河北医科大学学报 ›› 2021, Vol. 42 ›› Issue (11): 1277-1281.doi: 10.3969/j.issn.1007-3205.2021.11.008

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重庆市体检人群行为因素对血清尿酸水平的影响研究

  

  1. 陆军军医大学附属第一医院西南医院健康管理科,重庆 400038
  • 出版日期:2021-11-25 发布日期:2021-11-29
  • 作者简介:李拓键(1979-),男,四川南充人,陆军军医大学附属第一医院西南医院主治医师,医学学士,从事健康管理研究。

Effect of behavioral factors on serum uric acid level in physical examinees in Chongqing

  1. Department of Health Management, Southwest Hospital, the First Affiliated Hospital of Army Medical University, Chongqing 400038, China
  • Online:2021-11-25 Published:2021-11-29

摘要: 目的 探讨2019年重庆市体检人群血清尿酸水平相关影响因素,为预防血尿酸水平增高提供参考依据。
方法 选取2019年1—6月西南医院体检科体检人群为研究对象并对其进行问卷调查,对人群中血清尿酸水平相关影响因素进行研究。
结果 经χ2检验结果显示不同性别间高尿酸血症检出率差异有统计学意义(P<0.05),不同年龄组间高尿酸血症检出率差异有统计学意义(P<0.05);经t检验结果显示血尿酸增高组与血尿酸水平正常组比较收缩压偏高、舒张压偏高、BMI偏大、三酰甘油偏高、高密度脂蛋白胆固醇水平偏低、白细胞计数增多、红细胞计数增多、血红蛋白增多,差异有统计学意义(P<0.05);二分类Logistic 回归分析结果表明吸烟、饮酒、饮茶、饮咖啡、每日饮水量<1 500 mL、喜食肉类为血尿酸增高的危险因素(OR<1),奶类摄入每周≥3次和海鲜摄入每周<3次为血尿酸增高的保护因素(OR>1)。
结论 血尿酸水平增高与血压增高、白细胞计数增多、红细胞计数增多、三酰甘油水平增高等有关,通过戒烟、戒酒、不饮茶、不饮咖啡、多喝水、多喝牛奶以及少吃海鲜可以达到降低血清尿酸水平的目的。


关键词: 血尿酸, 影响因素, 饮食习惯

Abstract: Objective To investigate the related factors of serum uric acid level in physical examinees in Chongqing City in 2019, so as to provide reference for preventing the increase in serum uric acid level. 
Methods People who underwent  physical examination in Department of Physical Examination of our hospital from January 2019 to June 2019 were enrolled as research subjects, and questionnaires were conducted to investigate the related influencing factors of the serum uric acid level in the population. 
Results The Chi-square test results showed that there were statistically significant differences in the detection rates of hyperuricemia between different genders and among different age groups. The t test results showed that as compared with the group with normal blood uric acid level, the group with increased blood uric acid had higher blood uric acid level, higher systolic blood pressure, higher diastolic blood pressure, higher BMI, higher triglyceride, lower HDL cholesterol, increased white blood cell(WBC) count, increased red blood cell(RBC) count and increased hemoglobin. The results of binary Logistic regression analysis showed that smoking, consumption of alcohol, tea, coffee and drinking less than 1 500 mL of water each day and preference for meat were risk factors for increased serum uric acid(OR<1), while milk intake more than or equal to 3 times a week and seafood intake less than 3 times a week were protective factors for increased serum uric acid(OR>1). 
Conclusion The increaed blood uric acid level is associated with increased blood pressure, increased WBC count, increased RBC count, and increased triglyceride level. The goal of reducing serum uric acid levels can be achieved by quitting smoking, quitting alcohol, no tea consumption, no coffee consumption and consumption of more water, more milk and less seafood.


Key words: blood uric acid, influencing factors, eating habits