摘要:
了解石河子地区在校中小学生血脂异常患病情况及其危险因素,为青少年血脂异常的防控提供科学依据.方法 采用分层随机整群抽样的方法调查石河子市12所学校l 764名在校中小学生,对其进行问卷调查、体格检查和实验室检查,分析其血脂异常流行病学特征及危险因素.结果 石河子地区在校学生血脂异常总患病率为13.04%;高三酰甘油(TG)血症、高总胆固醇(TC)血症、高低密度脂蛋白胆固醇(LDL-C)血症和低高密度脂蛋白胆固醇(HDL-C)血症患病率分另为5.67%,8.73%,5.78%,10.32%.男生血脂异常患病率(14.29%)高于女生(11.75%)(x2=2.498,P=0.114).多因素Logistic回归分析显示,年龄(OR=1.204,95%CI=1.011~ 1.433,P=0.037)、肥胖(OR=1.723,95%CI=1.205~2.465,P=0.003)和高脂饮食(OR=1.535,95%CI=1.073~ 2.196,P=0.019)是血脂异常的危险因素.结论 石河子在校中小学生血脂异常患病率较高且以低HDL-C血症为主,年龄、肥胖和高脂饮食是血脂异常的危险因素.
关键词:
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血脂异常 /
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患病率 /
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危险因素 /
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回归分析 /
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学生
Abstract:
Objective To explore the prevalence of dyslipidemia and associated risk factors among students in Shihezi.Methods A total of 1 764 students were selected from 12 schools stratified through cluster random sampling.Epidemiological characteristics and risk factors of dyslipidemia were described through questionnaire survey,as well as physical examination and laboratory examination.Results The prevalence rates of dyslipidemia of students in Shihezi was 13.04%;The prevalence of high triglyceride,high total cholesterol,high low density lipoprotein cholesterol and low high density lipoprotein cholesterol were 5.67%,8.73%,5.78% and 10.32%,respectively.The prevalence of dyslipidemia in male was higher than that in female(14.29% vs 11.75,P=0.014).Multiple Logistic regression analysis showed that age(OR =1.204,95%CI=1.011-1.433,P =0.037),obesity (OR=1.723,95%CI=1.205-2.465,P=0.003) and high-fat diet (OR=1.535,95%CI =1.073-2.196,P=0.019) were risk factors of dyslipidemia.Conclusion The most common forms of hyperlipidemia among students in Shihezi is low HDL-C,with adolescents who are older,obese and having high-fat diet had the highest risks of dyslipidemia.
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