老年人肥胖与主要慢性病的关系

发布时间：2018-08-21 08:51

【摘要】：目的分析南京市老年人肥胖与高血压、糖尿病、冠心病、高血脂的关系。方法 2013年4月~12月利用整群随机抽样法抽取南京市某区1 927名60岁及以上的老年人;对其进行问卷调查、体格检查和实验室检测,获取信息,得到完整有效资料1 808份;肥胖用体质指数(body mass index,BMI)和腰围(waist circumference,WC)诊断,采用SPSS 19.0软件进行方差分析、χ~2检验、非条件Logistic回归分析,探讨肥胖与血压、血糖、血脂以及主要慢性病的关系。结果 1 808名老年人中慢性病患病人数为1 276(70.6%)人,主要慢性病为高血压、糖尿病、冠心病、高血脂;超重人数为668人,占36.9%,肥胖人数为150人,占8.2%。中心肥胖人数为406人,占比22.5%;肥胖与收缩压、舒张压、空腹血糖、总胆固醇、甘油三脂、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇密切相关(均有P0.05);BMI和WC对高血压患病情况有影响(均有P0.05)。结论老年人肥胖增加主要慢性病患病风险,肥胖与血压、血糖、血脂密切相关,控制体重是提高老年人健康水平的有效方法。
[Abstract]:Objective to analyze the relationship between obesity and hypertension, diabetes, coronary heart disease and hyperlipidemia in Nanjing. Methods from April to December 2013, 1,927 elderly people aged 60 or above in a district of Nanjing were selected by cluster random sampling, and 1 808 copies of complete and effective information were obtained by questionnaire, physical examination and laboratory examination. Obesity was diagnosed by body mass index (body mass) and waist circumference (WC). The relationship between obesity and blood pressure, blood glucose, blood lipid and main chronic diseases was investigated by SPSS 19.0 software, 蠂 ~ 2 test and non-conditional Logistic regression analysis. Results the number of chronic diseases was 1 276 (70.6%) in 1 808 old people. The main chronic diseases were hypertension, diabetes, coronary heart disease and hyperlipidemia, while the number of overweight was 668 (36.9%), the number of obese was 150 (8.2%). Obesity and systolic blood pressure, diastolic blood pressure, fasting blood glucose, total cholesterol, triglyceride, high density lipoprotein cholesterol, Low density lipoprotein cholesterol (LDL-C) was closely related (P0.05). BMI and WC had an effect on the prevalence of hypertension (P0.05). Conclusion Obesity increases the risk of major chronic diseases in the elderly. Obesity is closely related to blood pressure, blood glucose and blood lipid. Controlling body weight is an effective method to improve the health level of the elderly.
【作者单位】：东南大学公共卫生学院医疗保险教研室;南京市秦淮医院心血管内科;
【基金】：国家自然科学基金(81273189)
【分类号】：R589.2

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