北京市765例机关干部心血管疾病可控危险因素调查

    Investigation on controllable cardiovascular risk factors in 765 cadres in Beijing

    • 摘要: 目的:了解北京市部分机关干部心血管疾病可控性危险因素构成和聚集情况。方法:以北京市765例机关干部为调查对象,对不同年龄段心血管疾病可控危险因素的构成和聚集情况进行比较分析。结果:各年龄组高血压、糖尿病、高三酰甘油(TG)、低高密度脂蛋白胆固醇(HDL-C)患病率和超重/肥胖率差异均有统计学意义(P<0.05~P<0.01),其中40~岁、50~岁和≥60岁人群年龄段高血压患病率均高于22~岁和30~岁人群(P<0.05);40~岁和50~岁人群糖尿病患病率均高于22~岁和30~岁人群(P<0.05);40~岁人群高TG和低HDL-C患病率均高于22~岁人群(P<0.05);≥60岁人群超重/肥胖率和高TG患病率均低于30~岁、40~岁和50~岁人群(P<0.05)。高总胆固醇患病率和吸烟率在各年龄组差异均无统计学意义(P>0.05)。各年龄组无危险因素、3个危险因素和4个危险因素聚集比例差异均有统计学意义(P<0.01);其中在30~岁、40~岁和50~岁人群4个危险因素聚集比例均高于22~岁人群(P<0.05);40~岁和50~岁人群3个危险因素和4个危险因素聚集比例均高于22~岁和30~岁人群(P<0.05)。各年龄组1个危险因素、2个危险因素、5个危险因素和6个危险因素聚集比例差异均无统计学意义(P>0.05),未发现同时具有7个危险因素的个体。结论:该人群青年时期超重/肥胖率、吸烟率和中老年时期高血压、糖尿病患病率是防控的重点,其中超重/肥胖年轻化趋势对心血管健康的影响较为明显,应尽早建立以纠正生活方式和饮食治疗为基础的干预措施。

       

      Abstract: Objective: To investigate the composition and clustering status of controllable risk factors for cardiovascular disease in some cadres in Beijing.Methods: Seventy hundred and sixty-five cadres in Beijing were selected,and the composition and clustering status of controllable risk factors for cardiovascular disease were compared according to different age groups.Results: The composition and clustering rate of controllable risk factors for cardiovascular disease were risen with the growth of age(P<0.05 to P<0.01).The morbidity rate of hypertension was higher in 40-49 age,50-59 age and 60-age groups than that in 22-29 age and 30-39 age groups(P<0.05);the morbidity rate of diabetes was risen notably in 40-49 age and 50-59 age groups than that in 22-29 age and 30-39 age groups(P<0.05);the morbidity rate of high triglyceride and low high-density lipoprotein cholesterol was higher in 40-49 age group than that in 22-29 age groups(P<0.05),the morbidity rate of overweight/obesity rate and high triglyceride in 60~age group was lower than that in 30-39 age,40-49 age and 50-59 age groups(P<0.05),The clustering rates of 3 risk factors and 4 risk factors rise notably in 30-49 age group and 40-49 age group respectively(P<0.05).Conclusions: It should be focused on about the overweight/obesity and smoking among youth,and hypertension,diabetes among middle-aged and old cadres.The younger tendency of overweight/obesity influenced the cardiovascular health obviously.It is needed to correct life-style and strengthen dietary therapy targeting these diseases.

       

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