论文部分内容阅读
目的研究成人体重指数、腰围与血压、血糖和血脂的相关关系,为超重、肥胖干预政策制定提供依据。方法分析山东省2010年慢性病及其危险因素监测资料。按照多阶段分层随机抽样的方法,随机抽取山东省13个县(市、区)共计7 800名居民进行问卷调查,测量身高、体重、腰围(WC)、血压、空腹血糖、血脂等指标,分析不同体重指数、腰围与血压、血糖、血脂的水平及患病率间的关系。结果调查7 800名居民,相同体重指数分组内中心性肥胖者的收缩压(SBP)、舒张压(DBP)、体重指数(BMI)、高血压患病率、糖尿病患病率均显著高于WC正常者(P<0.05)。WC正常者高血压患病率、低高密度脂蛋白血症患病率、甘油三酯升高患病率、血脂异常患病率均呈现随BMI增加而上升的趋势(P<0.05)。调整年龄、性别、文化程度等混杂因素后,以同BMI分组的WC正常者为对照,体重正常、超重、肥胖组中心性肥胖者患高血压OR值分别为1.49(1.23~1.81)、1.50(1.25~1.80)、1.82(0.99~3.32),患糖尿病的OR值分别为1.53(1.01~2.20)、1.62(1.14~2.29)、3.55(0.85~14.83),患血脂异常的OR值分别为1.35(1.12~1.62)、1.60(1.35~1.90)、1.50(0.82~2.58),而与体重正常且WC正常组比较,超重和肥胖者中WC正常者患高血压OR值分别为1.58(1.32~1.90),2.71(1.48~4.9);患糖尿病OR值分别为1.33(0.92~1.92)、0.96(0.23~4.04),患血脂异常OR值分别为1.38(1.16~1.63)、2.29(1.30~4.02)。结论 BMI与WC均为高血压、糖尿病、血脂异常的危险因素,二者之间存在协同作用,肥胖的预防和干预要同时考虑BMI与WC。
Objective To study the relationship between body mass index, waist circumference and blood pressure, blood glucose and blood lipids in adults and to provide basis for policy formulation of overweight and obesity intervention. Methods To analyze the monitoring data of chronic diseases and risk factors in Shandong Province in 2010. A total of 7 800 residents in 13 counties (cities and districts) of Shandong Province were randomly selected for questionnaire survey according to the stratified random sampling method. Height, weight, waist circumference (WC), blood pressure, fasting blood glucose, Analysis of different body mass index, waist circumference and blood pressure, blood glucose, blood lipid levels and prevalence of the relationship between. Results A total of 7 800 residents were investigated. SBP, DBP, BMI, prevalence of hypertension and prevalence of diabetes in the same obesity group were significantly higher than those in WC Normal (P <0.05). The prevalence of hypertension, the prevalence of low-density lipoproteinemia, the prevalence of elevated triglycerides and the prevalence of dyslipidemia in WC normal patients all showed an increasing trend with the increase of BMI (P <0.05). After adjusting for confounding factors such as age, sex and education level, the OR of hypertension with normal weight overweight and obesity in central obesity group were 1.49 (1.23-1.81) and 1.50 The odds ratios for patients with diabetes were 1.35 (range: 1.25-1.80) and 1.82 (0.99-3.32) respectively. The odds ratios for patients with diabetes were 1.53 (1.01-2.20), 1.62 (1.14-2.29) and 3.55 (1.12-1.62), 1.60 (1.35-1.90) and 1.50 (0.82-2.58) respectively. However, compared with normal weight and normal WC group, the OR of hypertension with WC in overweight and obesity patients were 1.58 (1.32-1.90) , 2.71 (1.48 ~ 4.9). The odds ratios for patients with diabetes mellitus were 1.33 (0.92-1.92) and 0.96 (0.23-4.04) respectively. The odds ratios for patients with dyslipidemia were 1.38 (1.16-1.63) and 2.29 (1.30-4.02), respectively. Conclusions Both BMI and WC are risk factors of hypertension, diabetes and dyslipidemia, and synergistic effect exists between the two. The prevention and intervention of obesity should consider both BMI and WC.