摘要
目的:探讨生活行为方式对浙江中北部农村居民慢性肾脏病(CKD)患病率的影响。方法:对浙江中北部(磐安县高二乡、海宁市永福村、海宁市许桥村、桐乡市路家园村)4个不同村落、118个村民小组内居住5年以上的18岁以上1 627例原住居民进行包括吸烟、饮酒、食盐口味、体力活动强度及业余爱好等生活行为方式问卷,同时测定研究对象的人体参数及ACR、eGFR,应用SPSS19.0统计软件对研究对象进行生活行为方式与CKD患病率进行分析。结果:受检居民以女性、年龄50~69岁者居多,各占63.00%及63.74%;该地区居民对目前生活、经济收入及健康状况满意度较高,经人口年龄性别标化后,该人群白蛋白尿患病率为10.51%,eGFR下降患病率为3.44%;CKD患病率为9.21%(95%CI 7.80~10.63);该人群BMI、WC、WHR、TG、UA异常及患有代谢综合征(MS)、高血压、糖尿病人群CKD患病明显高于非CKD人群,经比较差异具有统计学意义(P值均小于0.05);但包括吸烟与否、饮酒、食盐口味、体力活动强度等不良生活行为方式均与ACR异常、eGFR下降及CKD患病均无明显关系(P值均>0.05)。结论:该人群代谢成分异常与CKD患病有一定关联,但与不良生活行为方式无明显关联。
Objective To survey the effect of life behaviors on the prevalence rate of chronic kidney diseases（CKD）among rural residents in central and northern Zhejiang.Methods In four villages of Zhejiang,118 groups of inhabitants（residing for more than 5 years）aged above 18 years old were sampled to finish a questionnaire survey,including lifestyle behaviors such as smoking,drinking,salt intake,physical activity and hobby etc,and human body parameters and ACR,eGFR were also measured.SPSS 19.0 statistical software was used to analyze the life behaviors and the prevalence of CKD.Results The majority of the tested residents were women,residents aged 50 to 69,accounting for 63.00% and 63.74%,respectively.The satisfaction with the current life,income and health in the region was relatively high.After the population,age and gender standardization,the prevalence rates of albuminuria,eGFR decrease and CKD were 10.51%,3.44% and 9.21%（95% CI：7.80~10.63）.The abnormality of BMI,WC,WHR,TG,UA and the prevalence rates of MS,high blood pressure,diabetes in the CKD patients were significantly higher than the non-CKD population,and the differences were statistically significant（P0.05）.But ACR abnormality,eGFR decrease and CKD had no obvious correlation with the lifestyle behaviors including smoking status,alcohol,salt intake as well as the intensity of physical activity（all P0.05）.Conclusions The abnormal metabolic components of the population had a certain association with CKD,but had no obvious correlation with the bad life behaviors.
作者
陈惠仙
姚炯
嵇水玉
许秀君
金炜
陈勇
周连芬
杨渊
赵湘
CHEN Hui-xian,YAO Jiong,JI Shui-yu,et al(Zhejiang Provincial People＇s Hospital ＆ People＇s Hospital Affiliated to Hangzhou Medical College, Hangzhou, Zhejiang 310014, Chin)
出处
《中国农村卫生事业管理》
2018年第3期321-324,共4页
Chinese Rural Health Service Administration
基金
2015年浙江省医药卫生平台计划(重点资助)(2015ZDA005)
关键词
浙江中北部
农村居民
生活行为方式
慢性肾脏病
患病率
central-- northern Zhejiang province
rural resident
life behavior
chronic kidney disease
prevalence rate
