【作者】 姜玲； 翟成凯； 刘洋； 左辉； 郭宝福； 刘昊； 陈学芬；

【Author】 Jiang Ling,Zhai Cheng-kai,Liu Yang,Zuo Hui,et al. School of Public Health,Southeast University,Nanjing 210009,China

【机构】 东南大学公共卫生学院；

【摘要】 目的了解中老年人三种常见慢性病(高脂血症、高血压、糖尿病)的患病状况,探明这些疾病的主要危险因素,找出社区慢病防治途径和方法。方法对随机抽取的2120名45岁以上的中老年居民进行体格检查和问卷调查。采用1:1配对病例对照研究,对19个因素进行单因素非条件Logistic回归分析和多因素非条件Logistic回归分析筛选出有意义的因素。结果高脂血症、高血压和糖尿病的检出率经标化后分别是50.12%、44.26%和8.74%,与高脂血症相关的因素有7个其中主要因素有人均月收入、体质指数(BMI)分级、腹型肥胖和粗粮摄入;与高血压相关的因素有11个,其中主要因素有年龄、吸烟、紧张程度、BMI分级和腹型肥胖;与糖尿病密切相关的因素有5个家族史、BMI分级、腹型肥胖、粗粮摄入和体育锻炼。结论肥胖和不良的生活行为方式是三种慢性病患病的主要危险因素,粗粮摄入和体育锻炼是主要的保护因素,增强保护因素和减少危险因素是社区慢性病防治的关键措施。更多还原

【Abstract】 Objective To find out the prevalence of hyperlipemia,hypertension and diabetes,and explore the primary influence factors.Methods The survey consists of questionnaire and health examination on 2120 elderly adults aged above 45 year old.The possible influence factors and the primary factors in 19 factors were analyzed and screened by case control study and logistic regression analysis.Results This investigation showed that the prevalence rates of hyperlipemia,hypertension,and diabetes ware 50.12%,44.26%and 8.74%respectively.For hyperlipemia:monthly income,BMI,WHR,coarse food grain were primary factors.For hypertension:age,smoke,intensity,BMI,WHRwere primary factors.For diabetes:family history of disease,BMI,WHR,coarse food grain,exercises were primary factors. Conclusion The risk factors of the three chronic diseases were obesity and unhealthy life styles,and the protective factors were coarse food grian and exercises.It’s important to decrease prevalence of chronic diseases in community by controlling these risk factors.更多还原