黔南地区不同民族7~10岁儿童血脂异常的分布及危险因素分析
|
摘要
目的:探讨黔南地区布依族、苗族及汉族7~10岁儿童血脂异常的患病现状及分布特点。方法:采用分层整群随机抽样的方法,抽取7~10岁布依族儿童1 121名,苗族儿童1 041名,汉族儿童1 400名,共3 562名儿童。对纳入儿童进行问卷调查和身体检查,检测血中TG、TC、HDL-C和LDL-C含量。结果:布依族7~10岁儿童血中TG、TC、HDL-C和LDL-C水平分别为(1.29±1.02)mmol/L、(4.48±1.20)mmol/L、(1.15±0.36)mmol/L和(2.35±0.79)mmol/L;苗族分别为(1.22±0.86)mmol/L、(4.23±1.07)mmol/L、(1.32±0.81)mmol/L和(2.31±0.87)mmol/L;汉族分别为(1.47±1.23)mmol/L、(4.52±1.15)mmol/L、(1.54±0.74)mmol/L和(2.23±0.96)mmol/L。布依族、苗族及汉族儿童血脂异常患病率分别为12.67%(142/1 121)、7.68%(80/1 041)、9.79%(137/1 400);标准患病率分别为12.66%、7.65%、9.76%;布依族儿童血脂异常患病率高于苗族和汉族(P<0.01);布依族、苗族及汉族男性儿童血脂异常标化患病率分别为15.89%、8.92%、11.04%,布依族男性儿童患病率高于苗族和汉族(P<0.01)。多因素Logistic回归分析结果表明,父母高血脂史、儿童性别、进食行为、吃甜食、被动吸烟等是影响3个民族7~10岁儿童血脂异常的相关危险因素。结论:黔南地区布依族、苗族及汉族7~10岁儿童血脂水平存在民族、年龄及性别差异。
Objective: To explore the prevalence and distribution characteristics of dyslipidemia in 7-10- year- old children of Bouyei nationality,Miao nationality and Han nationality in Qiannan area. Methods: A total of 3 562 children aged 7- 10 years old were selected by stratified cluster random sampling method,including 1 121 children of Bouyei nationality,1 041 children of Miao nationality and 1400 children of Han nationality. Questionnaire investigation and physical examination were conducted,the contents of blood triglyceride( TG),total cholesterol( TC),high density lipoprotein cholesterol( HDL-C) and low density lipoprotein cholesterol( LDL-C) were detected. Results: The levels of blood TG,TC,HDL- C and LDL- C were( 1. 29 ± 1. 02) mmol /L,( 4. 48 ± 1. 20) mmol /L,( 1. 15 ±0. 36) mmol /L and( 2. 35 ± 0. 79) mmol /L in children of Bouyei nationality,( 1. 22 ± 0. 86) mmol /L,( 4. 23 ± 1. 07) mmol /L,( 1. 32 ±0. 81) mmol /L and( 2. 31 ± 0. 87) mmol /L in children of Miao nationality,( 1. 47 ± 1. 23) mmol /L,( 4. 52 ± 1. 15) mmol /L,( 1. 54 ±0. 74) mmol /L and( 2. 23 ± 0. 96) mmol /L in children of Han nationality. The prevalence rates of dyslipidemia in 7- 10- year- old children of Bouyei nationality,Miao nationality and Han nationality were 12. 67%( 142 /1 121),7. 68%( 80 /1 041) and 9. 79%( 137 /1 400),respectively; the standardized prevalence rates of dyslipidemia were 12. 66%,7. 65% and 9. 76%,respectively; the prevalence rate of dyslipidemia in children of Bouyei nationality was statistically significantly higher than those in children of Miao nationality and Han nationality( P < 0. 01); the standardized prevalence rates of dyslipidemia in boys of Bouyei nationality,Miao nationality and Han nationality were 15. 89%,8. 92% and 11. 04%,respectively; the standardized prevalence rate of dyslipidemia in boys of Bouyei nationality was statistically significantly higher than those in boys of Miao nationality and Han nationality( P < 0. 01). Logistic regression analysis suggested that the related risk factors of dyslipidemia in 7- 10- year- old children of Bouyei nationality,Miao nationality and Han nationality included parental history of hyperlipemia,gender,feeding behavior,eating sweets and passive smoking. Conclusion: The levels of blood lipids in 7-10- year- old children of Bouyei nationality,Miao nationality and Han nationality vary with nationality,age and gender.
