中国西部地区12～17岁儿童2016 — 2017年血脂异常流行状况分析

李裕倩; 贾珊珊; 刘贝贝; 房红芸; 丁心悦; 张坚; 满青青

doi:10.11847/zgggws1131893

中国西部地区12～17岁儿童2016 — 2017年血脂异常流行状况分析

Dyslipidemia among 12 – 17 years children in western region of China: a cross-sectional analysis, 2016 – 2017

摘要

摘要:
目的分析2016 — 2017年中国西部地区11个省、直辖市（不包括西藏自治区）12～17岁儿童青少年血脂异常流行状况。
方法以“中国儿童与乳母营养健康监测”项目2016 — 2017年研究的12～17周岁未成年人作为研究对象，分析调查对象在不同人口学特征、体格特征下的脂质水平及高胆固醇血症、高甘油三酯血症、高密度脂蛋白胆固醇降低、低密度脂蛋白胆固醇升高、非高密度脂蛋白胆固醇升高的流行状况。
结果调查对象的高胆固醇血症检出率为1.27 %，高甘油三酯血症检出率为5.65 %，低密度脂蛋白胆固醇升高检出率为1.39 %，高密度脂蛋白胆固醇降低检出率为16.21 %，非高密度脂蛋白胆固醇升高检出率为1.28 %，血脂异常检出率为21.12 %，肥胖调查对象的血脂异常检出率为50.86 %。不同人口学特征、体格特征调查对象的血脂水平和血脂异常存在差异（P < 0.05）。
结论中国西部地区近五分之一儿童存在血脂异常现象，肥胖儿童的血脂异常流行现状严峻，且不同特征人群的血脂异常有一定差异。

Abstract:
Objective To examine the prevalence of dyslipidemia among 12 to 17 years old children in western region of China from 2016 to 2017.
Methods The data on demographics, physical examination and blood lipid measurement for 11 474 children aged 12 – 17 years were extracted from ′ Nutrition and Health Surveillance for Children and Nursing Mothers′ conducted in 11 provinces and municipalities (not including Tibet Autonomous Region) across western region of China from 2016 through 2017. The prevalence of dyslipidemia among the children was statistically analyzed.
Results For all the children surveyed, the overall detection rate of dyslipidemia was 21.12%, with the detection rates of 1.27% for hypercholesterolemia, 5.65% for hypertriglyceridemia, 1.39% for elevated low-density lipoprotein cholesterol, 16.21% for low high-density lipoprotein cholesterol, and 1.28% for elevated non-high-density lipoprotein cholesterol, respectively; the overall detection rate of dyslipidemia was 50.86% among obese children. Significant disparities in detection rate of dyslipidemia were observed among the children with different demographic and physique characteristics (P < 0.05).
Conclusion Dyslipidemia was detected among more than one-fifth of the 12 to 17 years old children in western China; the dyslipidemia detection rate was different among the children with various characteristics and the detection rate was much more higher among the obese children.

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