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目的探讨北京市功能社区居民体重指数的分布状况,以及与血脂、血糖、血尿酸、血压之间的相关性。方法选取2012年某三级医院来自功能社区的健康体检人员2 336人作为研究对象,收集身高、体重、体重指数(BMI)、血压及生化指标等基本资料。计算不同体重指数水平下高尿酸血症、高血压、空腹血糖受损、血脂异常的患病情况,分析超重肥胖与这些疾病间的关联。结果男性超重肥胖比率高于女性,人群平均BMI、超重和肥胖比率均随年龄增长呈上升趋势,且男性高于女性,差异有统计学意义(P=0.000)。其中甘油三酯(TG)、空腹血糖(GLU)、尿酸(UA)、收缩压(SBP)、舒张压(DBP)随着体重增加均值水平上升,高密度脂蛋白胆固醇(HDL-C)水平随体重增加均值水平减低,患有高甘油三脂血症、糖代谢异常、高尿酸血症和高血压的风险肥胖组分别是正常组的2.2、2.1、2.6和2.4倍,差异有统计学意义(P=0.015)。logistic回归分析结果显示性别、TG、GLU、UA、DBP、HDL-C与超重、肥胖显著关联(P<0.05)。结论超重肥胖与高血压、血脂异常症、高血压、高尿酸血症具有相关性,控制体重是预防心血管疾病及代谢性疾病的重要措施。
Objective To investigate the distribution of body mass index (BMI), functional blood lipid, blood glucose, blood uric acid and blood pressure in functional communities in Beijing. Methods A total of 2 336 healthy medical staff from a functional community in a tertiary care hospital in 2012 were selected as research objects to collect basic data such as height, weight, body mass index (BMI), blood pressure and biochemical indexes. Calculate the prevalence of hyperuricemia, hypertension, impaired fasting glucose and dyslipidemia at different body mass index levels, and analyze the association between overweight and obesity and these diseases. Results The prevalence of overweight and obesity in males was higher than that in females. The mean BMI, the prevalence of overweight and obesity increased with age in males and were higher in males than in females (P = 0.000). The levels of TG, FPU, UA, SBP and DBP increased with the increase of body weight. The levels of HDL-C The average body weight gain was reduced. The risk obesity group with hypertriglyceridemia, glucose metabolism abnormalities, hyperuricemia and hypertension were 2.2, 2.1, 2.6 and 2.4 times of the normal group, respectively, and the difference was statistically significant ( P = 0.015). Logistic regression analysis showed that gender, TG, GLU, UA, DBP and HDL-C were significantly associated with overweight and obesity (P <0.05). Conclusion Overweight and obesity is associated with hypertension, dyslipidemia, hypertension and hyperuricemia. Weight control is an important measure to prevent cardiovascular diseases and metabolic diseases.