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为研究热带地区中老年人体脂分布与高脂血症及与相关指标的联系 ,对 1477名 40岁以上广州城市居民进行体格检查 ,测量身高、体重、腰围、臀围和血压 ,抽清晨空腹静脉血 ,测血清甘油三酯、总胆固醇、尿酸和胰岛素含量。结果表明 ,血清甘油三酯浓度随年龄增长而升高 ,高甘油三酯血症的比例在5 0～ 5 4岁组达高峰 ,随后逐渐下降。总胆固醇浓度的高峰值在 5 0岁～和 5 5岁～组。随增龄 ,体重和身高有下降趋势 ,但体质指数 (BMI)≥ 2 5者所占比例随年龄而增加。高甘油三酯组人群的血压、体重、BMI和血尿酸含量高于正常甘油三酯组 ,而高胆固醇血症与高血糖之间的交互影响有显著性意义。结果提示 :对甘油三酯有影响的因子依次为BMI、尿酸、总胆固醇和舒张压 ,影响总胆固醇的因素有年龄、甘油三酯、血糖、体重和BMI。
In order to study the relationship between body fat distribution and hyperlipidemia in middle and old-aged people in the tropics and related indicators, a physical examination was performed on 1477 urban residents over the age of 40 in Guangzhou to measure height, weight, waist circumference, hip circumference, and blood pressure. Blood, serum triglycerides, total cholesterol, uric acid, and insulin levels were measured. The results showed that serum triglyceride concentrations increased with age, and the proportion of hypertriglyceridemia peaked in the 50-54-year-old group and then gradually decreased. The peak of total cholesterol concentration was in the 50-year-old and 55-year-old groups. With increasing age, there was a downward trend in body weight and height, but the proportion of those with a body mass index (BMI) ≥ 2 5 increased with age. Blood pressure, body weight, BMI, and serum uric acid levels in the hypertriglyceridome group were higher than those in the normal triglyceride group, and the interaction between hypercholesterolemia and hyperglycemia was statistically significant. The results suggest that the factors affecting triglycerides are BMI, uric acid, total cholesterol and diastolic blood pressure in turn. The factors affecting total cholesterol are age, triglyceride, blood glucose, body weight and BMI.