中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2013年
46期
3675-3679
,共5页
王家宏%胡大一%孙艺红%张伟华%黄先勇%陈永增
王傢宏%鬍大一%孫藝紅%張偉華%黃先勇%陳永增
왕가굉%호대일%손예홍%장위화%황선용%진영증
血脂异常%冠状动脉疾病%危险因素%边缘异常%流行病学
血脂異常%冠狀動脈疾病%危險因素%邊緣異常%流行病學
혈지이상%관상동맥질병%위험인소%변연이상%류행병학
Dyslipidemias%Coronary disease%Risk factors%Borderline situation%Epidemiology
目的 调查北京市社区老年居民血脂异常及血脂边缘异常的流行病学特征,探讨老年人在心血管疾病危险因素(CRF)边缘异常时患血脂异常的相对危险性.方法 分层整群随机抽样调查北京市社区≥65岁居民1974名,采取问卷调查、体格检查和生化检测的方法,进行血脂异常及CRF的测定.结果 北京社区老年居民中血脂异常的患病率为35.11％ (693/1974),而处于血脂边缘异常的居民占28.57％ (564/1974),仅36.32％(717/1974)的老年居民处于血脂理想状态;经标化后,老年人高血压、糖尿病、吸烟和肥胖这4个主要CRF中,与理想状态相比,具有3项边缘异常人群患血脂异常的OR=1.537,95％CI0.597～ 3.959;具有1项危险因素人群患血脂异常的OR=1.898,95％CI0.993～3.628;具有2项危险因素人群患血脂异常的OR =2.441,95％CI 1.268～4.698;具有3项及以上危险因素人群患血脂异常的OR =4.256,95％ CI 2.104～8.608.结论 北京社区≥65岁居民血脂异常及边缘异常的患病率较高,随着具有CRF的数目和边缘危险因素的数目的增多,患血脂异常的相对风险逐渐增高.
目的 調查北京市社區老年居民血脂異常及血脂邊緣異常的流行病學特徵,探討老年人在心血管疾病危險因素(CRF)邊緣異常時患血脂異常的相對危險性.方法 分層整群隨機抽樣調查北京市社區≥65歲居民1974名,採取問捲調查、體格檢查和生化檢測的方法,進行血脂異常及CRF的測定.結果 北京社區老年居民中血脂異常的患病率為35.11％ (693/1974),而處于血脂邊緣異常的居民佔28.57％ (564/1974),僅36.32％(717/1974)的老年居民處于血脂理想狀態;經標化後,老年人高血壓、糖尿病、吸煙和肥胖這4箇主要CRF中,與理想狀態相比,具有3項邊緣異常人群患血脂異常的OR=1.537,95％CI0.597～ 3.959;具有1項危險因素人群患血脂異常的OR=1.898,95％CI0.993～3.628;具有2項危險因素人群患血脂異常的OR =2.441,95％CI 1.268～4.698;具有3項及以上危險因素人群患血脂異常的OR =4.256,95％ CI 2.104～8.608.結論 北京社區≥65歲居民血脂異常及邊緣異常的患病率較高,隨著具有CRF的數目和邊緣危險因素的數目的增多,患血脂異常的相對風險逐漸增高.
목적 조사북경시사구노년거민혈지이상급혈지변연이상적류행병학특정,탐토노년인재심혈관질병위험인소(CRF)변연이상시환혈지이상적상대위험성.방법 분층정군수궤추양조사북경시사구≥65세거민1974명,채취문권조사、체격검사화생화검측적방법,진행혈지이상급CRF적측정.결과 북경사구노년거민중혈지이상적환병솔위35.11％ (693/1974),이처우혈지변연이상적거민점28.57％ (564/1974),부36.32％(717/1974)적노년거민처우혈지이상상태;경표화후,노년인고혈압、당뇨병、흡연화비반저4개주요CRF중,여이상상태상비,구유3항변연이상인군환혈지이상적OR=1.537,95％CI0.597～ 3.959;구유1항위험인소인군환혈지이상적OR=1.898,95％CI0.993～3.628;구유2항위험인소인군환혈지이상적OR =2.441,95％CI 1.268～4.698;구유3항급이상위험인소인군환혈지이상적OR =4.256,95％ CI 2.104～8.608.결론 북경사구≥65세거민혈지이상급변연이상적환병솔교고,수착구유CRF적수목화변연위험인소적수목적증다,환혈지이상적상대풍험축점증고.
Objective To investigate the prevalence characters of dyslipidemia and borderline dyslipidemia in aging residents from Beijing communities and to evaluate the relative risk of cardiovascular risk factor (CRF) to dyslipidemia.Methods The samples were selected by random cluster multistage method.Serum lipid level and CRF were determined through questionnaire,physical examination and biochemical detection for 1974 subjects who was 65 and over 65 years old in Beijing communities.Results Age-and sex-adjusted standardized incidence of dyslipidemia and borderline dyslipidemia in ≥ 65 yrs was 35.11％ (693/1974) and 28.57％ (564/1974) respectively,optimal lipid was 36.32％ (717/1974).Vs optimal status 3 borderline factors (BF),1 major CRF,2 CRFs,and 3 CRFs to have dyslipidemia,the relative risks are OR =1.537,95％ CI 0.597-3.959,OR =1.898,95％ CI 0.993-3.628,OR =2.441,95％ CI 1.268-4.698,and OR =4.256,95％ CI 2.104-8.608 respectively.Conclusions The prevalence of major CRFs of ≥65 yrs resident from Beijing communities are higher than the average level of China.The risk is higher while the number of borderline and major CRFs much more.
