CAJ | 학술논문

目的：分析2010—2012年中国城市成年居民血清TC水平及TC升高率状况。方法数据来自2010—2012年中国居民营养与健康状况监测。采用多阶段分层与人口成比例的整群随机抽样方法抽样，调查对象为我国34个大城市和41个中小城市18岁以上居民，血清TC水平采用TC氧化酶法测定。按WHO全球慢性非传染性疾病监测框架的TC升高标准（血清TC≥5.00 mmol/L）进行TC升高率分析。TC升高率的年龄标化采用2009年国家统计局公布的人口数据，进行复杂抽样加权处理,对血清TC水平和TC升高率进行调整。结果血清TC有效样本为54042名。经加权调整后，中国城市成年居民血清TC水平为（4.58±0.05）mmol/L ，男性为（4.58±0.05）mmol/L ，女性为（4.58±0.05）mmol/L，大城市为（4.66±0.04）mmol/L，中小城市为（4.57±0.06）mmol/L。18～69岁成年居民血清TC水平随年龄增加而升高，至60～69岁组达最高，为（4.94±0.05）mmol/L，70岁以上组略有下降，为（4.91±0.05）mmol/L。中国城市成年居民TC升高率为32.8%（95%CI：29.2%～36.4%），男性为32.6%(95%CI：28.6%～36.4%），女性为33.0%(95%CI：29.4%～36.7%），大城市为36.6%(95%CI：33.6%～39.6%），中小城市为32.1%(95%CI：27.8%～36.4%）。18～69岁成年居民TC升高率也随年龄增加而升高，60～69岁年龄组达最高，为48.3%(95%CI：43.9%～52.6%），70岁以上组降低至46.9%(95%CI：42.3%～51.4%）。结论2010—2012年中国城市成年居民血清TC水平和TC升高率均较高，城市60岁以上老年人群血清TC水平和TC升高率在各年龄组最高，需要重点关注。
목적：분석2010—2012년중국성시성년거민혈청TC수평급TC승고솔상황。방법수거래자2010—2012년중국거민영양여건강상황감측。채용다계단분층여인구성비례적정군수궤추양방법추양，조사대상위아국34개대성시화41개중소성시18세이상거민，혈청TC수평채용TC양화매법측정。안WHO전구만성비전염성질병감측광가적TC승고표준（혈청TC≥5.00 mmol/L）진행TC승고솔분석。TC승고솔적년령표화채용2009년국가통계국공포적인구수거，진행복잡추양가권처리,대혈청TC수평화TC승고솔진행조정。결과혈청TC유효양본위54042명。경가권조정후，중국성시성년거민혈청TC수평위（4.58±0.05）mmol/L ，남성위（4.58±0.05）mmol/L ，녀성위（4.58±0.05）mmol/L，대성시위（4.66±0.04）mmol/L，중소성시위（4.57±0.06）mmol/L。18～69세성년거민혈청TC수평수년령증가이승고，지60～69세조체최고，위（4.94±0.05）mmol/L，70세이상조략유하강，위（4.91±0.05）mmol/L。중국성시성년거민TC승고솔위32.8%（95%CI：29.2%～36.4%），남성위32.6%(95%CI：28.6%～36.4%），녀성위33.0%(95%CI：29.4%～36.7%），대성시위36.6%(95%CI：33.6%～39.6%），중소성시위32.1%(95%CI：27.8%～36.4%）。18～69세성년거민TC승고솔야수년령증가이승고，60～69세년령조체최고，위48.3%(95%CI：43.9%～52.6%），70세이상조강저지46.9%(95%CI：42.3%～51.4%）。결론2010—2012년중국성시성년거민혈청TC수평화TC승고솔균교고，성시60세이상노년인군혈청TC수평화TC승고솔재각년령조최고，수요중점관주。
Objective To analyze the serum total cholesterol level and the prevalence of elevated cholesterol among urban residents aged 18 and above in China from 2010 to 2012. Methods Data was collected from Chinese nutrition and health surveillance in 2010-2012. Multi-stage stratified and population-proportional clustered random sampling method was conducted to select 34 big cities and 41 small and medium-sized cities adult residents. Serum total cholesterol was tested by cholesterol oxidase method. Elevated cholesterol was defined by World Health Organization, that is, serum total cholesterol is more than 5.00 mmol/L. Standardized rate of elevated cholesterol was calculated through weighted complex sampling processing by population data released by the National Bureau of Statistics in 2009. Results The valid samples of urban adult residents was 54 042. The mean level of serum total cholesterol was (4.58 ± 0.05) mmol/L,(4.58 ± 0.05)mmol/L for male and (4.58 ± 0.05)mmol/L for female. The level in big cities and small and medium-sized cities were (4.66 ± 0.04)mmol/L and (4.57 ± 0.06)mmol/L, respectively. It increased with age gradually for 18-69 adults and reached the maximum, which was(4.94 ± 0.05)mmol/L for the age group of 60 to 69 years old, and then declined to (4.91±0.05)mmol/L for 70 age group. The prevalence and 95%CI of elevated cholesterol in Chinese urban adults were 32.8%(95%CI:29.2%-36.4%),32.6%(95%CI:28.6%-36.4%) for male and 33.0%(95%CI:29.4%-36.7%)for female, 36.6%(95%CI:33.6%-39.6%) in big cities and 32.1%(95%CI:27.8%-36.4%) in small and medium-sized cities. Similarly, the elevated cholesterol prevalence also increased with age gradually and reached the highest level in the age group of 60-69 years old, which was 48.3% (95% CI:43.9%-52.6% ), it then decreased to 46.9% (95% CI:42.3%-51.4%) in 70 age group. Conclusion The serum total cholesterol level and the prevalence of elevated cholesterol were both high among urban adults in China from 2010 to 2012, and we should pay attention to the serum total cholesterol level and the prevalence of elevated cholesterol among elderly population over 60 years old.