关键词: 糖代谢, 脂代谢, 老年人, 影响因素

Abstract: Objective To observe the status of lipid metabolism and glucose metabolism in elderly health examinees in Fuzhou, and analyze the influencing factors of abnormal lipid metabolism and abnormal glucose metabolism. Methods The convenient sampling method was used to randomly select free health examinees aged 65 and above in Fuzhou to participate in this study. The questionnaire survey method was used to collect basic information and life behavior, and the lipid metabolism and glucose metabolism results were collected for descriptive analysis. The univariate and multivariate analysis methods were used to analyze the related factors of abnormal lipid metabolism combined with abnormal glucose metabolism. Results Finally, the relevant data of 3 519 elderly health examinees were included for analysis, including 1 126 cases of abnormal lipid metabolism （32.00%）, 774 cases of abnormal glucose metabolism （21.99%）, and 638 cases of abnormal lipid metabolism combined with abnormal glucose metabolism （18.13%）. Multivariate Logistic regression analysis showed that female （OR=1.524）, obesity （OR=1.403）, weekly exercise time<150 min （OR=2.075）, and smoking （OR=1.367） were risk factors for abnormal lipid metabolism combined with abnormal glucose metabolism in the elderly health examinees. Conclusions The incidence of abnormal lipid metabolism and abnormal glucose metabolism among the elderly health examinees in Fuzhou is relatively high and is related to gender, obesity, weekly exercise time, and smoking. Clinically, we can reduce the incidence of abnormal lipid metabolism and abnormal glucose metabolism by encouraging residents to quit smoking, increasing exercise, and improving their diet, thereby reducing the risk of cardiovascular and cerebrovascular diseases.

Key words: Glucose metabolism, Lipid metabolism, The elderly, Influencing factor