浙江省象山县2008、2014年企业退休人员血脂异常情况调查
|
摘要
目的通过对2008年、2014年血脂数据回顾分析,探讨浙江省象山县60岁及以上企业退休人员血脂异常变化情况。方法采用横断面调查研究方法,分别收集2008年及2014年参加健康体检的老年企业退休人员血脂检测结果,按体检年度分组,按年龄分层,分别统计各组高血清总胆固醇(TC)血症、高三酰甘油(TG)血症、低高密度脂蛋白胆固醇(HDL-C)血症、高低密度脂蛋白胆固醇(LDL-C)血症及血脂异常人数。结果象山县老年男性企业退休人员2008年高TC血症、高TG血症、低HDL-C血症、高LDL-C血症及血脂异常异常率分别为11.2%、10.2%、2.1%、5.9%、23.3%,女性分别为18.9%、10.2%、2.3%、13.8%、33.3%。2014年男性分别为22.0%、5.9%、1.3%、10.6%、27.6%,女性分别为35.4%、7.5%、1.1%、18.2%、40.0%。与2008年相比,2014年老年企业退休人员高TC血症、高LDL-C血症及血脂异常率上升,而高TG血症、低HDL-C血症异常率则出现下降。结论象山县老年企业退休人员血脂异常率较高,其中高TC血症为老年男、女性血脂异常的主要表现形式,其次为高LDL-C血症。与2008年相比,2014年象山县老年企业退休人员血脂异常有上升趋势,亟需采取措施以控制老年退休人员血脂水平。
Objective To explore the changes of the prevalence of dyslipidemia for the retirees aged 60 and above of a coastal county in Zhejiang Province based on the retrospective analysis for the lipid profiles thereof in 2008 and in 2014,respectively.Methods By adopting a cross-sectional investigation and research method,the lipid profiles from the health examinations made in 2008 and in 2014,respectively for the above-mentioned retirees were collected,via age-grouping and year-stratifying therefor,to make statistics on the prevalence of high total cholesterol(TC),high triglyceride(TG),low high density lipoprotein cholesterol(HDL-C) and high low density lipoprotein cholesterol(LDL-C) of the retirees of these groups as well as the number of people with dyslipidemia.Results The prevalences of high TC,high TG,low HDL-C,high LDL-C,dyslipidemia for elderly male and female retirees of the coastal county in Zhejiang Province in 2008 were 11.2%,10.2%,2.1%,5.9%,23.3% and 18.9%,10.2%,2.3%,13.8%,33.3%,respectively;the prevalences of high TC,high TG,low HDL-C,high LDL-C,dyslipidemia for elderly male and female retirees of a coastal county in Zhejiang Province in 2014 were 22.0%,5.9%,1.3%,10.6%,27.6% and 35.4%,7.5%,1.1%,18.2%,40.0%,respectively.Compared with the relevant profiles in 2008,the prevalences of high TC,high LDL-C and dyslipidemia thereof in 2014 increased,and the prevalences of high TG and low HDL-C thereof in 2014 decreased.Conclusion The prevalence of dyslipidemia of the elderly retirees of the said coastal county in Zhejiang Province is relatively high,with high TC acting as the most important manifestation for the prevalence of dyslipidemia thereof,and with high LDL-C acting as the next important manifestation for the prevalence of dyslipidemia thereof.Compared with the relevant profiles in 2008,the prevalence of dyslipidemia thereof in 2014 showed an upward trend,and urgent measures need to be taken to control the blood lipid levels thereof.
