上海市嘉定区中老年非糖尿病人群颈围与心血管危险因素的相关性研究

发布时间：2018-03-20 18:27

本文选题：颈围　切入点：心血管危险因素　出处：《上海交通大学学报(医学版)》2017年06期 　论文类型：期刊论文

【摘要】：目的·探讨上海市嘉定区中老年非糖尿病人群颈围与心血管危险因素的相关性。方法·2014年8月—2015年7月选取上海市嘉定区4 657名40岁及以上非糖尿病常住居民,进行问卷调查、体格检查和生化指标检测。按照颈围四分位数分组,分析颈围与心血管危险因素的相关性。结果·随着颈围的增粗,腰围、体质量指数(BMI)、血压、血脂、空腹血糖、胰岛素抵抗指数水平升高,腹型肥胖、胰岛素抵抗、高血压和血脂异常发生率显著增加(均趋势P值0.01)。多元Logistic回归分析显示,校正年龄、性别、吸烟、饮酒、体力活动、BMI、腰围、收缩压、C-反应蛋白、空腹血糖和血脂等因素后,随着颈围的增粗,各心血管相关危险因素的发生风险均显著增加(均趋势P值0.01)。结论·上海市嘉定区中老年非糖尿病人群中,颈围与各心血管危险因素呈独立正相关。
[Abstract]:Objective: to investigate the relationship between neck circumference and cardiovascular risk factors in middle-aged and aged non-diabetic population in Jiading District of Shanghai. Methods: a questionnaire survey was conducted among 4657 non-diabetic residents aged 40 and above from August 2014 to July 2015 in Jiading District of Shanghai. The relationship between neck circumference and cardiovascular risk factors was analyzed according to neck circumference quartile. Results: with the increase of neck circumference, waist circumference, body mass index (BMIA), blood pressure, blood lipid, fasting blood glucose, The incidence of abdominal obesity, insulin resistance, hypertension and dyslipidemia were significantly increased (P < 0.01). Multiple Logistic regression analysis showed that age, sex, smoking, drinking, physical activity and waist circumference were adjusted for age, sex, smoking, drinking, physical activity, and waist circumference. After systolic blood pressure (SBP), fasting blood glucose and blood lipids, the risk of cardiovascular risk factors increased significantly with the increase of neck circumference (P < 0.01). Conclusion: among the middle-aged and elderly non-diabetic population in Jiading District of Shanghai, the risk of cardiovascular risk factors increased significantly (P < 0.01). Neck circumference was positively correlated with cardiovascular risk factors.
【作者单位】：国家代谢性疾病临床医学研究中心上海市内分泌代谢病研究所上海交通大学医学院附属瑞金医院内分泌代谢病科;
【基金】：上海市教育委员会高峰高原学科建设计划(20161301)~~
【分类号】：R54

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