社區中老年人高血脂之盛行率及其相關因子

Prevalence and Correlates of Hyperlipidemia among Community Older Adults

洪麗玲(Li-Ling Hung) ； 許惠珊(Hui-Shan Hsu) ； 邱千瑞(Chien-Jui Chiu) ； 吳毓珊(Yu-Shan Wu) ； 張麗春(Li-Chun Chang)

《北市醫學雜誌》 8卷1期 (2011/03) Pp. 37-48

https://doi.org/10.6200/TCMJ.2011.8.1.04

摘要

目的：高血脂症與心血管疾病及其他慢性疾有極密切關係，尤其在中老年人更為明顯。本研究旨在進行高血脂的社區研究，以了解社區中老年人高血脂的流行概況，並進一步探討高血脂的危險因子。方法：本研究為一社區為基礎之橫斷性研究，採立意取樣方式，選取≧40歲以上有意願參加健康檢查，並同意完成問卷之桃園縣社區中老年人為研究對象；研究工具包括身體理學檢查、血液生化值檢查及問卷等。結果：本研究共完成324名社區中老年人，平均年齡為70.90±12.38歲，其中男性166人，女性158人。血脂異常分類中以高膽固醇血症最高60.19%；整體高血脂症盛行率為61.42%，其中男性盛行率51.2%，女性72.15%。在控制其他自變項後，性別、吸菸、飲酒行為及無規律運動對於罹患高血脂症症有顯著影響。結論：依研究發現社區中老年高血脂症的盛行率偏高，吸菸、喝酒及無規律運動異與高血脂症有顯著相關，藉本研究了解危險因子對高血脂症影響，提供衛生單位規劃健康促進計畫之依據，以提升中老年人健康生活品質。

關鍵字

高血脂症 ； 高膽固醇血症 ； 高三酸甘油酯血症 ； 社區為基礎

並列摘要

Objectives: Hyperlipidemia is a major risk factor for cardiovascular disease (CVD) and many other chronic diseases during middle-age and old age. The aim of present study was to investigate the prevalence of hyperlipidemia as well as the factors related to hyperlipidemia among middle-aged and the elderly in Taoyuan communities. Methods: This cross-sectional study collected related information from people aged over 40 who were attending the integrated health screening program in their communities. The instruments included a physical examination, a serum biochemical test and a questionnaire. Results: A total of 324 subjects were enrolled with the mean age of 70.9±12.38years. Hypercholesterolemia was the major problem in terms of dyslipidemia and the prevalence was 60.19%. The overall prevalence rate of hyperlipidemia was 61.42%, with the rate among females being 72.15%, which was higher than among males (51.20%). Using logistic regression, we found that gender, smoking, alcohol consumption and a lack of regular exercise by individuals resulted in a statistically significant greater risk of hyperlipidemia. Conclusions: These results indicate that the prevalence rates for hyperlipidemia among the middle-aged and elderly who live in Taoyuan county communities has increased. The study of the risk factors associated with hyperlipidemia informs health providers and medical system and this will allow them to adjust their health promotion programs in order to further promote quality of life in the Taoyuan area.

並列關鍵字

hyperlipidemia ； hypercholesterolemia ； community-base