昆明市彝族中老年人高脂血症的影响因素
Influencing Factors of Hyperlipidemia in Elderly People of Yi Ethnic People in Kunming City
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摘要: 目的 探讨昆明市彝族中老年人高脂血症影响因素.方法 采用随机抽样的方法对昆明市彝族中老年人进行问卷调查, 调查内容包括一般情况、个人体征、生活饮食习惯、女性孕产史等, 抽血检测甘油三酯、血糖, 并用跟骨定量超声测量仪 (QUS) 对研究对象进行骨密度检查, 诊断有无高脂血症、糖尿病、骨质疏松.所得数据采用二元logistic回归分析.结果 昆明市彝族中老年人高脂血症总体患病率为69.6%, 其中男性患病率67.1%, 女性患病率71.4%, 男女患病率比较差异无统计学意义 (P>0.05) .二元logistic回归分析显示, 高血压、骨质疏松、高体重、吸烟为男性高脂血症的危险因素 (OR=18.652、2.112、1.100、7.864) , 高体重、激素服用史为女性高脂血症的危险因素 (OR=1.104、15.969) , 身高为男女性高脂血症的保护因素 (男OR=0.852, 女OR=0.915) .结论 昆明市彝族中老年人高脂血症总体患病率较高.高血压、骨质疏松、高体重、吸烟是男性高脂血症的危险因素, 高体重、激素服用是女性高脂血症的危险因素, 正常的体质指数有利于男女性血脂的控制.Abstract: Objective To explore the influencing factors of hyperlipidemia in elderly people of Yi Ethnic Peoplein Kunming City.Methods A total of 168 Yi Ethnic People were randomlyselected the study in Kunming.Questionnaire survey were performed to collect data on general conditions, personal signs, diet and reproductive history of females.Blood samples are taken to measure triglyceride and blood glucose level, and bone mineral density ( BMD) is examined by quantitative ultrasound instrument ( QUS) .X2test and binary logistic regressionwere employed to analyze data.Results The prevalence of hyperlipidemia in elderly Yi Ethnic People in Kunming was 69.6%. Binary logistic regression analysis showed that high blood pressure, osteoporosis, high weight and smoking were risk factors of hyperlipidemia in male (OR=18.652, 2.112, 1.100, and 7.864) , high body weight and hormone intake were risk factors of hyperlipidemia in female (OR =1.104, 15.969) . Height is a protective factor for hyperlipidemia in both male and female (male OR=0.852, female OR=0.915) .Conclusion The prevalence of hyperlipidemia is higher in elderly Yi Ethnic People in Kunming City.High blood pressure, osteoporosis, high weight and smoking are risk factors for hyperlipidemia in male, high body weight and hormone intake are risk factors for hyperlipidemia in female. Keeping normal body mass index could help to control people's blood lipids.
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Key words:
- Yi Ethnic People /
- Elderly people /
- Hyperlipidemia /
- Influence factors
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