中国20岁及以上人群高胆固醇血症及胆固醇边缘升高流行病学研究

孟丽苹; 张坚; 满青青; 李红; 翟屹; 由悦; 李莹; 赵文华; 杨晓光

Abstract

孟丽苹,张坚,满青青,李红,翟屹,由悦,李莹,赵文华,杨晓光.中国20岁及以上人群高胆固醇血症及胆固醇边缘升高流行病学研究[J].Chinese journal of Epidemiology,2007,28(8):729-733

中国20岁及以上人群高胆固醇血症及胆固醇边缘升高流行病学研究

Study on the distribution of prevalence of hypercholesterolemia and borderline high cholesterol in Chinese adults

Received:January 11, 2007 Revised:August 10, 2007

DOI：

KeyWord: 高胆固醇血症胆固醇边缘升高患病率分布特征

English Key Word: Hypercholesterolemia Borderline high cholesterol Prevalence rate Distribution characteristics

FundProject:卫生部专项经费资助项目(2001DEA30035);科技部社会公益基金资助项目(ZKJBPT100369、2003DIA6N008)

Author Name	Affiliation	E-mail
MENG Li-ping	National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, Beijing 100050, China
ZHANG Jian	National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, Beijing 100050, China	zhjian6708@yahoo.com.cn
MAN Qing-qing	National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, Beijing 100050, China
LI Hong	National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, Beijing 100050, China
ZHAI Yi	National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, Beijing 100050, China
YOU Yue	National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, Beijing 100050, China
LI Ying	National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, Beijing 100050, China
ZHAO Wen-hua	National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, Beijing 100050, China
YANG Xiao-guang	National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, Beijing 100050, China

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Abstract:

目的研究中国20岁及以上人群高胆固醇(TC)血症患病率和血浆总TC边缘升高的分布特征.方法采用整群抽样方法,在全国六类地区对抽取到的48 299名20岁及以上调查对象进行空腹血浆总TC的检测.结果在一定的年龄范围内,高TC血症患病率和TC边缘升高率均有随年龄增长而升高的趋势,但大部分地区在60～岁组之后出现下降趋势.城市高TC血症患病率由20～岁组1.36%升高到70岁组12.53%;农村由20～岁组0.98%升高到60～岁组的5.15%.城市和农村人群70岁组的TC边缘升高率分别比20～岁组升高了4.4倍和4.2倍.各年龄组的高TC血症患病率和TC边缘升高率均城市高于农村,一类农村均高于二、三、四类农村;二者50岁以前男性均高于女性,50岁之后女性明显高于男性.结论在一定的年龄范围内高TC血症患病率和TC边缘升高率均有随年龄增长而升高的趋势;二者随地区经济水平增高而增高,并有明显的性别差异.

English Abstract:

Objective To study the distribution of prevalence on hypercholesterolemia and borderline high cholesterol of Chinese residents aged 20 years and above.Methods To detect the total fasting plasma cholesterol in 48 299 subjects among 20 year-olds and above.Results Within a certain age range,the prevalence of both hypercholesterolemia and borderline high cholesterol increased with age,but there was a decreasing trend after 60-years of age in some regions.The prevalence of hypercbolesterolemia increased to 12.53% in over 70 year-olds group from 1.36% in urban 20-year-olds,and increased to 5.15% from 60-year-olds group comparing to 0.98% of the 20-year-old group in rural areas.When comparing to the 20-year-old age group,the prevalence of borderline high cholesterol of the 70 age group in urban and rural increased by 4.4 and 4.2 times,respectively.The prevalence of hypercholesterolemia in each age group in urban were higher than that of in rural areas.In RuralⅠ,it was higher than that of in RuralⅡ,RuralⅢand RuralⅣ.The prevalence rates of both hypercholesterolemia and borderline high cholesterol of the males in the less than 50 year-olds group were higher than that in females,which was quite different from the group older than 50 years of age.As to borderline high cholesterol,similar result was also noticed.Conclusion Within a certain age range,there was a trend that the prevalence of both hypercholesterolemia and borderline high cholesterol increased with age and related to regions which were classified by economic status.A distinct difference between males and females also existed.

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