THỰC TRẠNG RỐI LOẠN LIPID MÁU VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở NGƯỜI TRƯỞNG THÀNH ĐẾN KHÁM SỨC KHỎE ĐỊNH KỲ TẠI BỆNH VIỆN ĐA KHOA QUỐC TẾ VINMEC SMART CITY

Abstract

Objective: To describe the prevalence of dyslipidemia and analyze some associated factors among adults undergoing periodic health examinations at Vinmec Smart City International hospital. Subjects and Methods: A cross-sectional analytical study was conducted on 2131 adults (≥ 18 years) who underwent periodic health check-ups. Data on demographics, anthropometrics, blood pressure, and blood lipid profiles were collected. Dyslipidemia was diagnosed according to the NCEP-ATP III (2001) criteria. The chi-squared (χ2) test was used to analyze associations, with p<0.05 considered statistically significant. Results: The mean age of the participants was 39.6 ± 13.4 years, with females accounting for 55.5%. The prevalence of overweight and obesity was 51.4%. The overall prevalence of dyslipidemia was 69.5%. Among the lipid abnormalities, elevated LDL-C was the most common (43.2%), followed by elevated Triglycerides (35.3%), elevated Total Cholesterol (35.0%), and low HDL-C (32.8%). Factors significantly associated with a higher prevalence of dyslipidemia included male gender (76.9% vs. 63.6% in females), age > 35 years (78.6% vs. 59.9% in the ≤ 35 years group), being overweight/obese (81.1% vs. 59.6% in the normal BMI group and 31.8% in the underweight group), and hypertension (81.5% vs. 67.2% in the non-hypertensive group) (p<0.001 for all). Conclusion: The prevalence of dyslipidemia is remarkably high among adults undergoing periodic health examinations, with elevated LDL-C being the predominant disorder. Male gender, age over 35, overweight/obesity, and hypertension are significant risk factors.