Prevalence and Risk Factors Analysis of Dyslipidemia Among Communal Hypertensive Adults

Objective To investigate the epidemiologic features of some forms of dyslipidemia in communal hypertensive adults in Wujiaochang Community of Shanghai.Methods A cross-sectional survey was conducted through a cluster multistage sampling of a resident group of 1 842 hypertensive individuals(853 men and 989 women,aged≥40 years) in Shanghai.The cutpoints of lipid phenotypes were based on the1992 recommendations of the European Atherosclerosis Society.Results The most prevalent abnormality(35.3%) was isolated hypercholesterolemia(33.6% for men and 36.8% for women).Mixed dyslipidemia was the secondary prevalent abnormality(15.9%).Isolated hypertriglyceridemia was observed in 6.1% of the sample.The prevalence of normotriglyceridemic hypoalphalipoproteinemia and severe dyslipidemia was 2.5% and 3.7%,respectively.Only a few samples had the abnormality of hypertriglyceridemia/hypoalphalipoproteinemia(0.7% for men and 0.4% for women).The prevalence of isolated hypertriglyceridemia,mixed dyslipidemia,and severe dyslipidemia was higher in diabetic patients compared with non-diabetic patients.Compared with those of normal weight,obese patients had a higher prevalence of isolated hypertriglyceridemia,mixed dyslipidemia,hypertriglyceridemia/hypoalphalipoproteinemia and severe dyslipidemia.Conclusion The prevalence of dyslipidemia among these hypertensive patients was relatively high.Diabetes and obesity,the modifiable risk factors,increased the likelihood of dyslipidemia.