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中国海洋大学校医院预防保健科
纸质出版日期:2019,
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[1]张慧慧,张英.山东沿海地区某高校教职工高尿酸血症与心血管疾病危险因素的关系[J].保健医学研究与实践,2019,16(04):52-57.
Zhang Huihui, Zhang Ying. Relationship between hyperuricemia and cardiovascular disease risk factors in faculty of a costal Shandong university[J]. Health Medicine Research and Practice, 2019,16(4):52-57.
目的探讨山东沿海地区某高校教职工人群高尿酸血症(HUA)的患病情况及与心血管疾病危险因素的关系。方法选取2014-2017年山东沿海地区某高校教职工为研究对象(n=7 392)。其中
2014年1 842例
2015年1 475例
2016年1 960例
2017年2 115例。采用多元线性回归、Spearman相关分析血尿酸(SUA)水平与患者性别、年龄、体质量指数(BMI)、收缩压(SBP)、舒张压(DBP)、空腹血糖(FPG)、甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)之间的关系。采用Logistic回归探讨HUA患病的影响因素。结果 2014-2017年研究对象中
HUA检出人数660例(8.9%)。其中男性HUA患者532例(7.2%)
女性HUA患者128例(1.7%)
差异有统计学意义(P<0.05)。不同年龄段研究对象HUA检出情况显示:各年龄段男性HUA检出率比较
差异无统计学意义(P>0.05)
在30~39岁年龄段
男性HUA检出率最高;各年龄段女性HUA检出率比较
差异有统计学意义(P<0.05)
在30~39岁和40~49岁年龄段
女性HUA检出率均较高。此外
各年龄段男性HUA检出率均高于女性
差异有统计学意义(P<0.05)。除年龄外
HUA组与非HUA组患者的性别构成、血压、血糖以及血脂比较
差异均有统计学意义(P<0.05);并且
HUA组患者的男性人数比例、血压及除HDL-C外的其他血脂指标水平均高于非HUA组。相关性结果显示
SUA水平与患者的年龄
BMI
SBP
DBP
FPG
TG
TC
LDL-C均呈正相关(P<0.05)
与HDL-C呈负相关(P<0.05)。多元线性回归结果显示
患者的性别
年龄
BMI
DBP
FPG
TG
TC
HDL-C
LDL-C是影响其SUA水平的因素(P <0.05)。多因素Logistic回归结果显示:年龄(OR=0.973)
性别(OR=1.986)
BMI(OR=1.170)
DBP(OR=1.017)
FPG(OR=1.082)
TC(OR=1.475)
HDL-C(OR=0.315)是HUA患病的影响因素。其中
年龄(OR=0.972)
BMI(OR=1.162)
DBP(OR=1.015)
TC(OR=1.441)
HDL-C(OR=0.436)是影响男性HUA患病的主要因素;BMI(OR=1.191)
FPG(OR=1.407)
TG(OR=1.623)
TC(OR=1.228)
HDLC(OR=0.320)是影响女性HUA患病的主要因素。结论山东沿海地区男性教职工HUA检出率明显高于女性
中青年男性HUA检出率最高;HUA与性别、年龄、BMI、血压、血糖、血脂等心血管疾病危险因素密切相关。建议在防控HUA时
对不同性别、不同年龄段人群采取不同的干预措施
在控制体质量、总胆固醇的基础上
男性患者应加强血压(尤其是DBP)控制
女性患者应加强血糖和TG控制。
Objective To investigate the prevalence rate of hyperuricemia(HUA)in faculty of a Shandong costal university and to explore the relationship between HUA and risk factors of cardiovascular disease.Methods The data of physical examination of 7 392 faculty members in the school hospital of Ocean University of China from2014 to 2017(data of 1 842 members in 2014
1 475 members in 2015
1 960 members in 2016 and 2 115 members in 2017)were collected.Multiple linear regression and Spearman′s rank correlation coefficient were conducted to analyze the relationship between HUA and cardiovascular disease risk factors
including age
body mass index(BMI)
systolic blood pressure(SBP)
diastolic blood pressure(DBP)
fasting plasma glucose(FPG)
triglyceride(TG)
total cholesterol(TC)
high-density lipoprotein-cholesterol(HDL-C)and low-density lipoprotein-cholesterol(LDL-C).Logistic regression was used to investigate factors influencing SUA.Results Among those objects
660 members were detected with HUA(8.9%)
including 532 males(7.2%)and 128 females(1.7%)
with statistically significant difference(P<0.05).HUA in faculty in different age groups showed as follows:detection rate of male HUA in different age groups had no statistically significant difference(P>0.05);male during 30-39 years old had the highest detection rate of HUA.Detection rate of female HUA in different age groups had statistically significant difference(P<0.05);female during 30-39 years old and 40-49 years old had high detection rates.Besides
male HUA were higher than female HUA in all age groups
with statistically significant difference(P<0.05).Except the age
differences of gender
blood pressure
blood glucose and blood fat in HUA group and non-HUA group were statistically significant(P<0.05);in the HUA group
factors including male
blood pressure and blood fat(except HDL-C)were higher than those in the non-HUA group.HUA had a positive relationship with age
BMI
SBP
DBP
FPG
TG
TC and LDL-C(P<0.05)
and had a negative relationship with HDL-C(P<0.05).Results of multiple linear regression showed that gender
age
BMI
DBP
FPG
TG
TC
HDL-C and LDL-C could influence SUA levels(P<0.05).And results of multiple factor Logistic regression showed that age(OR=0.973)
gender(OR=1.986)
BMI(OR=1.170)
DBP(OR=1.017)
FPG(OR=1.082)
TC(OR=1.475)and HDL-C(OR=0.315)were factors influencing HUA.Age(OR=0.972)
BMI(OR=1.162)
DBP(OR=1.015)
TC(OR=1.441)and HDL-C(OR=0.436)were main factors influencing male HUA
while BMI(OR=1.191)
FPG(OR=1.407)
TG(OR=1.623)
TC(OR=1.228)and HDL-C(OR=0.320)were main factors influencing female HUA.Conclusion The risk of HUA in males is higher than that in females in the costal Shandong district
and men with young and middle age had the highest detection rate.HUA has a close relationship with risk factors of cardiovascular diseases
including gender
age
BMI
blood pressure
blood glucose and blood fat.Therefore
we suggest that taking different measures in different gender and age when preventing HUA.On the basis of controlling BMI and TC
male should pay more attention to blood pressure(especially DBP)and female should pay more attention to blood glucose and TG.
沿海教职工高尿酸血症心血管疾病危险因素关系
Costal facultyHyperuricemiaCardiovascular disease risk factorsRelationship
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