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目的:探讨成年男性肥胖相关指数中体质指数(BMI)和腹型肥胖指数腰围(WC)或腰臀比(WHR)与心血管疾病危险因素的关系,分别比较2种指数在心血管疾病中的影响。方法:成年男性体检人群物理检测BMI、WC、血压,采用全自动生化分析仪和化学发光仪检测受试者血脂、血糖、肌酐、胰岛素等心血管疾病危险因素相关生化指标。结果:BMI≥25组和BMI<25组的临床和实验室指标显示,2组间SBP、TG、HDL-ch、LDL-ch、FBG、UA、HOMA-IR、DBP、TC、Cr比较差异有统计学意义;WC≥90cm和WC<90cm2组间比较,与BMI组基本相同;以BMI值为自变量,发生高血压的相对危险度(OR)为1.32,代谢综合征(MS)的OR值为1.54;以WC值为自变量,发生高血压的OR为1.24,MS的OR值为1.36;以是否发生高血压为因变量,行logistic逐步回归分析,调整其他因素后,BMI和WC均为独立危险因素。结论:成年男性肥胖相关指数BMI和WC(或WHR)与心血管疾病关系密切,WC同BMI一样可作为预测心血管疾病的良好指标。
OBJECTIVE: To investigate the relationship between body mass index (BMI) and abdominal obesity index waist circumference (WC) or waist-to-hip ratio (WHR) and risk factors of cardiovascular disease in adult male obesity-related index and to compare the effects of these two indices in cardiovascular disease . Methods: BMI, WC and blood pressure were measured by physical examination of adult male subjects. The biochemical indexes of risk factors such as blood lipid, blood glucose, creatinine and insulin were detected by automatic biochemical analyzer and chemiluminescence analyzer. Results: The clinical and laboratory indexes of BMI≥25 group and BMI <25 group showed that the difference of SBP, TG, HDL-ch, LDL-ch, FBG, UA, HOMA-IR, DBP, Statistical significance; WC≥90cm and WC <90cm2 comparison between groups, and BMI group is basically the same; BMI value as an independent variable, the relative risk of hypertension (OR) was 1.32, metabolic syndrome (MS) OR Was 1.54; with WC value as independent variable, the OR of hypertension was 1.24 and that of MS was 1.36; the logistic stepwise regression analysis was used to determine whether hypertension occurred and the other factors were adjusted, BMI and WC were Independent risk factors. Conclusion: The obesity-related indices BMI and WC (or WHR) in adult males are closely related to cardiovascular diseases. WC, like BMI, can be a good predictor of cardiovascular disease.