Cross-sectional survey on dyslipidemia among residents aged 18 and above in Shandong Province, 2013
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摘要: 目的 分析2013年山东省成年居民的血脂异常流行现状。方法 采用多阶段抽样的方法,在山东省19个慢性病危险因素监测点,共调查11 223名18岁及以上居民。抽取静脉血,检测总胆固醇(total cholesterol,TC)、低密度脂蛋白胆固醇(low density lipoprotein-cholesterol,LDL-C)、高密度脂蛋白胆固醇(high density lipoprotein-cholesterol,HDL-C)和甘油三酯(triglyceride,TG)。通过加权后,分析不同人群特征的血脂异常总率,高TC血症,高LDL-C血症,低HDL-C血症和高TG血症患病率的情况。结果 调查对象血脂异常总率为32.6%,经复杂加权后,血脂异常总率为31.6%(95% CI:28.1%~35.3%),其中男性为37.0%,高于女性26.2%(χ2=69.001,P<0.001),人群高TC血症患病率为7.3%(95% CI:5.6%~8.9%),高LDL-C血症患病率为9.3%(95% CI:6.9%~11.8%),低HDL-C血症患病率为17.2%(95% CI:14.4%~19.9%),高TG血症患病率12.3%(95% CI:10.5%~14.1%),其中低HDL-C血症患病率和高TG血症患病率均为男性高于女性(均有P<0.05)。结论 山东省成年居民血脂总异常率高,男性高于女性,并以低HDL-C血症和高TG血症患病率高为主要特征。Abstract: Objective To investigate the dyslipidemia prevalence of adults in Shandong Province, 2013. Methods Levels of total cholesterol (TC), high density lipoprotein-cholesterol (HDL-C), low density lipoprotein-cholesterol (LDL-C) and triglyceride (TG) were tested with venous blood from 11 223 subjects of 18 years old and above selected by multi-stage stratified cluster random sampling from 19 surveillance points in 2013. The dyslipidemia prevalence of different groups was analyzed by complex weighting analysis. Results The prevalence of dyslipidemia was 32.6%. After weighting calculation, the dyslipidemia prevalence of adults in Shandong Province was 31.6% (95% CI:28.1%-35.3%), males (37.0%) was higher than females (26.2%)(χ2=69.001,P<0.001). The prevalence of hypercholesterolemia, high blood LDL-C, low blood HDL-C and hypertriglyceridemia was 7.3% (95% CI:5.6%-8.9%), 9.3% (95% CI:6.9%-11.8%), 17.2% (95% CI:14.4%-19.9%) and 12.3% (95% CI:10.5%-14.1%), respectively. The prevalence of low blood HDL-C and hypertriglyceridemia in males were higher than females (all P<0.05). Conclusions The dyslipidemia rate is high in Shandong Province and males' rate is higher than females'. The hypercholesterolemia and low blood HDL-C are two major types of dyslipidemia.
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Key words:
- Adult /
- Dyslipidemias /
- Cross-sectional studies
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