【摘要】 目的 了解2018年河北省成年居民血脂异常、高血压和糖尿病共患病与生活方式的相关性，为制定慢性病防控政策提供参考依据。方法 利用2018年中国慢性病及危险因素监测数据，以7 711名≥18岁的常住居民作为研究对象。采用多因素logistic回归分析成年居民血脂异常、高血压和糖尿病共患病与生活方式之间的关系。结果 2018年共7 711人纳入分析。河北省成年居民血脂异常合并高血压患病率、血脂异常合并糖尿病患病率及高血压合并糖尿病的患病率分别为16.88%、7.91%、8.13%;血脂异常、高血压和糖尿病的共病率为22.65%。共病率均随年龄、BMI的增长呈上升趋势。多因素非条件logistic回归分析结果显示，男性、年龄增长、超重/肥胖、中心型肥胖、身体活动不足、每日静态行为时间≥5h和存在睡眠问题是三高共病的危险因素。结论 河北省成年居民三高共病患病率较高，且具有多种共同的危险因素。保持健康生活方式、三高综合防控是提高居民健康水平的关键。更多还原

【Abstract】 Objective To investigate the relationship between the comorbidity of dyslipidemia, hypertension and diabetes and lifestyle of adult residents in Hebei Province in 2018,and to provide reference for the development of chronic diseases prevention measures. Methods Using data from the surveillance of chronic diseases and their risk factors among adults in Hebei in 2018,7 711 permanent residents aged ≥18 years were selected as the research subjects.Multivariate logistic regression analysis was used to analyze the relationship between the comorbidity of dyslipidemia, hypertension, and diabetes and lifestyle in adult residents. Results A total of 7 711 subjects aged ≥18 years were included in 2018.The comorbidity rates of hypertension and dyslipidemia, diabetes and dyslipidemia, and hypertension and diabetes were 16.88%,7.91%,and 8.13%,respectively.The comorbidity rate of hypertension, diabetes, and dyslipidemia was 22.65%.These comorbidity rates increased with age and BMI.Multivariate logistic regression results showed that male, age, overweight/obesity, physical inactivity, daily sedentary behavior time ≥5 hours, and sleep problems were risk factors for the comorbidity of the "three highs". Conclusion The prevalence of the "three highs" comorbidities is relatively high in Hebei Province, and there are multiple common risk factors.Maintaining a healthy lifestyle and implementing comprehensive prevention and control measures are the key to improving the health level of residents.更多还原