关键词: 体检人群, 血脂, 血脂异常, 影响因素

Abstract: Objective To analyze the prevalence and influencing factors of dyslipidemia in the physical examinees. Methods Taking the personnel who participated in physical examination in Air Force Hangzhou Secret Service Rehabilitation Center from December 2017 to December 2019 as the survey object, the demographic characteristics, physical examination and laboratory examination indexes were collected and sorted out, the dyslipidemia of the physical examinees was counted, and the influencing factors of dyslipidemia were analyzed by multivariate Logistic regression analysis method. Results A total of 5 456 subjects were included in this study, with an average age of （40.15±9.31） years. Among them, there were 2 096 patients with dyslipidemia, and the prevalence rate was 38.42%. Among the various dyslipidemia indexes, only 1 abnormality accounted for 20.38%, and 2 or more abnormalities accounted for 18.04%. Multivariate Logistic regression analysis showed that advanced age （OR=1.765）, male （OR=1.811）, BMI≥24.0 kg/m² （OR=2.546）, smoking （OR=1.928）, family history of dyslipidemia （OR=1.755）, hypertension （OR=2.748） were risk factors for dyslipidemia of physical examiners, physical exercise （OR=0.447） was a protective factor for dyslipidemia of physical examiners. Conclusion The prevalence of dyslipidemia in healthy people is high. Male, advanced age, smoking, family history of dyslipidemia, overweight / obesity and hypertension are the risk factors of dyslipidemia. It is suggested to carry out targeted blood lipid monitoring and lifestyle intervention to prevent the occurrence of cardiovascular diseases.

Key words: Physical examinees, Blood lipid, Dyslipidemia, Influencing factor