GAO Yan,TIAN Zhong-ping,XIA Hui,et al.Survey on peripheral blood lipid levels and the influencing factors among school-age children in Shanghai Anting District[J].同济大学学报(医学版),2021,42(3):408-413. [点击复制]
(Anting Community Health Service Center in Jiading District, School of Medicine, Tongji University, Shanghai 201805, China;School of Medicine, Tongji University, Shanghai 200092, China;Dept. of Public Health and Preventive Medicine, School of Medicine, Tongji University, Shanghai 200092, China)
Abstract:
ObjectiveTo survey the peripheral blood lipid levels and the influencing factors among school-age children in Anting District of Shanghai. MethodsA total of 1 018 students(519 males and 499 females) aged 7-12 years from 2 primary schools in Anting town of Shanghai were selected with stratified cluster sampling method. The fingertip blood samples were collected, the blood levels of triglyceride(TG), total cholesterol(TC), low density lipoprotein cholesterol(LDL-C) and high-density lipoprotein cholesterol(HDL-C) were measured. The physical examination was performed and questionnaires were used to collected baseline data. Logistic regression was used to analyze the independent risk factors of high level of blood lipids. ResultsThe cut-off values of TG, TC, HDL-C and LDL(the 95 percentile, P95) were 2.40 mmol/L,4.88 mmol/L,1.13 mmol/L and 2.91 mmol/L, respectively; and there was no significant difference between males and females(P>0.05). HDL was negatively correlated with age distribution(P<0.05). According to the cut-off point of this study, the overall detection rate of dyslipidemia was 16.8%(95%CI: 14.6%-19.0%). Logistic regression analysis showed that overweight(OR=1.558,95%CI: 1.082-2.242), overdue birth(OR=2.578,95%CI: 1.151-5.773), family history of obesity(OR=1.545,95%CI: 1.033-2.310), and passive smoking(OR=2.310,95%CI: 1.348-3.957) were independent risk factors; while napping(OR=0.571,95%CI: 0.341-0.958) was the protective factor for dyslipidemia in school children. ConclusionThis study shows risk factors of dyslipidemia in school-age children in Shanghai Anting Town, indicating that the intervention measures should be strengthened to reduce risk factors of dyslipidemia in school children.