【摘要】 目的 了解深圳市成年人血脂异常流行现况及其影响因素，为制定深圳市血脂异常防控策略提供参考依据。方法 采用多阶段分层随机抽样方法，于2021年4—12月对深圳市10个区≥18岁常住居民进行问卷调查、体格检查和实验室检测。采用多因素logistic回归分析血脂异常影响因素。结果 本研究共纳入6 285名成年人，平均年龄（40.27±14.24）岁，男女性别比为0.99∶1。血脂异常2 300例，患病率为36.60%（标化患病率38.35%）。多因素分析结果显示，女性（OR=0.758）、体重过低（OR=0.446）是深圳市成年人血脂异常的保护因素；35～64岁年龄组（OR=1.832）、65～94岁年龄组（OR=1.811）、超重（OR=1.719）、肥胖（OR=2.289）、现在吸烟（OR=1.409）、高血压（OR=1.575）、糖尿病（OR=2.285）、高尿酸（OR=1.953）是深圳市成年人血脂异常的危险因素。结论 深圳市成年人血脂异常患病率较高，需加强大龄男性、超重肥胖、吸烟及患有慢性疾病等高危人群血脂的监测和生活行为方式的干预，从而预防血脂异常的发生。更多还原

【Abstract】 Objective To understand the prevalence and influencing factors of dyslipidemia in adults in Shenzhen,and to provide reference for the prevention and control strategy of dyslipidemia in Shenzhen.Methods A multistage stratified random sampling method was used to conduct questionnaire survey,physical examination,and laboratory testing among permanent residents aged ≥18 years in 10 districts of Shenzhen from April to December 2021. Multivariate logistic regression was used to analyze the influencing factors of dyslipidemia.Results A total of 6 285 adults were included,with a mean age of(40.27±14.24)years old,and male to female ratio was 0.99∶1,2 300 of the participants were dyslipidemia,the prevalence rate was 36.60%(the standardized prevalence rate was 38.35%). The results of multivariate analysis showed that females(OR=0.758)and underweight(OR=0.446)were protective factors for dyslipidemia of adults in Shenzhen,and 35-64 years old(OR=1.832),65-94 years old(OR=1.811),overweight(OR=1.719),obesity(OR=2.289),current smoking(OR=1.409),hypertension(OR=1.575),diabetes(OR=2.285),hyperuricemia(OR=1.953)were the risk factors.Conclusions The prevalence of dyslipidemia in adults in Shenzhen is high,and it is necessary to strengthen the monitoring of blood lipids and intervention of lifestyle in high-risk groups such as older men,overweight and obese,smoking and chronic diseases,so as to prevent the occurrence of dyslipidemia.更多还原