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目的了解青岛地区35～64岁城乡居民血脂异常患病特点及其影响因素。方法利用青岛市首次居民营养与健康状况调查资料分析702名35～64岁城乡居民的血脂异常患病特点及其影响因素。结果城乡居民血脂异常率达74.1%,以高胆固醇(TC)血症为主要类型。45～岁组男性高于女性(P<0.01),55～64岁组女性高于男性(P<0.01)。核黄素摄入不足(OR=0.480,95%可信区间0.277～0.832),饮酒(OR=1.585,95%可信区间1.024～2.455),体质指数(BMI)较高(OR=1.057,95%可信区间1.002～1.115),维生素E摄入不足(OR=0.986,95%可信区间0.971～1.002),收缩压偏高(OR=1.012,95%可信区间1.002～1.022),脂肪摄入较高(OR=1.009,95%可信区间1.002～1.017)和维生素C摄入不足(OR=0.996,95%可信区间0.992～1.000)是血脂异常的危险因素。结论应针对人群特点,进行适当的健康教育,改善膳食结构获得理想血脂。
Objective To understand the prevalence of dyslipidemia and its influencing factors in urban and rural areas of 35-64 years in Qingdao area. Methods Based on the survey data of the first residents’ nutrition and health status in Qingdao City, the prevalence of dyslipidemia and its influencing factors in 702 urban and rural residents aged 35-64 years were analyzed. Results The prevalence of dyslipidemia in urban and rural residents was 74.1%, with hypercholesterolemia (TC) as the main type. The male in 45 ~ age group was higher than female (P <0.01), the female in 55 ~ 64 age group was higher than male (P <0.01). (OR = 1.585, 95% confidence interval 1.024-2.455), higher body mass index (OR = 1.057, 95), lower intake of riboflavin (OR = 0.480, 95% confidence interval 0.277-0.832) % Confidence interval 1.002 to 1.115), inadequate intake of vitamin E (OR = 0.986, 95% confidence interval 0.971-1.002), high systolic blood pressure (OR = 1.012, 95% confidence interval 1.002-1.022) High (OR = 1.009, 95% confidence interval 1.002-1.017) and inadequate intake of vitamin C (OR = 0.996, 95% confidence interval 0.992-1.000) were risk factors for dyslipidemia. Conclusions should be based on the characteristics of the population, appropriate health education, improve the diet to obtain the ideal blood lipids.