文献类型：期刊文献

中文题名：我国35岁以上不同类型肥胖人群血脂异常患病现状

英文题名：The prevalence of dyslipidemia among different types of obese people over 35 years old in my country

作者：陈雪莲[1];马明艳[1];陈祚[2];王馨[2];张林峰[2];李苏宁[2];郑聪毅[2];亢玉婷[2];周好奇[2];陈露[2];胡继宏[1];王增武[2]

第一作者：陈雪莲

机构：[1]甘肃中医药大学公共卫生学院,甘肃省兰州市730000;[2]中国医学科学院阜外医院国家心血管病防治中心社区防治部

第一机构：甘肃中医药大学公共卫生学院

年份：2021

卷号：19

期号：5

起止页码：435

中文期刊名：中国心血管病研究

外文期刊名：Chinese Journal of Cardiovascular Research

收录：CSTPCD

基金：国家“十二五”科技支撑计划项目(2011BAI11B01)。

语种：中文

中文关键词：肥胖;血脂异常;成年人;心血管疾病;不同类型;

外文关键词：Obesity;Dyslipidemia;Adults;Cardiovascular disease;Different types

摘要：目的探索我国35岁以上肥胖人群血脂异常患病率、知晓率和控制率,为预防肥胖人群血脂异常提供参考依据。方法"十二五"国家科技支撑项目-中国重要心血管病患病率调查及关键技术研究项目在2012年~2015年在我国东部、中部和西部不同地区采用分层多阶段随机抽样方法选取46600名≥35岁人群,通过调查问卷、体格检查和生化指标检测等方法收集所需的资料。纳入本研究的人群为36023例。体重指数(BMI)、腰围(WC)和内脏脂肪指数(VFI)三个肥胖指标的肥胖诊断标准依次为:BMI≥28kg/m~2,WC≥90(男)/85(女)cm和VFI≥10。依据达到的三类肥胖指标诊断标准的个数和种类分为五种肥胖类型:非肥胖、普通肥胖、腹型肥胖、内脏肥胖和混合型肥胖。结果本研究中,腹型肥胖所占比例为38.2%,普通肥胖18.0%,内脏肥胖40.4%。不同WC分组总胆固醇(TC)水平分别为(1.18±0.82)mmol/L、(1.44±0.95)mmol/L和(1.63±1.09)mmol/L,甘油三酯(TG)水平分别为(4.72±0.94)mmol/L、(4.85±0.97)mmol/L和(4.91±0.99)mmol/L,低密度脂蛋白胆固醇(LDL-C)水平分别为(2.75±0.78)mmol/L、(2.86±0.82)mmol/L和(2.90±0.84)mmol/L。随着WC、BMI和VFI的升高,总胆固醇(TC)、甘油三酯(TG)和低密度脂蛋白胆固醇(LDL-C)水平升高(趋势检验P均<0.001)。总人群血脂异常患病率为34.7%,其中非肥胖人群血脂异常患病率为23.5%,普通肥胖、腹型肥胖、内脏肥胖人和混合型肥胖群人群血脂异常患病率依次为31.6%、35.1%、35.9%和48.3%,知晓率依次为9.5%、10.4%、9.9%和16.6%。结论我国不同肥胖类型人群血脂异常患病均高于普通人群。知晓率、治疗率和控制率虽然高于普通人群,但整体偏低,亟待加强肥胖人群血脂异常的防治。
Objective To investigate the prevalence,awareness and control rate of dyslipidemia in obese people≥35 years old in China and provide a reference for obese people to prevent dyslipidemia.Methods"Twelfth Five-Year"National Science and Technology Support Project-China’s Important Cardiovascular Diseases Prevalence Survey and Key Technology Research Projects were selected by stratified multi-stage random sampling in different regions of our country’s east,middle and west from 2012 to 2015.46600≥The 35-year-old people collected the required data through questionnaires,physical examinations and biochemical indicators.36023 of thedata were used to analyze the dyslipidemia of different types of obesity.The obesity diagnostic criteria for the three obesity indicators of body mass index(BMI),waist circumference(WC)and visceral fat index(VFI)were as follows:BMI≥28 kg/m~2,WC≥90(male)/85(female)cm and VFI≥10.In addition,the obesity was divided into five types based on the number and types of the three types of obesity indicators reached:non-obesity,normal obesity,abdominal obesity,visceral obesity,and mixed obesity.Results The proportion of abdominal obesity was 38.2%and the proportion of ordinary obesity was 18.0%,and the proportion of visceral obesity was 40.4%.The levels of total cholesterol(TC)in different WC groups were(1.18±0.82)mmol/L,(1.44±0.95)mmol/L and(1.63±1.09)mmol/L;and triacylglycerol(TG)levels were(4.72±0.94)mmol/L,(4.85±0.97)mmol/L and(4.91±0.99)mmol/L;low-density lipoprotein cholesterol(LDL-C)levels were(2.75±0.78)mmol/L,(2.86±0.82)mmol/L and(2.90±0.84)mmol/L.With the increase of WC,BMI and VFI,the levels of TC,TG and LDL-C increased(Ptrend<0.001).The prevalence rate of dyslipidemia in the total population was 34.7%,among which the prevalence rate of dyslipidemia in the non-obese population was 23.5%,and the prevalence rate of dyslipidemia in the general obesity,abdominal obesity,visceral obesity;and mixed obesity population were 31.6%,35.1%,35.9%and 48.3%;the awareness rate were 9.5%,10.4%,9.9%and 16.6%.Conclusion The prevalence of dyslipidemia in different obese people in China is higher than that of the general population.Although the awareness,treatment and control rate are higher than that of the general population,the overall rate of them is lower.It is urgent to strengthen the prevention and treatment of dyslipidemia in obese people.