【摘要】 目的 了解江苏省成人健康生活方式与心血管病高危风险的相关性，为心血管疾病防治提供理论依据。方法 选取2021—2022年江苏省心血管疾病综合防控项目35～75岁人群为研究对象，采用非条件logistic回归模型分析成人健康生活方式与心血管疾病高危风险的相关性。结果 共纳入136 345人，当前不吸烟、不过量饮酒、健康饮食习惯、积极体力活动、健康体重、健康体脂的比例分别是79.09%、91.43%、3.64%、25.02%、37.34%、33.67%。健康生活方式评分为[（2.74±1.09）分],女性[（3.00±0.97）分]高于男性[（2.40±1.16）分]（t=-102.64,P<0.05）,低年龄组[（2.80±1.11）分]高于高年龄组[（2.63±1.07）分]（t=28.08,P<0.05）、高中及以下[（2.74±1.09）分]文化程度者高于高中及以上[（2.73±1.11）分]文化程度者（t=2.03,P=0.04）。84.95%的研究对象评分在2～4分，生活方式评分满分者仅占0.17%。心血管病高危人群占36.00%,其健康生活方式评分为[（2.42±1.02）分]。3种高危类型中，血脂异常型的健康生活方式评分最高，为（2.50±1.10）分，China-PAR评分型的最低，为[（2.39±1.01）分]。logistic回归结果显示，心血管病高危风险随着健康生活方式评分增加而降低(P_趋势<0.05)。结论 江苏省35～75岁人群的健康生活方式评分较低，健康生活方式在人群之间存在差异，健康的生活方式降低心血管病高危风险。应针对不同的人群采取个性化的综合干预措施，以降低心血管疾病发病率。更多还原

【Abstract】 Objective To understand the correlation between adult healthy lifestyles and high risk of cardiovascular diseases in Jiangsu Province, so as to provide theoretical basis for the prevention and treatment of cardiovascular diseases. Methods People aged 35-75 from the Jiangsu Province Cardiovascular Disease Comprehensive Prevention and Control Project from 2021 to 2022 were selected as the research objects, and a non-conditional logistic regression model was used to analyze the correlation between adult healthy lifestyles and high risk of cardiovascular diseases. Results A total of 136 345 people were included, with proportions of 79.09%,91.43%,3.64%,25.02%,37.34% and 33.67% respectively for non-smoking, moderate alcohol consumption, healthy eating habits, active participation in physical activity, normal weight and non-central obesity.The score of healthy lifestyleswas（2.74±1.09） points, with 84.95% of the research objects scoring 2-4 points, and only 0.17% of themhad completely healthy lifestyles.The healthy lifestyle score of high-risk populationwas（2.42±1.02） points, with females（3.00±0.97） scoring higher than males（2.40±1.16）（t=-102.64,P<0.05）,the younger age group（2.80±1.11） scoring higher than the older age group（2.63±1.07）（t=28.08,P<0.05）,and those with high school education or below（2.74±1.09） scoring higher than those with high school education or above（2.73±1.11）（t=2.03,P=0.04）.Among the three types of high-risk population, the healthy lifestyle score of the dyslipidemia type was the highest, with（2.50±1.10） points, and the lowest score according to the China-PAR criteria was（2.39±1.01） points.The logistic regression results showed that the high-risk of cardiovascular diseases decreased with the score of healthy lifestyles(P_{for trend}<0.05). Conclusions The scores of healthy lifestyles of people aged 35-75 in Jiangsu Province are low, with differences in healthy lifestyles among people.A healthy lifestyle reduces thehigh-risk ofcardiovascular diseases.Personalized comprehensive intervention measures should be taken for different people to reduce the incidence rate of cardiovascular diseases.更多还原