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目的研究超重、肥胖和中心性肥胖与糖尿病(DM)、高血压之间的关系。方法按照多阶段分层随机抽样原则,对山东省中西部农村居民16388人进行问卷调查并测量身高、体重、腰围、血压、空腹血糖。空腹血糖在6.1～7.0mmol/L间复做口服葡萄糖耐量试验(OGTT)。分析超重肥胖、中心性肥胖与糖尿病和高血压患病率间的关系。结果超重、肥胖、中心性肥胖患病率分别为35.28%,15.31%,40.63%,DM患病率为4.27%,高血压患病率为43.8%,DM和高血压患病率随BMI和腰围的增加而升高,经χ2趋势检验,有统计学意义(P<0.05)。经分层分析,高血压患病率随BMI和腰围增加而升高,DM患病率随腰围增加而升高(P<0.05),随BMI增加,DM患病率并无上升(P>0.05)。多因素Logistic回归分析证实,高血压患病危险性与BMI和腰围相关(P<0.05),而DM仅与腰围有关(P<0.05),与BMI无关(P>0.05)。结论超重、肥胖和中心性肥胖与高血压、糖尿病关系密切。必须加强超重、肥胖和中心性肥胖的干预控制工作。
Objective To study the relationship between overweight, obesity and central obesity and diabetes mellitus (DM) and hypertension. Methods According to the multi-stage stratified random sampling, 16388 rural residents in central and western Shandong Province were surveyed by questionnaire and height, weight, waist circumference, blood pressure and fasting blood glucose were measured. Fasting plasma glucose in 6.1 ~ 7.0mmol / L oral glucose tolerance test (OGTT). Analysis of the relationship between overweight and obesity, central obesity and the prevalence of diabetes and hypertension. Results The prevalence rates of overweight, obesity and central obesity were 35.28%, 15.31% and 40.63% respectively. The prevalence rate of DM was 4.27% and the prevalence rate of hypertension was 43.8%. The prevalence of DM and hypertension with BMI and waist circumference Of the increase and increase, by χ2 trend test, with statistical significance (P <0.05). According to stratified analysis, the prevalence of hypertension increased with the increase of BMI and waist circumference, while the prevalence of DM increased with the increase of waist circumference (P <0.05). With the increase of BMI, the prevalence of DM did not increase (P> 0.05 ). Multivariate Logistic regression analysis confirmed that the risk of hypertension was associated with BMI and waist circumference (P <0.05), while DM was only related to waist circumference (P <0.05), but not to BMI (P> 0.05). Conclusion Overweight, obesity and central obesity are closely related to hypertension and diabetes. Must strengthen the overweight, obesity and central obesity intervention control.