- VernacularTitle:高氟暴露对老年人血脂异常影响研究
- Author:
Wenfeng LI
1
;
Fang LI
1
;
Dandan ZHANG
1
;
Yani DUAN
1
;
Yushan CUI
1
;
Yang WANG
1
Author Information
- Publication Type:Journal Article
- Keywords: Elderly; High fluoride exposure; Dyslipidemia
- From: Journal of Public Health and Preventive Medicine 2025;36(4):55-59
- CountryChina
- Language:Chinese
- Abstract: Objective To explore the association between different levels of fluoride exposure and dyslipidemia in elderly people, and to analyze the influencing factors and their interactions. Methods A total of 1 143 elderly people over 60 years old were randomly selected from historical high water fluorosis areas and control areas in Tianjin. Logistic regression model and classification tree model were used to analyze the influencing factors of dyslipidemia, and to analyze the interaction between high fluoride exposure and relevant influencing factors on dyslipidemia. Results The prevalence of elevated low density lipoprotein cholesterol (LDL-C) was 5.69% (65/1 143). There was a significant difference in the prevalence of high LDL-C in different fluoride-exposed areas (2 = 0.092,P = 0.762). Multivariate logistic analysis showed that high fluoride exposure (OR=2.306,95%CI:1.185-4.491) and abdominal obesity (OR=2.274,95%CI:1.299-3.978) were risk factors for high LDL-C, while type B personality (OR=0.529,95%CI:0.308-0.908) was a protective factor for high LDL-C. The results of classification tree model showed that abdominal obesity contributed the most to the prevalence of high LDL-C in the elderly, followed by high fluoride exposure and hyperglycemia. There was a significant multiplicative interaction between high fluoride exposure and abdominal obesity on dyslipidemia (OR=5.191,95%CI:1.609-16.745,P=0.006). Conclusion High fluoride exposure may increase the risk of high LDL-C, and there is a multiplicative interaction between high fluoride exposure and abdominal obesity on dyslipidemia.