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为探讨舟山渔民体脂分布特征与心血管病危险因素的关系,调查了浙江舟山朱家尖自然人群中1000例渔民,年龄为35~59岁。测量其身高、体重、腰围、臀围、心率及收缩压(SBP)、舒张压(DBP);同时测定血清总胆固醇(TC)、高密度脂蛋白-胆固醇(HDL-C)、甘油三酯(TG)和空腹血糖(FBS)。结果显示:(1)女性的体重指数(BMI)高于男性;而男性的体脂分布(WHR)明显高于女性。(2)无论男女,BMI和WHR与TC、TG、SBP、DBP、FBS呈正相关;与HDL-C呈负相关。(3)调整年龄、BMI后,男性TC、TG、FBS、DBP,女性TG、FBS仍与WHR呈正相关。结果提示:WHR是反映人群心血管病危险因素水平的重要指标,尤其对血脂异常更为重要。WHR和BMI的计算方法简便、无创伤、重复性及可比性较好,是流行病学和人群防治的良好指标。
In order to investigate the relationship between body fat distribution and risk factors of cardiovascular disease in Zhoushan fishermen, 1000 fishermen from Zhujiajian, Zhoushan, Zhejiang Province, aged from 35 to 59 years, were investigated. Body height, body weight, waist circumference, hip circumference, heart rate and systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured. Serum total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), triglyceride TG) and fasting blood glucose (FBS). The results showed that: (1) Women’s body mass index (BMI) was higher than men’s; while men’s body fat distribution (WHR) was significantly higher than that of women. (2) BMI and WHR were positively correlated with TC, TG, SBP, DBP and FBS, both men and women, and negatively correlated with HDL-C. (3) After adjusting for age, BMI, male TC, TG, FBS, DBP, female TG, FBS still had a positive correlation with WHR. The results suggest that: WHR is an important indicator of cardiovascular disease risk factors in the population, especially for dyslipidemia is more important. The calculation of WHR and BMI is simple, non-invasive, reproducible and comparable, and is a good indicator of epidemiology and population control.