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目的了解无锡市老年人血糖、血脂水平,并探索与生活方式的相关性。方法随机抽取6个社区的558例65岁~67岁老年人进行问卷调查、体格检查和血糖、血脂测定。采用χ2检验、Fisher精确检验和多元Logistic回归分析探索血糖、血脂与生活方式之间的关系。结果研究对象的空腹血糖(FPG)、甘油三酯(TG)及总胆固醇(TC)水平分别为5.20 mmol/L、1.24 mmol/L和4.80 mmol/L。高血糖患病率、TG边缘升高率、高TG血症患病率、TC边缘升高率及高TC血症患病率分别为13.1%、12.4%、10.2%、21.1%和9.3%。吸烟者FPG升高的风险是非吸烟者的3.1倍;每天运动时间<30 min者FPG升高的风险和TG升高的风险分别是每天运动时间≥30 min者的2.5倍和1.8倍;非素食为主者TG升高的风险及TC升高的风险分别是素食为主者的3.8倍和6.6倍。结论无锡市老年人血糖、血脂水平与生活方式有密切关联,应在老年人群中开展以宣教合理运动、健康饮食和戒烟为主的健康教育。
Objective To understand the level of blood glucose and blood lipid in the elderly in Wuxi and to explore the correlation with lifestyle. Methods A total of 558 elderly people aged 65 to 67 in six communities were selected for questionnaire survey, physical examination, blood glucose and blood lipids. Chi-square test, Fisher’s exact test and multivariate logistic regression analysis were used to explore the relationship between blood glucose, lipids and lifestyle. Results The fasting blood glucose (FPG), triglyceride (TG) and total cholesterol (TC) were 5.20 mmol / L, 1.24 mmol / L and 4.80 mmol / L respectively. The prevalence of hyperglycemia, marginal TG elevation, prevalence of hypercholesterolemia, borderline TC elevation and hyperlipidemia were 13.1%, 12.4%, 10.2%, 21.1% and 9.3%, respectively. The risk of FPG elevation in smokers was 3.1 times that of non-smokers. The daily exercise time of <30 min was associated with a 2.5-fold and 1.8-fold increased risk of FPG elevation and TG elevation respectively. The main risk of elevated TG and TC are the risk of vegetarian-based were 3.8 times and 6.6 times. Conclusion There is a close relationship between blood glucose and blood lipid levels and life style in the elderly in Wuxi. Health education should be carried out in the elderly population, which is based on the rational movement of education, healthy diet and smoking cessation.