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目的:探讨上海市殷行地区成人高血压人群体质指数(BMI)与糖代谢异常的关系。方法:采用分层随机整群抽样方法,对上海市殷行地区成人高血压人群进行流行病学调查及实验室检测。根据BMI不同水平分级,使用SPSS17.0软件分析不同BMI水平的糖代谢异常率,并进行多因素Logistic回归分析。结果:该高血压人群中男女性超重检出率分别为34.2%和37.5%;肥胖检出率分别为5.9%和13.1%,女性高于男性(P<0.05)。空腹血糖受损(IFG)及IFG与糖尿病(DM)总体患病率男性明显高于女性(P<0.01);DM及IFG与DM合计患病率均随BMI水平的增高而增加(P<0.01),同时DM患病风险随BMI水平的升高而增加。结论:上海市殷行地区成人高血压人群中BMI是糖代谢异常的独立相关因素。
Objective: To investigate the relationship between body mass index (BMI) and abnormal glucose metabolism in adults with hypertension in Yinhang area of Shanghai. Methods: The stratified random cluster sampling method was used to carry out epidemiological investigation and laboratory tests on adult hypertensive population in Yinhang area, Shanghai. According to different levels of BMI, SPSS17.0 software was used to analyze the rate of abnormal glucose metabolism at different levels of BMI, and multivariate Logistic regression analysis. Results: The prevalence rates of overweight and overweight were 34.2% and 37.5% respectively in this hypertensive population. The detection rates of obesity were 5.9% and 13.1% respectively, higher in women than in men (P <0.05). The prevalence of fasting blood glucose (IFG), IFG and DM was significantly higher in males than in females (P <0.01). The combined prevalence of DM, IFG and DM increased with the increase of BMI (P <0.01) ), While the risk of DM increased with the increase of BMI level. Conclusion: BMI in adults with hypertension in Yinhang area of Shanghai is an independent factor related to abnormal glucose metabolism.