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目的探讨成人肥胖与与高血糖、高血压、血脂紊乱聚集的关系。方法采用分层整群随机抽样方法,随机调查杭州市城乡社区居民20～79岁1600人。应用logistic回归模型分析肥胖的两个主要指标体质指数(BMI)和腰围对发生高血糖、高血压、血脂紊乱聚集的OR值。结果调整年龄、吸烟史、饮酒史、体育锻炼等影响因素后,男性超重(24kg/m2≤BMI<28kg/m2)和肥胖(BMI≥28kg/m2)均比正常体重更易引起聚集发生,OR值分别为3.187(95%CI:1.731～5.869)和3.050(95%CI:1.248～7.453);女性中心性肥胖(腰围≥80cm)对聚集发生的OR值为2.330(95%CI:1.440～3.771)。结论成人发生高血糖、高血压、血脂紊乱聚集与肥胖存在一定关联,男性体质指数和女性腰围对心血管病的一级预防具有重要意义。
Objective To investigate the relationship between adult obesity and hyperglycemia, hypertension and dyslipidemia. Methods stratified cluster random sampling method, random survey of urban and rural communities in Hangzhou 20 to 79 years old 1600 people. Logistic regression model was used to analyze the OR of body mass index (BMI) and waist circumference of two main indexes of obesity in the aggregation of hyperglycemia, hypertension and dyslipidemia. Results After adjustment for age, smoking history, drinking history, physical activity and other influencing factors, overweight (24kg / m2≤BMI <28kg / m2) and obesity (BMI≥28kg / m2) Were 3.187 (95% CI: 1.731-5.869) and 3.050 (95% CI: 1.248-7.453), respectively. The odds ratio of central obesity (waist circumference> 80cm) to aggregation was 2.330 (95% CI: 1.440-3.771) . Conclusion The incidence of hyperglycemia, hypertension and dyslipidemia in adults is related to obesity. The male body mass index and the female waist circumference are of great significance for the primary prevention of cardiovascular diseases.