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Investigation on the detection rate and risk factors of dyslipidemia in the physical examination population of the Zhuang nationality in Nanning City |
HUANG Yunhua1 GAN Min2 QIN Yuanyuan1 ZHAI Lujie2 CHEN Qingyun2 LIN Faquan1 SUN Zilin3 WANG Peng2▲ |
1.Department of Clinical Laboratory, the First Affiliated Hospital of Guangxi Medical University, Guangxi Zhuang Autonomous Region, Nanning 530021, China; 2.Department of Health Management, the First Affiliated Hospital of Guangxi Medical University, Guangxi Zhuang Autonomous Region, Nanning 530021, China;
3.Department of Endocrinology, Zhongda Hospital, Southeast University, Jiangsu Province, Nanjing 210009, China |
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Abstract Objective To study the detection rate and risk factors of dyslipidemia in the population of the Zhuang nationality in Nanning City, and provide a theoretical basis for the prevention and treatment of dyslipidemia. Methods The baseline data of urban and rural Zhuang residents aged 20-70 from Nanning in 2017 using the Guangxi project of National Key Research and Development Projects was analyzed. A random stratified cluster sampling method was used to enroll the research objects, a total of 2019 cases were enrolled for questionnaire surveys, physical examinations, and blood index tests. After excluding the invalid population, 1982 subjects were finally included. The subjects were divided into dyslipidemia group and non-dyslipidemia group according to the levels of blood lipids. The differences of various indexes between dyslipidemia group and non-dyslipidemia group were compared. The risk factors of dyslipidemia were analyzed by using the binary logistic regression. Results A total of 815 cases of abnormal lipids were examined, accounting for 41.1% of the total number. The detection rates of hypertriglyceridemia and low high-density lipoprotein cholesterol in men were higher than those in women, and the differences were statistically significant (P < 0.05). The age, the ration of tea drinking, high fat intake, snoring, body mass index, diastolic blood pressure, systolic blood pressure, leukocyte, hemoglobin, 2-hour postprandial blood glucose, glycosylated hemoglobin, fasting blood glucose, creatinine, urea nitrogen, and uric acid in the dyslipidemia group were higher than those in the non-dyslipidemia group, and the percentage of neutrophils in the dyslipidemia group was lower than that in the non-dyslipidemia group, and the differences were statistically significant (P < 0.05). The results of binary logistic regression analysis showed that age, body mass index, hemoglobin, 2-hour postprandial blood glucose, uric acid, and urea nitrogen were the independent risk factors for dyslipidemia (P < 0.05), and the percentage of neutrophils was the protective factor for dyslipidemia (P < 0.05). Conclusion The detection rate of dyslipidemia in the Zhuang nationality in Nanning is relatively high. The increased levels of age, body mass index, hemoglobin, 2-hour postprandial blood glucose, uric acid, and urea nitrogen are the risk factors for dyslipidemia.
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[1] World Health Organization. Cardiovascular Diseases (CVDs) [EB/OL]. (2020-06-07).https://www.who.int/newsroom/fact-sheets/detail/cardiovascular-diseases-(cvds).
[2] 诸骏仁,高润霖,赵水平,等.中国成人血脂异常防治指南(2016年修订版)[J].中国循环杂志,2016,31(10):937-953.
[3] Sampson Opoku S,Gan Y,Fu W,et al. Prevalence and risk factors for dyslipidemia among adults in rural and urban China:findings from the China National Stroke Screening and prevention project (CNSSPP) [J]. BMC Public Health,2019,19(1):1500.
[4] 郭艺芳.2014年中国胆固醇教育计划血脂异常防治专家建议[J].中华心脏与心律电子杂志,2014,2(3):12-16.
[5] Chang WT,Yin WH,Lin FJ,et al. Non-high-density-lipoprotein cholesterol is an important residual risk factor in the secondary prevention for patients with established atherosclerotic cardiovascular diseases [J]. Circulation,2016,134:A16414.
