【摘要】 目的了解乌鲁木齐地区城乡老年人群体重、血脂水平与冠心病、脑卒中检出率的相关性 ,探讨其成因与改善措施。方法采用分层整群抽样方法调查城乡≥ 6 0岁各族常住人口的健康状况 ,按城乡分组进行统计分析。结果城市平均体质指数 (BMI)、TC、TG、HDL - C、L DL - C水平分别为 (2 4 .85± 3.6 ) kg/ m2 、(4.89± 1.18) mmol/ L、(1.5 9± 1.0 3)mmol/ L、(1.4 1± 0 .4 1) mmol/ L、(3.2 3± 1.2 0 ) mmol/ L ,冠心病、脑卒中合并检出率 (标化 ) 18.1% ;山区乡村分别为(2 3.89± 3.80 ) kg/ m2 、(4.4 9± 1.15 ) mmol/ L、(1.5 8± 1.15 ) mmol/ L、(1.5 8± 0 .87) mmol/ L、(2 .6 7± 1.0 8) mmol/ L ,冠心病、脑卒中合并检出率 (标化 ) 9.6 % ,平原乡村分别为 (2 3.4 5± 6 .70 ) kg/ m2 、(4.5 9± 1.0 4 ) mmol/ L、(1.6 3± 1.0 4 )mmol/ L、(1.34± 0 .5 1) mmol/ L、(2 .80± 1.14 ) mmol/ L ,冠心病、脑卒中合并检出率 (标化 ) 5 .3%。结论城市平均 BMI、TC、L DL - C水平和冠心病、脑卒中合并检出率均高于农村 ;以喜欢饮酒的哈萨克族聚居山区乡平均 HDL - C水平高于城市 ;超重肥胖者低 HDL - C的检出率高于非超重者 ,(P值均 <0 .0 5 )。城市老年居民的营养过剩、运动不足、不重视相应健康生活?更多还原

【Abstract】 Objective To undrestand the status of body weight, blood lipids levels and prevalence of stroke and coronary heart disease (CHD) of the Aged in urban and rural areas of Urumchi. Method With stratified cluster-sampling method, the health status of residents aged 60 and over in urban and rural areas was studied. Data of urban and rural area was analyzed. Results The levels of BMI(kg/m~2),TC, TG,HDL-C and LDL-C(mmol/L) were 24.85±3.60,4.89±1.18,1.59±1.03,1.41±0.41,and 3.23±1.20 in urban population, and 23.89±3.80,4.49±1.15,1.58±1.15,1.58±0.87, and 2.67±1.08 in the mountainous area, and 23.45±6.70,4.59±1.04,1.63±1.04,1.34±0.51 and 2.80±1.14 in the plain rural area, respectively. The average levels of BMI, TC, LDL-C and combined prevalence of CHD and stroke were higher in urban than in rural area. The level of HDL-C in Ha nationality was the highest. The detection rate of low HDL-C in the overweight-obesity was higher than that in the non-overweight. The standardized combined rate of CHD and stroke was 18.1% in urban, 9.6% in the mountainous area and 5.3% in the plain rural area. Conclusion The main risk factors for overweight, blood lipid disorder, CHD and stroke in the Aged of urban and rural area included overnutrition, lacks of physical activities & health education, and irrational conventions.更多还原