摘要
目的分析影响社区老年人血脂异常的相关因素,预测其发生血脂异常的风险,为老年人血脂防控提供科学依据。方法选取上海市九亭镇社区≥65岁老年人为研究对象,整群调取其2020-05-01-2020-06-30在九亭镇社区卫生服务中心的体检信息,经数据插补后,描述其血脂异常分布特征,并基于logistic回归构建血脂异常风险预测模型,作森林图呈现预测结果。结果共纳入老年人5606名,血脂异常总检出比例为24.5%。其中,高三酰甘油(TG)血症检出比例最高,为12.4%;其次为低高密度脂蛋白胆固醇(HDL-C)血症(5.0%)、高总胆固醇(TC)血症(4.7%)、混合型高脂血症(2.0%)。血脂异常风险预测结果显示,随着年龄升高,老年人血脂异常风险降低(OR=0.967,95%CI为0.955~0.979,P<0.001)。超重(OR=1.320,95%CI为1.087~1.603,P=0.005)、肥胖(OR=1.337,95%CI为1.098~1.629,P=0.004)、脂肪肝(OR=2.844,95%CI为2.496~3.241,P<0.001)、空腹血糖偏高(OR=1.258,95%CI为1.104~1.434,P=0.001)、高尿酸血症(OR=1.919,95%CI为1.639~2.247,P<0.001)增加了老年人血脂异常风险。结论上海市社区≥65岁老年人血脂异常总检出比例相对不高,存在超重、肥胖、脂肪肝、空腹血糖偏高、高尿酸血症的老年人,是血脂异常防控的重点人群。
Objective To understand the the related factors of dyslipidemia in the elderly in community,predict the risk of dyslipidemia,and provide scientific reference for the control or intervention of blood lipid in the elderly.Methods This study selected the elderly over 65 years old in Jiuting Town in Shanghai as the research objects,and collected the information of their physical examinations from May 1st,to June 30th,2020 in the Community Health Service Center of Jiuting Town.After data interpolation,we described the distribution characteristics of dyslipidemia,constructed the risk prediction model for dyslipidemia based on logistic regression,and presented the prediction results with a forest plot.Results A total of 5606 subjects with eligible data were enrolled in the study,the total detection rate of dyslipidemia was 24.5%.The detection rate of hypertriglyceridemia was the highest at 12.4%,followed by low High density liptein cholesterol(HDL-C)(5.0%),high total cholesterol(4.7%)and mixed hyperlipidemia(2.0%).The risk prediction results of dyslipidemia showed that with the increase of age,the risk of dyslipidemia in the elderly decreased(OR=0.967,95%CI:0.955-0.979,P<0.001).The overweight(OR=1.320,95%CI:1.087-1.603,P=0.005),obesity(OR=1.337,95%CI:1.098-1.629,P=0.004),fatty liver(OR=2.844,95%CI:2.496-3.241,P<0.001),high fasting blood-glucose(OR=1.258,95%CI:1.104-1.434,P=0.001),hyperuricemia(OR=1.919,95%CI:1.639-2.247,P<0.001)increased the risk of dyslipidemia in the elderly.Conclusions The detection rate of dyslipidemia in elderly aged≥65years in Shanghai is relatively not higher,and there are gender differences.The elderly with fatty liver,overweight,obesity,high fasting blood glucose and hyperuricemia are the key popultion for the prevention and control of dyslipidemia.
作者
叶榴
廖肇燕
赵可欣
王璐
YE Liu;LIAO Zhao-yan;ZHAO Ke-xin;WANG Lu(Department of Prevention and Health Care,Jiuting Town Community Health Service Center,Shanghai 201615,China;School of Basic Medicine,Hubei University of Arts and Sciences,Xiangyang 441053,China)
出处
《社区医学杂志》
CAS
2022年第24期1366-1371,共6页
Journal Of Community Medicine
基金
2022年度襄阳市科技局医疗卫生领域科技计划(2022YL08A)
2022年度大学生创新创业训练计划(X202210519206)
关键词
老年人
血脂异常
分布特征
风险预测
社区
上海市
elderly
dyslipidemia
distribution characteristics
risk prediction
community
Shanghai City
作者简介
第一作者:叶榴,女,上海人,主治医师,主要从事社区老年人慢性病防治的研究工作。E-mail:rosegeer@foxmail.com;通信作者:王璐,女,湖北襄阳人,博士,讲师,主要从事人群疾病负担评估方法及应用的研究工作。E-mail:11706@hbuas.edu.cn
