摘要
目的探究郫都区老年人血脂异常患病率及其影响因素。方法对郫都区65岁及以上常住居民2022—2023年健康体检数据进行分析。率的比较采用χ^(2)检验,探索血脂异常相关危险因素采用多因素logistic回归分析。检验水准α=0.05。结果2022—2023年郫都区完成所有体检项目老年人累积110992人,其中男性48956(44.1%)人,女性62036(55.9%)人,平均年龄(71.9±5.9)岁。血脂异常、总胆固醇升高、甘油三酯升高、低密度脂蛋白胆固醇升高、高密度脂蛋白胆固醇降低的检出率分别为30.3%、16.1%、15.5%、7.3%、5.6%。女性(OR=1.48,95%CI:1.43~1.54)、吸烟(OR=1.09,95%CI:1.04~1.14)、超重(OR=1.97,95%CI:1.80~2.16)、肥胖(OR=2.05,95%CI:1.86~2.26)、中心性肥胖(OR=1.23,95%CI:1.19~1.27)、不锻炼(OR=1.18,95%CI:1.14~1.22)是郫都区老年人血脂异常的危险因素,农村居民(OR=0.84,95%CI:0.81~0.86)、年龄≥80岁(OR=0.76,95%CI:0.73~0.79)是保护因素。结论应对老年人进行性别差异性管理,同时加强超重肥胖及中心性肥胖相关的健康教育,强化老年人体重管理,每日锻炼、戒烟限酒。
Objective To investigate the prevalence of dyslipidemia and its influencing factors among the elderly in Pidu District.Methods An analysis was conducted on health examination data from permanent residents aged 65 and older in Pidu District from 2022 to 2023.The comparison of rates was performed using the chi-square test,and multivariate logistic regression analysis was employed to explore the risk factors associated with dyslipidemia.The significance level was set atα=0.05.Results A total of 110992 elderly individuals completed all examination items in Pidu District during 2022 and 2023,including 48956 males(44.1%)and 62036 females(55.9%),with an average age of(71.9±5.9)years.The detection rates of dyslipidemia,elevated total cholesterol(TC),elevated triglycerides(TG),elevated low-density lipoprotein cholesterol(LDLC),and decreased high-density lipoprotein cholesterol(HDL-C)were 30.3%,16.1%,15.5%,7.3%,and 5.6%,respectively.Female gender(OR=1.48,95%CI:1.43-1.54),smoking(OR=1.09,95%CI:1.04-1.14),overweight(OR=1.97,95%CI:1.80-2.16),obesity(OR=2.05,95%CI:1.86-2.26),central obesity(OR=1.23,95%CI:1.19-1.27),and lack of exercise(OR=1.18,95%CI:1.14-1.22)were identified as risk factors for dyslipidemia among the elderly in Pidu District.Conversely,being a rural resident(OR=0.84,95%CI:0.81-0.86)and being aged 80 years or older(OR=0.76,95%CI:0.73-0.79)were identified as protective factors.Conclusion It is essential to implement gender-sensitive management for the elderly,enhance health education related to overweight,obesity,and central obesity,and strengthen weight management among the elderly,while promoting daily exercise and smoking cessation.
作者
李秋佳
江秀
谢天
LI Qiu-jia;JIANG Xiu;XIE Tian(Chengdu Pidu District Center for Disease Control and Prevention,Chengdu,Sichuan 611730,China)
出处
《现代预防医学》
北大核心
2025年第11期2107-2112,共6页
Modern Preventive Medicine
关键词
血脂异常
老年人
横断面研究
Dyslipidemia
Elderly
Cross-sectional study
作者简介
李秋佳(1995-),女,本科,主管医师,研究方向:疾病预防控制方向;通信作者:江秀,E-mail:pxmbjjk@163.com。
