To investigate the prevalence of dyslipidemia and its influencing factors among the elderly in Pidu District.

An analysis was conducted on health examination data from permanent residents aged 65 and older in Pidu District from 2022 to 2023. The comparison of rates was performed using the chi-square test, and multivariate logistic regression analysis was employed to explore the risk factors associated with dyslipidemia. The significance level was set at α=0.05.

A total of 110 992 elderly individuals completed all examination items in Pidu District during 2022 and 2023, including 48 956 males (44.1%) and 62 036 females (55.9%), with an average age of (71.9±5.9) years. The detection rates of dyslipidemia, elevated total cholesterol (TC), elevated triglycerides (TG), elevated low-density lipoprotein cholesterol (LDL-C), and decreased high-density lipoprotein cholesterol (HDL-C) were 30.3%, 16.1%, 15.5%, 7.3%, and 5.6%, respectively. Female gender (OR=1.48, 95%CI: 1.43-1.54),smoking (OR=1.09, 95%CI: 1.04-1.14), overweight (OR=1.97, 95%CI: 1.80-2.16), obesity (OR=2.05, 95%CI: 1.86-2.26), central obesity (OR=1.23, 95%CI: 1.19-1.27), and lack of exercise (OR=1.18, 95%CI: 1.14-1.22) were identified as risk factors for dyslipidemia among the elderly in Pidu District. Conversely, being a rural resident (OR=0.84, 95%CI: 0.81-0.86) and being aged 80 years or older (OR=0.76, 95%CI: 0.73-0.79) were identified as protective factors.

It is essential to implement gender-sensitive management for the elderly, enhance health education related to overweight, obesity, and central obesity, and strengthen weight management among the elderly, while promoting daily exercise and smoking cessation.