and triglyceride were significantly higher in males than in females (all P ＜0.05),women's income and the education lever were significantly higher than men(P ＜ 0.05).(2)The distribution of ideal cardiovascular health behavior(smoking,BMI,physical exercise,salt intake)was 55.8％,41.4％,18.9％ and 14.0％ respectively among the population; the ideal cardiovascular factors(fasting blood glucose,TC,blood pressure)was 80.9％,61.8％ and 18.5％,respectively.(3)The subjects with distribution of seven,six,five,four ideal cardiovascular health behavior and factors was 0.1％,1.9％,9.1％,20.3％,respectively.(4)Multiple logistic regression analysis showed that female,age ＜ 55 and high education level were associated with the ideal cardiovascular health status with a RR value (95 ％ CI)of 4.52(4.32-4.72),1.46(1.39-1.53)and 2.23(2.10-2.37),respectively.Conclusion The prevalence of ideal cardiovascular health is extremely low in the study population,most persons were notin the ideal cardiovascular health behavior and factors and female,age ＜ 55 and high education level arelinked with ideal cardiovascular health status.