[6] Enani S,Bahijri S,Malibary M,et al. The association between dyslipidemia,dietary habits and other lifestyle indicators among non-diabetic attendees of primary health care centers in Jeddah,Saudi Arabia [J]. Nutrients,2020,12(8):2441.
[7] Moosazadeh M,Ziaaddini H,Mirzazadeh A,et al. Metaanalysis of smoking prevalence in Iran [J]. Addict Health,2013,5(3/4):140.
[8] World Health Organizaition. Guideline for controlling and monitoring the tobacco epidemic [M/OL]. Geneva:WHO,1998:77. https:// apps.who.int/iris/bitstream/handle/10665/42049/9241545089-eng,pdf? sequence=8.
[9] Pikula A,Beiser AS,Wang J,et al. Lipid and lipoprotein measurements and the risk of ischemic vascular events:framingham study [J]. Neurology,2015,84(5):472-479.
[10] Lee JS,Chang PY,Zhang Y,et al. Triglyceride and HDL-C dyslipidemia and risks of coronary heart disease and ischemic stroke by glycemic dysregulation status:the strong heart study [J]. Diabetes Care,2017,40(4):529-537.
[11] 刘岩,陈青云,赵弋于,等.广西壮族人群血脂及相关指标分析[J].糖尿病天地,2018,15(5):1-3.
[12] 刘少博,从祥丰,徐婷玲,等.中国8省市成人血脂与糖尿病前期及糖尿病发病关系的前瞻性队列研究[J].中国健康教育,2020,36(5):392-396.
[13] Trapani L,Pallottini V. Age-related hypercholestemlemia and HMGCoA reductase dysregulation:sex does matter (a gender perspective) [J]. Curr Gerontol Geriatr Res,2010,2010:420139.
[14] 夏艳杰,周龙,李莹,等.打鼾与高甘油三酯血症关系的横断面研究[J].中国循环杂志,2019,34(1):85-89.
[15] Al-Hassan Y,Fabella E,Estrella E,et al. Prevalence and determinants of dyslipidemia:data from a saudi university clinic [J]. Open Public Health J,2018,11:416-424.
[16] Moradinazar M,Pasdar Y,Najafi F,et al. Association between dyslipidemia and blood lipids concentration with smoking habits in the Kurdish population of Iran [J]. BMC Public Health,2020,20(1):673.
[17] 罗慧,刘健,党万太.高尿酸血症对肾内血流动力学影响的研究进展[J].重庆医学,2021,50(7):1217-1221.
[18] Lin JD,Chiou WK,Chang HY,et al. Serum uric acid and leptin levels in metabolic syndrome:a quandary over the role of uric acid [J]. Metabolism,2007,56(6):751-756.
[19] Rathmann W,Haastert B,Icks A,et al. Ten-year change in serum uric acid and its relation to changes in other metabolic risk factors in young black and white adults:the CARDIA study [J]. Eur J Epidemiol,2007,22(7):439-445.
[20] 赵圆圆,周广宇,温蕊,等.IgA肾病伴血脂异常的临床与病理分析[J].中国实验诊断学,2019,23(6):1007-1010.
[21] 孙春晓,郭兆安.慢性肾脏病血脂代谢紊乱的影响因素及其机制的研究进展[J].中国中西医结合肾病杂志,2014,15(6):546-548.
[22] 刘相佟,陶丽新,杨昆,等.血红蛋白与成人代谢综合征及其组分关联性的五年队列研究[J].首都医科大学学报,2016,37(4):509-512.
[23] 苏健,向全永,吕淑荣,等.成年人体质指数、腰围与高血压、糖尿病和血脂异常的关系[J].中华疾病控制杂志,2015,19(7):696-700.
[24] Yang W,Xiao J,Yang Z,et al. Serum lipids and lipoproteins in Chinese men and women [J]. Circulation,2012, 125(18):2212-2221.
[25] 罗丽君,徐成高,刘琛,等.2型糖尿病合并高血压及血脂异常患者白细胞及淋巴细胞的变化情况[J].解放军预防医学杂志,2017,35(11):1397-1399. |
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