老年人体质指数与代谢指标及心脑血管疾病的关系

发布时间：2018-03-10 02:17

本文选题：体质指数　切入点：超重　出处：《中国老年学杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的探讨老年人体质指数(BMI)与代谢指标及心脑血管疾病的关系。方法随机整群抽样法以任丘市60~70岁的常住居民5 010例为调查者,进行面对面健康问卷调查、人体测量、实验室检测。结果 5 010例调查者中,平均BMI为24.90 kg/m~2(22.30~27.20 kg/m~2),女性BMI、超重及肥胖、代谢综合征的比例显著高于男性,随着年龄增长,BMI、超重及肥胖的比例逐渐下降(P0.01);随着BMI的增加,腰围、收缩压、舒张压、空腹血糖(FPG)、甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、尿酸(UA)、稳态模型胰岛素抵抗指数(HOMA-IR)水平逐渐增高,而平均年龄、高密度脂蛋白胆固醇(HDL-C)则逐渐降低(P0.01),代谢综合征及其组分中的中心性肥胖、高血压、糖尿病、高TG血症、低HDL-C血症患病率增加,高TC血症及高LDL-C血症、高UA血症的患病率及抗血小板药物使用率同样随着BMI的增高而增加,而吸烟的比例逐渐降低(P0.01)。结论随着BMI的增加,老年人多种代谢指标异常明显增加,因此对老年超重及肥胖人群应充分关注,加强健康教育,控制体重等心脑血管疾病危险因素,以提高老年人生存质量。
[Abstract]:Objective to investigate the relationship between body mass index (BMI), metabolic index and cardiovascular and cerebrovascular diseases in the elderly. Methods A total of 5010 residents aged 60 to 70 years old in Renqiu City were investigated by random cluster sampling, and the results were investigated by face-to-face health questionnaire and anthropometric measurements. Results the average BMI was 24.90 kg/m~2(22.30~27.20 路kg ~ (-2) 路m ~ (-2). The proportion of female BMIs, overweight and obesity, metabolic syndrome was significantly higher than that of male's. The proportion of overweight and obesity decreased gradually with the increase of age (P < 0.01), and with the increase of BMI, the rate of overweight and obesity decreased gradually. Waist circumference, systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting blood glucose (FBG) FPGN, triglyceride triglyceride (TGN), total cholesterol (TC), low density lipoprotein cholesterol (LDL-C), uric acid UAA (UAA), homeostasis model insulin resistance index (HOMA-IRI) increased gradually, but the average age was higher. High density lipoprotein cholesterol (HDL-C) gradually decreased P0.01, central obesity, hypertension, diabetes, hypertriglyceridemia, increased prevalence of low HDL-C, hyperTC and hyper#en1# in metabolic syndrome and its components. The prevalence of hyperUA and the utilization rate of antiplatelet drugs also increased with the increase of BMI, while the proportion of smoking decreased gradually (P 0.01). Conclusion with the increase of BMI, the metabolic parameters of the elderly increased significantly. Therefore, we should pay more attention to the overweight and obese elderly people, strengthen health education, control the risk factors of cardiovascular and cerebrovascular diseases, such as weight, so as to improve the quality of life of the elderly.
【作者单位】：河北省任丘康济医院;首都医科大学附属北京天坛医院神经科;
【基金】：河北省科技支撑计划项目(12276104D-90)
【分类号】：R54;R743

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