摘要
目的:进一步证实健康生活方式对心血管病危险因素的影响。方法:选取2016-2018年北京某机关全体人员277人,每年1次对心血管病危险因素进行调查,并给予健康教育生活干预。对比干预前后体重指数、血压、血脂、血糖和尿酸等指标水平变化。结果:3年间平均体重指数(BMI)、收缩压(SBP)、舒张压(DBP)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)等指标水平逐年下降,而高密度脂蛋白胆固醇(HDL-C)水平逐年升高,差异均有统计学意义(P<0.05);空腹血糖(BG)和尿酸(UA)水平下降,但差异无统计学意义(P>0.05)。2018年肥胖、超重、高血压、血脂异常、高尿酸血症和糖尿病占比较2016年显著下降,差异有统计学意义(P<0.05)。结论:健康生活方式干预可以在一定程度上改善体重指数、血压、血脂和血糖等心血管病危险因素,尤其对初次发现低危高血压、血脂异常及糖尿病的患者,效果明显。
Objective:To further confirm the impact of a healthy lifestyle on cardiovascular risk factors.Methods:From 2016 to 2018,a total of 277 people from a certain government unit in Beijing were selected,the risk factors of cardiovascular disease were investigated once a year,the health education and life intervention were given.The changes of body mass index,blood pressure,blood lipids,blood glucose and uric acid levels were compared before and after the intervention.Results:The average body mass index(BMI),systolic blood pressure(SBP),diastolic blood pressure(DBP),total cholesterol(TC),triglyceride(TG)and low density lipoprotein cholesterol(LDL-C)levels decreased year by year in three years and high density lipoprotein cholesterol(HDL-C)levels raised year by year,the differences were statistically significant(P<0.05).Fasting blood glucose(BG)and uric acid(UA)levels also decreased,but the differences were not statistically significant(P>0.05).The proportion of obesity,overweight,hypertension,dyslipidemia,hyperuricemia and diabetes decreased significantly in 2018 compared with 2016,the differences were statistically significant(P<0.05).Conclusion:Healthy lifestyle intervention can improve cardiovascular risk factors such as body mass index,blood pressure,blood lipids and blood sugar to a certain extent,especially for patients with low risk hypertension,dyslipidemia and diabetes for the first time,the effect is obvious.
作者
刘志艳
鲍艳江
刘威
郭雪微
Liu Zhiyan;Bao Yanjiang;Liu Wei;Guo Xuewei(Department of Internal Medicine,the Health Center of Pang Gezhuang Town,Daxing District,Beijing City,Beijing 102601;Department of Cardiology,the People's Hospital of Daxing District,Beijing City,Beijing 102600)
出处
《中国社区医师》
2020年第15期185-186,188,共3页
Chinese Community Doctors
关键词
健康教育
生活方式干预
心血管病危险因素
公务员
Health education
Lifestyle intervention
Cardiovascular risk factors
Civil servants