Objective To explore the changes of the prevalence of dyslipidemia for the retirees aged 60 and above of a coastal county in Zhejiang Province based on the retrospective analysis for the lipid profiles thereof in 2008 and in 2014,respectively.Methods By adopting a cross-sectional investigation and research method,the lipid profiles from the health examinations made in 2008 and in 2014,respectively for the above-mentioned retirees were collected,via age-grouping and year-stratifying therefor,to make statistics on the prevalence of high total cholesterol(TC),high triglyceride(TG),low high density lipoprotein cholesterol(HDL-C) and high low density lipoprotein cholesterol(LDL-C) of the retirees of these groups as well as the number of people with dyslipidemia.Results The prevalences of high TC,high TG,low HDL-C,high LDL-C,dyslipidemia for elderly male and female retirees of the coastal county in Zhejiang Province in 2008 were 11.2%,10.2%,2.1%,5.9%,23.3% and 18.9%,10.2%,2.3%,13.8%,33.3%,respectively;the prevalences of high TC,high TG,low HDL-C,high LDL-C,dyslipidemia for elderly male and female retirees of a coastal county in Zhejiang Province in 2014 were 22.0%,5.9%,1.3%,10.6%,27.6% and 35.4%,7.5%,1.1%,18.2%,40.0%,respectively.Compared with the relevant profiles in 2008,the prevalences of high TC,high LDL-C and dyslipidemia thereof in 2014 increased,and the prevalences of high TG and low HDL-C thereof in 2014 decreased.Conclusion The prevalence of dyslipidemia of the elderly retirees of the said coastal county in Zhejiang Province is relatively high,with high TC acting as the most important manifestation for the prevalence of dyslipidemia thereof,and with high LDL-C acting as the next important manifestation for the prevalence of dyslipidemia thereof.Compared with the relevant profiles in 2008,the prevalence of dyslipidemia thereof in 2014 showed an upward trend,and urgent measures need to be taken to control the blood lipid levels thereof.
引文
[1]李莹,陈志红,周北凡,等.血脂和脂蛋白水平对我国中年人群缺血性心血管病事件的预测作用[J].中华心血管病杂志,2004,32(7):643-664.
[2]TIAN J,CHEN HW,JIA F,et al.Trends in the levels of serum lipids and lipoproteins and the prevalence of dyslipidemia in adults with newly diagnosed type 2 diabetes in the Southwest Chinese Han Population during 2003-2012[J].Int J Endocrinol,2015,2015:818075.
[3]中国成人血脂异常防治指南制订联合委员会.中国成人血脂异常防治指南[J].中华心血管病杂志,2007,35(5):390-419.
[4]HILL J 0.Genetic and environmental contributions to obesity[J].Am J Clin Nutr,1998,68(5)=991-992.
[5]CHANG H Y,YEH W T,CHANG Y H,et al.Prevalence of dyslipidemia and mean blood lipid values in Taiwan:results from the Nutrition and Health Survey in Taiwan(NAHSIT,1993-1996)[J].Chin J Physiol,2002,45(4):187-197.
[6]张洁,王浩,俞敏,等.浙江省非超重成年人血脂异常患病率及影响因素分析[J].中华流行病学杂志,2015,36(2):105-109.
[7]DE ALOYSIO D,GAMBACQANI M.MESCHIA M,et al.The effect of menopause on blood lipid and lipoprotein levels.The Icarus Study Group[J].Atherosclerosis,1999,147(1):147-153.
[8]李健斋,王抒,董军,等.不同年代北京部分职业人群血脂的增龄变化[J].中华老年医学杂志,2004,23(10):724-728.
[9]周龙,李莹,郭敏,等.成年早期体重状态及至中年时期体重变化与高甘油三酯血症的相关性研究[J].中国循环杂志,2015,30(10):962-966.
[2]TIAN J,CHEN HW,JIA F,et al.Trends in the levels of serum lipids and lipoproteins and the prevalence of dyslipidemia in adults with newly diagnosed type 2 diabetes in the Southwest Chinese Han Population during 2003-2012[J].Int J Endocrinol,2015,2015:818075.
[3]中国成人血脂异常防治指南制订联合委员会.中国成人血脂异常防治指南[J].中华心血管病杂志,2007,35(5):390-419.
[4]HILL J 0.Genetic and environmental contributions to obesity[J].Am J Clin Nutr,1998,68(5)=991-992.
[5]CHANG H Y,YEH W T,CHANG Y H,et al.Prevalence of dyslipidemia and mean blood lipid values in Taiwan:results from the Nutrition and Health Survey in Taiwan(NAHSIT,1993-1996)[J].Chin J Physiol,2002,45(4):187-197.
[6]张洁,王浩,俞敏,等.浙江省非超重成年人血脂异常患病率及影响因素分析[J].中华流行病学杂志,2015,36(2):105-109.
[7]DE ALOYSIO D,GAMBACQANI M.MESCHIA M,et al.The effect of menopause on blood lipid and lipoprotein levels.The Icarus Study Group[J].Atherosclerosis,1999,147(1):147-153.
[8]李健斋,王抒,董军,等.不同年代北京部分职业人群血脂的增龄变化[J].中华老年医学杂志,2004,23(10):724-728.
[9]周龙,李莹,郭敏,等.成年早期体重状态及至中年时期体重变化与高甘油三酯血症的相关性研究[J].中国循环杂志,2015,30(10):962-966.
目录