张旖旎+刘奉丹+黄小明+蒋继文+朱静

摘 要 目的：分析上海某社区居民血脂代谢异常和生活方式的关系。方法：于2017年5月对上海市某社区1 199名自愿参加体检的35岁及以上社区居民进行调查，其中男性360名，女性839名，年龄36～76岁。分析居民血脂情况和日常饮食、吸烟、饮酒及运动的信息。结果：在1 199例居民中检出血脂异常者713名，血脂异常检出率为59.5%。其中，甘油三酯升高检出率为37.5%。总胆固醇升高检出率为35.7%。每周1次及以下，每周2～3次，和每周4次及以上新鲜水果摄取频率的血脂异常检出率分别为67.6%（100/148），54.8%（236/431）和60.8%（377/620），差异有统计学意义（P<0.05）。不同吸烟、饮酒和运动状况者的血脂异常差异无统计学意义（P>0.05）。结论：上海市某社区居民血脂异常检出率较高，血脂异常与新鲜水果摄取频率有关。

关键词 血脂异常；生活方式；社区居民

中图分类号：R589.2 文献标志码：A 文章编号：1006-1533（2018）02-0042-03

The relationship between hyperlipidemia and lifestyle in the residents in a community of Shanghai

ZHANG Yini1， LIU Fengdan2， HUANG Xiaoming3， JIANG Jiwen3， ZHU Jing3（1.Editorial Department of Shanghai Community Health Association， Shanghai 200041， China； 2.Comprehensive Management Section of Jiangpu Community Health Service Center of Yangpu District， Shanghai 200092， China； 3.Preventive Care Department of Jiangpu Community Health Service Center of Yangpu District， Shanghai 200092， China）

ABSTRACT Objective： To analyze the relationship between dyslipidemia and lifestyle in the residents in a community of Shanghai. Methods： In May 2017， 1 199 permanent resident population of 35 years old and above who volunteered for physical examination were investigated in a community of Shanghai， and among them were 360 male and 839 females， aged 36～76 years. Blood lipid status and daily diet， smoking， drinking and sports information were analyzed. Results： Among the 1 199 residents， 713 were abnormal blood lipids， and the detection rate of dyslipidemia was 59.5%. Among them， the detection rate of triglyceride increased was 37.5%. The detection rate of total cholesterol was 35.7%. detection rates of dyslipidemia were 67.6%（100/148）， 54.8%（236/431） and 60.8%（377/620） in one time per week and below， 2～3 times and 4 times a week or more of fresh fruit intake frequencies， and the difference was statistically significant（P<0.05）. There was no significant difference in dyslipidemia among smokers， drinkers and exercise patients（P>0.05）. Conclusion： The detection rate of hyperlipidemaia is high in a community of Shanghai. Hyperlipidemaia is associated with the intake of fresh fruit.

KEY WORDS hyperlipidemaia； lifestyle； community resident

隨着居民生活水平的提高，生活习惯和饮食结构发生改变，高脂饮食摄入过多状况日趋严重。居民血脂代谢异常增多，其中以高胆固醇最为常见，其次是低密度脂蛋白增高。而血脂异常除了与性别、年龄、静脉血糖、腰臀比、腰围和体重指数有关外[1-2]，日常饮食和生活习惯可能也是其影响因素。本次研究旨在分析社区居民血脂异常流行情况及其与饮食习惯的相关性，为社区慢性病综合防治提供依据。

1 对象与方法

1.1 研究对象

2017年5月对上海市某社区35岁及以上常住居民进行体格检查和问卷调查，调查对象在体检前均签署知情同意书。调查对象共1 199例，其中男性360（30.0%）例，女性839（70.0%）例，年龄36～76岁，中位年龄为60岁。endprint

1.2 研究方法