Study on the Prevalence of Dyslipidemia and Related Influencing Factors among Community Residents in a Community in Shanghai

Sun Dan; Ni Haifeng; Li Yuanzhao; Wan Yanping

doi:10.3969/j.issn.1001-568X.2023.12.0015

Abstract：OBJECTIVE To study the prevalence of dyslipidemia among community residents in a community in Shanghai,to pro-vide references and basis for developing public strategies for prevention of chronic disease.METHODS The sampling method was cluster random sampling,the first,five villages or neighborhoods were randomly selected from the community,and then,it randomly selected 12 510 community residents from 5 selected villages or neighborhood committees as respondents,and the respondents are 50 years or older.10 851 respondents completed questionnaires,physical examinations and laboratory tests.The software called SPSS22.0 was used for x2 test and t test and Unconditional logistic regression.RESULTS A total of 10 851 community residents were surveyed,which had 5 041 males and 5 810 females,the average age of the respondents is 69.67±6.27 years old,the number of people with dyslipidemia was 6698,the rate of dyslipidemia was 61.73％,the rate of single dyslipidemia was 41.49％,and the rate of multiple dyslipidemia was 58.51％％,abnormal detection rate of TC,G,DL-C and HDL-C were 33.68％,37.93％,19.45％and 18.42％respectively.The results of unconditional logistic analysis showed that the related protective factors of dyslipidemia include male sex,thin BMI,daily drinking frequency,and increased age group(50～70 years old,71～75 years old,76～80 years old,81～97 years old),the OR values were 0.419,0.660,0.750,0.805,0.725,0.640,and 0.557,respectively.The related risk factors for dyslipid-emia included BMI classification as overweight or obesity,hypertension,smoking,increased waist to hip ratio,increased UA group,and increased HbA1c group.The OR values were 1.360,1.323,1.189,1.285,1.247,1.424,1.654,1.201,1.630,2.325,1.251 and 1.536,respectively,and all had statistical significance(P＜0.05).CONCLUSION Malu Town residents over 50 years old have a high incidence of dyslipidemia.Reducing uric acid,controlling blood sugar,blood pressure,weight loss and smoking control are benefi-cial to reducing the prevalence of dyslipidemia.