[1]张桂侠.老年人血脂水平与营养状况关系研究[J].西部中医药,2013,26(06):41-44.
　ZHANG Guixia.Study on the Relationship between Nutritional State and Lipid Levels of the Elderly[J].Western Journal of Traditional Chinese Medicine,2013,26(06):41-44.
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老年人血脂水平与营养状况关系研究
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
26
期数:
2013年06期
页码:
41-44
栏目:
出版日期:
2013-06-15

文章信息/Info

Title:
Study on the Relationship between Nutritional State and Lipid Levels of the Elderly
文章编号:
1004-6852(2013)06-0041-04
作者:
张桂侠
北京市昌平区中医医院，北京 102200
Author(s):
ZHANG Guixia
Changping District TCM Hospital, Beijing 102200, China
关键词:
血脂水平; 营养状况; 老年人
Keywords:
lipid level;  nutritional state;  the elderly
分类号:
R339.34
文献标志码:
A
摘要:
目的：了解老年人血脂水平与营养状况关系，为防治老年人高血脂提供科学依据。方法：选取健康体检者为调查对象，采用手检分卡法和统计学方法(卡方检验)进行数据统计分析。结果：①男、女高血脂症总检出率分别为42.57%和32.34%。②不同年龄组、不同性别高脂血症的检出率有显著性差异（P＜0.05）。高胆固醇血症的检出率最高为18.08%，高甘油三酯血症的检出率为11.91%，混合型高脂血症的检出率为7.39%，差异有显著性（χ2=12.79，P＜0.05），且各型的检出率男性大于女性。③经Logistic回归分析，高脂血症危险因素是年龄、BMI、饮酒、高热能膳食摄入及吸烟。④高血脂患者在热量、蛋白质、脂肪、维生素A摄入量等方面均明显高于正常人群(P＜0.01)。高血脂患者维生素C摄入量明显低于正常人群(P＜0.01)。⑤热量摄入、蛋白质、脂肪与高血脂呈正相关，维生素C与高血脂负相关。结论：应针对55岁以上老年人群进行高脂血症预防,大力开展健康教育,定期对患者进行复检,追踪观察，以降低高脂血症的发病率。
Abstract:
Objective: To provide scientific evidence for the prevention of senile hyperlipoidemia by knowing the relationship between lipid levels and nutritional state. Method: The people with health examination were chosen by card-sorting method with hand and statistical method (chi-square test). Result: ① Total detection rates of men and women were respectively 42.57% and 32.34%. ② There was significant difference in the detection rates of hyperlipoidemia from different groups and gender(P＜0.05). The highest detection rate of hypercholesterolemia was 18.08%, the detection rate of hypertriglyceridemia was 11.91% and that of combined hyperlipoidemia was 7.39%, the differences among them were significant ( χ2=12.79, P＜0.05), and the detection rate of man was higher than that of women. ③ The results of Logistic regression showed that the risk factors of hyperlipoidemia were age, BMI, alcohol, high calories dietary intake and smoking. ④ The patients with high lipid were obviously higher than normal people in the intake of energy, protein, fat, Vitamin A and others (P＜0.01). The intake of Vitamin C in patients with hyperlipoidemia was lower than that of normal people(P＜0.01). ⑤ Energy intake, protein and fat were closely related to high lipid, Vitamin C was negatively related to high lipid. Conclusion: We should advocate the prevention of hyperlipoidemia in the elderly aged more than 55 years, launch health education in full swing, re-check the patients periodically and trace to reduce the incidence of hyperlipoidemia.

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备注/Memo

备注/Memo:
收稿日期：2012-12-20 作者简介：张桂侠(1969—)，女，副主任医师。研究方向：血脂水平与营养状况关系的研究。
更新日期/Last Update: 2013-06-15