山东济南地区35～75岁人群肥胖类型与动脉僵硬度关系

发布时间：2018-05-13 20:53

  本文选题：肥胖 + 动脉僵硬度　； 参考：《中国公共卫生》2017年03期

【摘要】：目的探讨山东省济南地区35~75岁人群肥胖类型与血脂促动脉硬化指数的相关性。方法 2011年6月—2013年7月,采用整群随机抽样方法抽取山东省济南地区35~75岁人群10 079人,测量受试者腰围、身高、体重、颈-股动脉的脉搏波速度(cf PWV)及空腹血脂指标,并计算体质指数(BMI)及血脂促动脉硬化指数(PAI)。结果 BMI28 kg/m~2+非腹型肥胖组cf PWV及PAI分别为(9.15±1.62)m/s和(2.27±0.96),BM I28 kg/m~2+腹型肥胖组分别为(9.82±1.78)m/s和(2.56±1.18),BM I≥28 kg/m~2+非腹型肥胖组分别为(9.45±1.82)m/s和(2.44±1.19),BM I≥28 kg/m~2+腹型肥胖组分别为(10.99±1.91)m/s和(3.21±1.71)。与BM I28 kg/m~2+非腹型肥胖组比较,其余各组cf PWV及PAI明显升高(P0.05)。与BM I28 kg/m~2+腹型肥胖组比较,BMI≥28 kg/m~2+非腹型肥胖组cf PWV明显升高(P0.05)。与BM I≥28 kg/m~2+非腹型肥胖组比较,BM I≥28 kg/m~2+腹型肥胖组cf PWV及PAI明显升高(P0.05)。BM I及腰围对cf PWV及PAI共同效应有统计学意义(F=61.366、42.682,P0.001)。以BMI28kg/m~2非腹型肥胖组为参照,在校正年龄、性别、收缩压、舒张压、FPG等因素后,BM I≥28 kg/m~2非腹型肥胖组PAI4及cf PWV10m/s的OR值分别为1.649(95%CI=1.154~2.144)和1.551(95%CI=1.117~1.985),P均0.001;BM I28kg/m~2腹型肥胖组OR值分别为1.764(95%CI=1.370~2.158)和1.577(95%CI=1.264~1.890),P均0.001;BM I≥28 kg/m~2腹型肥胖组OR值分别为5.666(95%CI=3.726~7.606)和4.631(95%CI=2.615~6.647),P均0.001。结论在山东济南地区35~75岁人群中,单纯性肥胖及腹型肥胖均是动脉硬化的独立危险因素,腰围及BMI增加在致动脉硬化中具有协同作用。
[Abstract]:Objective to study the correlation between obesity type and atherosclerosis index of 35 ~ 75 years old people in Jinan, Shandong province. Methods from June 2011 to July 2013, 10 079 subjects aged 3575 years old from Jinan, Shandong Province were selected by cluster random sampling. The waist circumference, height, weight, pulse wave velocity of carotid and femoral artery and fasting blood lipid index were measured. Body mass index (BMI) and blood lipid index of arteriosclerosis were calculated. Results the cf PWV and PAI of BMI28 kg/m~2 non-abdominal obesity group were 9.15 卤1.62)m/s and 2.27 卤0.96 kg/m~2, respectively, which were 9.82 卤1.78)m/s and 2.56 卤1.18BBI 鈮，

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