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高血脂早期和中期无明显症状,专家提醒:这几类人需格外注意
Bei Ke Cai Jing· 2025-08-26 12:33
Core Viewpoint - The increasing prevalence of "three highs" (high blood pressure, high blood sugar, and high blood lipids) poses a significant public health challenge, with high blood lipids being particularly insidious due to a lack of early symptoms [1][2]. Group 1: Prevalence and Risk Factors - A significant percentage of patients with hypertension (61.5%) also have lipid abnormalities, while 65.8% of those with lipid abnormalities have hypertension, and 67.1% of diabetes patients have lipid issues [2]. - The overall prevalence of hyperlipidemia among Chinese residents aged 18 and above is 35.6%, indicating that approximately 1 in 3 to 4 adults suffers from this condition [2]. - Genetic factors contribute to over 50% of lipid issues, making individuals with a family history of high blood lipids or cardiovascular diseases more susceptible [2]. Group 2: Management and Detection - The "Chinese Blood Lipid Management Guidelines (2023)" recommend that adults under 40 should have lipid tests every 2 to 5 years, while those 40 and older should be tested at least annually [4]. - It is crucial to interpret lipid test results correctly, focusing on risk levels (low, medium-high, high, extremely high) to set appropriate lipid-lowering targets [4]. - For extremely high-risk patients with established atherosclerotic cardiovascular disease, LDL-C levels should be reduced to below 1.4 mmol/L, with a reduction of more than 50% from baseline [4]. Group 3: Lifestyle Recommendations - To improve lipid management, adopting a healthy lifestyle is essential, including a balanced diet, regular exercise (at least 150 minutes of moderate-intensity activity weekly), and avoiding smoking and excessive alcohol [5]. - If lifestyle changes do not yield results, it is important to follow medical advice for long-term medication adherence [5]. Group 4: Importance of Awareness - Heart and cerebrovascular diseases, often referred to as "cancers among common diseases," can be effectively managed through scientific approaches to the "three highs," particularly high blood lipids, which are often overlooked [6].