不同BMI和心肺耐力水平的中年男性心血管疾病风险因素的特征研究

发布时间：2018-05-11 20:54

本文选题：心肺耐力 + BMI　；参考：《中国体育科技》2017年01期

【摘要】：目的:对于我国中年人群而言,心肺耐力和超重/肥胖作为心血管疾病的保护因素和危险因素,但两者对心血管疾病风险因素的相互作用却鲜有研究。因此,探讨不同BMI和心肺耐力水平的中年男性的心血管疾病风险因素特征十分必要。方法:招募2014年6~12月期间在福建省第二人民医院健康管理中心进行体检的中年男性进行测试。使用改良Bruce平板试验测试心肺耐力,共测得319名男性的有效最大摄氧量数据。将45~49岁、50~54岁和55~59岁3个年龄段男性的最大摄氧量从低到高分为Q1~Q4 4个等级;根据中国BMI分级标准,将受试者分为正常、超重和肥胖3组。使用单因素方差分析和事后检验,探讨不同BMI和心肺耐力的中年男性中心血管疾病风险因素的差异。结果:1)在正常和超重男性中,Q3和Q4组的腰围、腰臀比和体脂百分比均显著低于Q1和Q2组(P0.05)。2)在超重男性中,Q3和Q4组受试者的收缩压低于Q1组(P0.05)。3)不同BMI级别的受试者中,Q4组男性的空腹血糖均最低且均在正常范围之内。4)在正常男性中,Q4组的总胆固醇和甘油三酯显著低于Q1和Q2组(P0.05),HDL-C显著高于Q1组(P0.05);在超重男性中,Q4组的HDL-C显著高于Q1组(P0.05)。5)在正常男性中,Q4组的心血管疾病风险因素个数显著少于Q1~Q3组(P0.05);在超重男性中,Q3和Q4组的心血管疾病风险因素个数均显著少于Q1组(P0.05)。结论:在不同BMI分级的中年男性中,心肺耐力较好的男性心血管疾病风险状况及各危险因素均好于心肺耐力较差的男性。提示,不论中年男性的肥胖状况如何,提高心肺耐力均有助于改善心血管疾病风险状况。
[Abstract]:Objective: cardiopulmonary endurance and overweight / obesity are the protective factors and risk factors of cardiovascular disease for middle aged population in China. Therefore, it is necessary to explore the risk factors of cardiovascular disease in middle-aged men with different levels of BMI and cardiopulmonary endurance. Methods: middle aged men were recruited for physical examination from June to December 2014 in the Health Management Center of the second people's Hospital of Fujian Province. A modified Bruce treadmill test was used to test cardiopulmonary endurance and available maximum oxygen uptake data were obtained in 319 men. The maximum oxygen intake of men aged 45 to 49 years old from 50 to 54 years old and 55 to 59 years old was divided into three groups: normal, overweight and obese according to the Chinese BMI grading standard. Univariate analysis of variance (ANOVA) and postmortem test were used to explore the difference of cardiovascular risk factors in middle-aged men with different BMI and cardiopulmonary endurance. Results (1) waist circumference of Q3 and Q4 groups in normal and overweight men, WHR and percentage of body fat were significantly lower than those in Q1 and Q2 groups (P0.05 路2) systolic blood pressure (SBP) of Q3 and Q4 groups was lower than that of Q1 group (P 0.05). 3) the fasting blood glucose in Q4 group was the lowest and the fasting blood glucose was lower in Q4 group than that in Q1 group. Total cholesterol and triglyceride in Q4 group were significantly lower than those in Q1 group and Q2 group were significantly higher than that in Q1 group P0.05 HDL-C level, and HDL-C in Q4 group was significantly higher than that in Q1 group (P0.05%) in overweight male group) cardiovascular disease risk in Q4 group was significantly higher than that in Q4 group. The number of cardiovascular risk factors in Q3 and Q4 groups was significantly lower than that in Q1 group. Conclusion: among the middle-aged men with different BMI grades, the cardiovascular risk status and risk factors of the men with better cardiopulmonary endurance were better than those with poor cardiopulmonary endurance. It is suggested that increasing cardiopulmonary endurance may improve cardiovascular risk regardless of the obesity status of middle-aged men.
【作者单位】：中国教育科学研究院;北京体育大学;福建中医药大学附属第二人民医院;Muscle
【基金】：国家十二五科技支撑计划课题(2012BAK21B02) 中国教育科学研究院2015年度基本科研业务费专项基金课题(GY2015XDY12)
【分类号】：G804.2

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