Objective: To explore the prevalence and distribution characteristics of dyslipidemia in 7-10- year- old children of Bouyei nationality,Miao nationality and Han nationality in Qiannan area. Methods: A total of 3 562 children aged 7- 10 years old were selected by stratified cluster random sampling method,including 1 121 children of Bouyei nationality,1 041 children of Miao nationality and 1400 children of Han nationality. Questionnaire investigation and physical examination were conducted,the contents of blood triglyceride( TG),total cholesterol( TC),high density lipoprotein cholesterol( HDL-C) and low density lipoprotein cholesterol( LDL-C) were detected. Results: The levels of blood TG,TC,HDL- C and LDL- C were( 1. 29 ± 1. 02) mmol /L,( 4. 48 ± 1. 20) mmol /L,( 1. 15 ±0. 36) mmol /L and( 2. 35 ± 0. 79) mmol /L in children of Bouyei nationality,( 1. 22 ± 0. 86) mmol /L,( 4. 23 ± 1. 07) mmol /L,( 1. 32 ±0. 81) mmol /L and( 2. 31 ± 0. 87) mmol /L in children of Miao nationality,( 1. 47 ± 1. 23) mmol /L,( 4. 52 ± 1. 15) mmol /L,( 1. 54 ±0. 74) mmol /L and( 2. 23 ± 0. 96) mmol /L in children of Han nationality. The prevalence rates of dyslipidemia in 7- 10- year- old children of Bouyei nationality,Miao nationality and Han nationality were 12. 67%( 142 /1 121),7. 68%( 80 /1 041) and 9. 79%( 137 /1 400),respectively; the standardized prevalence rates of dyslipidemia were 12. 66%,7. 65% and 9. 76%,respectively; the prevalence rate of dyslipidemia in children of Bouyei nationality was statistically significantly higher than those in children of Miao nationality and Han nationality( P < 0. 01); the standardized prevalence rates of dyslipidemia in boys of Bouyei nationality,Miao nationality and Han nationality were 15. 89%,8. 92% and 11. 04%,respectively; the standardized prevalence rate of dyslipidemia in boys of Bouyei nationality was statistically significantly higher than those in boys of Miao nationality and Han nationality( P < 0. 01). Logistic regression analysis suggested that the related risk factors of dyslipidemia in 7- 10- year- old children of Bouyei nationality,Miao nationality and Han nationality included parental history of hyperlipemia,gender,feeding behavior,eating sweets and passive smoking. Conclusion: The levels of blood lipids in 7-10- year- old children of Bouyei nationality,Miao nationality and Han nationality vary with nationality,age and gender.
引文
1 景尉,王方,戴若丹,等.广州市区1 541例2~6岁健康散居儿童及肥胖儿血脂水平分析[J].中国妇幼保健,2006,21(15):2084-2086.
2 中国肥胖问题工作组.中国学龄儿童青少年超重、肥胖筛查体重指数分类标准[J].中华流行病学杂志,2004,25(2):97.
3 咸美玲.儿童血脂异常的早期干预[J].中国医药指南,2012,10(8):187-188.
4 吴亚荪,戴伯华.新疆地区少数民族与汉族血脂水平异常对比分析及治疗[J].中国社区医师,2012,14(28):237.
5 谷杨,马雅静.新疆维吾尔族哈萨克族汉族儿童血脂分析[J].中国学校卫生,2007,7:659.
2 中国肥胖问题工作组.中国学龄儿童青少年超重、肥胖筛查体重指数分类标准[J].中华流行病学杂志,2004,25(2):97.
3 咸美玲.儿童血脂异常的早期干预[J].中国医药指南,2012,10(8):187-188.
4 吴亚荪,戴伯华.新疆地区少数民族与汉族血脂水平异常对比分析及治疗[J].中国社区医师,2012,14(28):237.
5 谷杨,马雅静.新疆维吾尔族哈萨克族汉族儿童血脂分析[J].中国学校卫生,2007,7:659.