中国肥胖患者去脂体质量估算方程的研究

发布时间：2018-09-08 18:42

【摘要】：目的分析理想体质量(IBW)、国外公式计算去脂体质量(JLBW、HLBW)替代中国肥胖患者去脂体质量(LBW)的可靠性,并建立中国肥胖患者LBW估算方程。方法选择269例肥胖患者,应用人体成分分析仪分析其LBW作为标准,分别与IBW及JLBW、HLBW进行比较,根据性别分为M组及F组,再根据体重指数(BMI)值的不同将每组分为3组,对各组及亚组进行统计学分析,并建立适合中国肥胖患者LBW的多元线性回归方程。结果 IBW与LBW比较,M组有统计学差异(P0.05),F组无统计学差异(P=0.198)。JLBW、HLBW与LBW比较,M组和F组均有统计学差异(P0.05)。随着BMI值的增加,差值均逐渐增加。中国肥胖患者LBW推算方程:LBW(女性)=16.4×身高(m)+0.42×TBW(kg)-9.525;LBW(男性)=23.762×身高(m)+0.529×TBW(kg)-21.867,方程统计学检验(ANOVA)具有统计学意义(P0.01)。结论对于中国肥胖患者,无论是应用IBW还是国外LBW计算公式,可靠性均不理想,成功推算出中国肥胖患者的LBW的简易方程。
[Abstract]:Objective to analyze the reliability of the foreign formula of ideal body mass (IBW),) for calculating degreasing body mass (JLBW,HLBW) instead of (LBW) in Chinese obese patients, and to establish the LBW estimation equation for Chinese obese patients. Methods two hundred and sixty-nine obese patients were divided into M group and F group according to their sex, and then divided into 3 groups according to the (BMI) value of body mass index (BMI). The multivariate linear regression equation suitable for LBW of obese patients in China was established by statistical analysis of each group and subgroup. Results there was statistical difference between IBW and LBW in M group (P0.05). There was no statistical difference (P0. 198) in group F. There was statistical difference between group M and group F compared with LBW group (P0.05). With the increase of BMI, the difference increases gradually. The LBW equation for obese Chinese patients was 16.4 脳 (m) 0.42 脳 TBW (kg) -9.525L BW (male) and 23.762 脳 (m) 0.529 脳 TBW (kg) -21.867. The equation showed that (ANOVA) had statistical significance (P0.01). Conclusion the reliability of the formula of IBW and foreign LBW is not satisfactory for obese patients in China. The simple equation of LBW for obese patients in China is deduced successfully.
【作者单位】：中国医科大学附属盛京医院麻醉科;
【基金】：辽宁省社会发展攻关计划(2012225021)
【分类号】：R589.2

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