江西省6~17岁儿童青少年血脂水平

范奕; 陈婷; 程慧健; 朱慧; 方晓艳

doi:10.16835/j.cnki.1000-9817.2021.05.031

江西省6~17岁儿童青少年血脂水平

doi: 10.16835/j.cnki.1000-9817.2021.05.031

范奕¹,
陈婷^1, ,,
程慧健²,
朱慧¹,
方晓艳¹

1.
江西省疾病预防控制中心公共卫生研究所，南昌 330029
2.
江西省疾病预防控制中心办公室

详细信息

作者简介:
范奕(1973-)，女，湖南邵阳人，大学本科，主任技师，主要从事学校卫生工作

通讯作者:
陈婷，E-mail: tinga_1983@163.com

中图分类号: R 179 R 446 R 725.8
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- 文章访问数: 601
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- 被引次数: 0
出版历程
- 收稿日期: 2020-10-03
- 修回日期: 2020-12-07
- 网络出版日期: 2021-05-20
- 刊出日期: 2021-05-25

Levels of blood lipid among children and adolescents aged 6-17 years in Jiangxi Province

1.
Institute of Public Health, Jiangxi Province Center for Disease Control and Prevention, Nanchang(330029), China

摘要

摘要: 目的了解江西省儿童青少年血脂水平现状，为制定血脂异常防治策略提供依据。方法采用分层整群随机抽样方法，于2019年在江西省抽取6~17岁儿童青少年14 535名作为研究对象，测量身高、体重等，并抽取空腹静脉血检测总胆固醇(total cholesterol, TC)、三酰甘油(triglyceride, TG)、高密度脂蛋白胆固醇(high-density lipoprotein-cholesterol, HDL-C)、低密度脂蛋白胆固醇(low-ensity lipoprotein-cholesterol, LDL-C)，采用“儿童青少年血脂异常防治专家共识”判定血脂异常。结果江西省6~17岁儿童青少年血脂异常检出率为14.9%，其中高TC、高TG、高LDL-C和低HDL-C检出率分别为5.9%，7.4%，2.9%，3.4%。女生血脂异常检出率(15.7%)高于男生(14.1%)(χ²=8.01，P=0.01)，小学、初中、高中学生血脂异常检出率分别为13.8%，15.5%，17.3%(χ²=21.14，P < 0.01)，体重正常、超重、肥胖者血脂异常检出率分别为12.8%，21.9%，30.0%(χ²=297.20，P < 0.01)。结论江西省儿童青少年血脂异常检出率虽低于全国水平，但现况不容忽视，超重肥胖学生应重点关注。
- 血脂异常 /
- 患病率 /
- 儿童 /
- 青少年
Abstract: Objective To investigate blood lipid status among children and adolescents in Jiangxi Province, and to provide the basis for prevention and control of dyslipidemia. Methods Using the method of stratified cluster random sampling, a total of 14 535 children and adolescents aged 6-17 years old were selected from Jiangxi Province in 2019. With physical measurement and blood tests for fasting blood total cholesterol(TC), triglyceride(TG), high-density lipoprotein cholesterol(HDL-C), and low-density lipoprotein cholesterol(LDL-C) levels, dyslipidemia was determined by the definition of dyslipidemia prevention consensus of specialists in Children and Adolescents. Results The dyslipidemia rate was 14.9%, and the abnormal rates of TC, TG, LDL-C and HDL-C were 5.9%, 7.4%, 2.9% and 3.4%, respectively.The prevalence of dyslipidemia was higher in female(15.7%) than in male(14.1%)(χ²=8.01, P < 0.01). The prevalence of dyslipidemia in primary school, middle school and high school students was 13.8%, 15.5% and 17.3%, respectively(χ²=21.14, P < 0.01), and in students of normal weight, overweight and obesity was 12.8%, 21.9%, 30.0%, respectively(χ²=297.20, P < 0.01). Conclusion The prevalence of dyslipidemia among children and adolescents in Jiangxi Province is lower than the national level, but the current situation cannot be ignored.
- Dyslipidemias /
- Prevalence /
- Child /
- Adolesent

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表 1 不同组别6~17岁儿童青少年血脂异常检出率比较

Table 1. Comparison of dyslipidmia rate among children and adolescents aged 6-17 years old with different groups

组别	选项	人数	统计值	高TG	高TC	高LDL-C	低HDL-C	血脂异常
性别	男	7 363		401(5.4)	491(6.7)	213(2.9)	274(3.7)	1 036(14.1)
	女	7 172		453(6.3)	583(8.1)	213(3.0)	225(3.1)	1 129(15.7)
			χ²值	4.97	11.32	0.08	3.73	8.01
			P值	0.03	< 0.01	0.78	0.05	< 0.01
学段	小学	8 045		550(6.8)	496(6.2)	224(2.8)	187(2.3)	1 110(13.8)
	初中	3 895		158(4.1)	335(8.6)	100(2.6)	182(4.7)	605(15.5)
	高中	2 595		146(5.6)	243(9.4)	102(3.9)	130(5.0)	450(17.3)
			χ²值	38.10	39.76	11.53	56.73	21.14
			P值	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01
城郊	城区	5 335		378(7.1)	359(6.7)	208(3.9)	169(3.2)	815(15.3)
	郊县	9 200		476(5.2)	715(7.8)	218(2.4)	330(3.6)	1 350(14.7)
			χ²值	37.03	40.76	11.53	67.34	0.97
			P值	< 0.01	< 0.01	< 0.01	< 0.01	0.33
营养状况	正常	10 179		523(5.1)	590(5.8)	224(2.2)	289(2.8)	1 307(12.8)
	超重	1 629		128(7.9)	202(12.4)	82(5.0)	94(5.8)	357(21.9)
	肥胖	1 197		134(11.2)	235(19.6)	98(8.2)	83(6.9)	359(30.0)
			χ²值	80.16	333.83	150.50	77.77	297.20
			P值	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01
注： ()内数字为检出率/%。

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