广西柳江县成人肥胖测量指标与血压、血糖、血脂的相关因素研究

发布时间：2018-05-12 19:36

  本文选题：体质指数(BMI) + 腰围(WC)　； 参考：《广西医科大学》2016年硕士论文

【摘要】：目的：探讨广西柳江县成人中以体重指数(BMI)、腰围(WC)、内脏脂肪指数(VAI)为代表的肥胖指标与血压、血糖、血脂的关系。为预防和控制高血压、糖尿病、高血脂等肥胖相关慢性疾病的发生提供参考依据。方法：2013年12月至2014年1月,对柳江县人群进行流行病学调查681人,实际有效数值399例。记录一般测量指标,包括身高、体重、腰围、内脏脂肪率、血压,并进一步抽取血液标本送至实验室查空腹血糖(FPG)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)。结果：①在广西柳江县399名受检者中,男性较女性更易患肥胖症、血压异常、血脂异常。②分别依据BMI、WC、VAI数值进行分组后比较,血压异常(高于正常范围)、高血糖、血脂异常检出率(患病率)的差异有统计学意义,超重及肥胖组中上述病症的患病率高于非超重或肥胖组。③男性中,VAI与血压、TG呈正相关,与HDL-C呈负性相关,具有统计学意义(p0.05)；女性中,VAI与血压、血脂均存在明显相关关系(p0.05):VAI与MAP(平均动脉压)、TG、TC、LDL-C呈正相关,VAI与HDL-C呈负相关,具有统计学意义(p0.05)。女性人群中年龄与FPG (r=0.253, p=0.000)、年龄与VAI (r=0.163, p=0.008)均有显著相关性,具有统计学意义(p0.05)。在混杂有年龄因素时FPG与VAI相关性分析结果提示男女组中均有显著相关性(r男=0.183 VS r女=0.141),具有统计学意义(p0.05)。而排除年龄因素后,男女组中FPG与VAI均无明显相关性。④二项分类资料logistic回归结果表明,当WC(男性)85cm,WC(女性)80cm时,血压异常的患病风险OR=2.836,血脂异常的患病风险OR=1.736,高血糖的患病风险是OR=2.835。当BMI≥23 kg/m2时,血压异常的患病风险OR=3.541,血脂异常的患病风险OR=2.037,高血糖的患病风险OR=1.862(p0.05)。当BMI、WC数值均达到超重或肥胖的标准时,血压异常、血脂异常、高血糖的患病风险OR值均大于单一项目达标时的OR值。结论：①在广西柳江县399名受检者中,男性较女性更易患肥胖症、血压异常、血脂异常。②随着BMI、WC、VAI的增加,血压异常、高血糖、血脂异常的检出率呈上升趋势。③女性人群中年龄与FPG及VAI存在相关关系,VAI与血脂的相关性较男性明显。④BMI是血压异常(高于正常)、血脂异常的重要预测因子,WC是高血糖的重要预测因子。BMI、WC对血压异常(高于正常)、血脂异常、高血糖的患病情况起着协同作用。
[Abstract]:Objective: to investigate the relationship between body mass index (BMI), waist circumference (WCC), visceral fat index (VAII) and blood pressure, blood glucose and blood lipid in adults in Liujiang County, Guangxi. To prevent and control hypertension, diabetes, hyperlipidemia and other obesity related chronic diseases. Methods: from December 2013 to January 2014, 681 people were investigated in Liujiang County. Record general measurements, including height, weight, waist circumference, visceral fat rate, blood pressure, Blood samples were collected and sent to the laboratory for fasting blood glucose (FPG), total cholesterol (TC), triglyceride (TGN), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C). Results among 399 subjects in Liujiang County, Guangxi, males were more prone to obesity, abnormal blood pressure and abnormal blood lipids. The prevalence of these disorders in overweight and obesity group was higher than that in non-overweight or obese group. There was a positive correlation between blood pressure and TG, and a negative correlation between VAI and HDL-C. There was a significant correlation between VAI and blood pressure and blood lipid in female patients (P 0.05). There was a positive correlation between VAI and MAPP (mean arterial pressure) TGG and TCLDL-C were negatively correlated with HDL-C, and there was significant difference between them (p 0.05). There was a significant correlation between age and FPG 0.253, p0. 000, VAI 0.163, p0. 008) in female population, which had statistical significance (P 0. 05). The results of correlation analysis between FPG and VAI showed that there was a significant correlation between FPG and VAI in male and female groups (0.183 vs 0.141), which had statistical significance (p 0.05). After the age factor was excluded, there was no significant correlation between FPG and VAI in male and female groups. 4. The results of logistic regression showed that when WC (male = 85 cm) WC (female = 80 cm), WC (male = 85 cm), WC (female = 80 cm), The risk of abnormal blood pressure was OR2.836, the risk of dyslipidemia was OR1.736, and the risk of hyperglycemia was OR2.835. When BMI 鈮，

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