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新疆汉族成年人群最适体质指数和腰围切点值对超重及中心性肥胖分类的研究

发布时间:2018-03-16 08:26

  本文选题:新疆汉族成年人 切入点:体质指数 出处:《新疆医科大学》2015年硕士论文 论文类型:学位论文


【摘要】:目的:探讨新疆汉族成年人群最适体质指数和腰围切点值对超重及中心性肥胖分类的作用。方法:2007年10月至2010年3月开展新疆地区心血管风险调查,共选择具有代表性样本14618人,其中汉族5757人,从中选取资料完整的5666人作为研究对象,年龄35~88岁,平均52.47岁。测量并记录每名入组对象的血压、总胆固醇、甘油三酯、低密度脂蛋白、高密度脂蛋白、空腹血糖。计算并记录不同体质指数值和腰围值所对应的心血管疾病危险因素的患病率、敏感度、特异度及在受试者工作特征曲线上的距离,以受试者工作特征曲线判定体质指数和腰围对超重和中心性肥胖筛查的切点、敏感性、特异性和患病率。结果:1.无论男性还是女性,体质指数较高人群的糖尿病和高胆固醇血症的患病率较高,腰围值较高人群的高甘油三酯血症的患病率较高;2.体质指数较高的新疆汉族成年男性,其高甘油三酯血症的患病率较高:3.体质指数和腰围值较高的新疆汉族成年女性,其高血压的患病率较高。4.无论男性还是女性,其高血压、血脂异常、糖尿病或≥12个危险因素在受试者工作特征曲线上的最短距离定为最适体质指数和腰围的切点值,男性为26kg/m2和90cm,女性为25kg/m2和85cm。结论:在新疆汉族成年人群中,需要采用较高的体质指数切点值定义男性超重,采用较高的腰围切点值定义女性中心性肥胖。
[Abstract]:Objective: to investigate the effects of the optimal BMI and waist circumference point on the classification of overweight and central obesity in Xinjiang Han population. Methods: from October 2007 to March 2010, the cardiovascular risk survey was carried out in Xinjiang. A total of 14618 representative samples were selected, including 5 757 Han people, and 5 666 persons with complete data were selected as the subjects, aged 35 to 88 years, with an average of 52.47 years old. The blood pressure, total cholesterol and triglyceride of each group were measured and recorded. Low density lipoprotein (LDL), high density lipoprotein (HDL), fasting blood glucose (FBG). The prevalence, sensitivity, specificity and distance on the operating characteristic curve of the subjects were calculated and recorded for cardiovascular disease risk factors corresponding to different body mass index values and waist circumference values. The sensitivity, sensitivity, specificity and prevalence of body mass index (BMI) and waist circumference for screening for overweight and central obesity were determined by the operating characteristic curve of the subjects. Results: 1.No matter male or female, The prevalence of diabetes mellitus and hypercholesterolemia in the population with higher BMI was higher, and the prevalence rate of hypertriglyceridemia in the group with higher waist circumference was higher than that in the group with higher BMI. The prevalence of hypertriglyceridemia in Xinjiang Han nationality women with higher BMI and waist circumference was higher. 4. Whether male or female, the prevalence of hypertension and dyslipidemia was higher. The shortest distance of diabetes mellitus or 鈮,

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