摘要
目的探讨18～25岁青年学生人群体质量指数（BMI）与健康相关生命质量（HRQoL）的关系。方法汇集全国9省市（江苏、安徽、甘肃、青海、福建、北京、吉林、江西、河南）横断面健康状况调查的18～25岁学生人群的数据4696例，不同体质量指数学生人群的生命质量比较采用秩和检验和logistic回归分析。结果肥胖者和体质量过轻在SF-36生理领域和心理领域得分均较低。Logistic回归分析显示：与体质量正常者相比，肥胖者生理领域（OR=1．86）、心理领域（OR=1．90）HRQoL减损有统计学意义，体质量过轻者生理领域（OR=1．21）HRQoL减损有统计学意义。男女分层分析：体质量过轻的男生生理领域（OR=1．37）HRQoL的减损有统计学意义，肥胖的女生心理领域（OR=3．85）HRQoL的减损有统计学意义。结论18—25岁青年学生人群不同体质量指数对HRQoL的影响不同，肥胖和体质量过轻均会减损HRQoL；但肥胖对女生心理领域HRQoL影响比男生大，体质量过轻对男生生理领域的HRQoL影响比女生大。
Objective To explore the relationship between the body mass index and health-related quality of life （HRQoL） of young students aged 18- 25 years old. Methods 4696 students aged 18 -25 years old from nine provinces and municipalities （Jiangsu, Anhui, Gansu, Qinghai, Fujian,Beijing, Jilin,Jiangxi and He＇ nan） were investigated. The HRQoL of students with different body mass index were compared with rank sum test and lo- gistic regression analysis. Results Obesity and underweight students scored lower in both physical component and mental component scores of SF-36. Compared to students with normal weight, odds ratios （ ORs ） of impaired HRQoL among obesity students significantly increased in both physical domain （ OR =1.86） and mental domain （ OR = 1.90）, while OR of impaired HRQoL among underweight students significantly increased only in physical domain（ OR = 1.21 ）. Analysis for boys and girls separately, OR of impaired HRQoL increased in physical domain among underweight boys（ OR = 1.37 ）, and increased in mental domain among overweight girls （ OR = 3.85 ）. Conclusion Different body mass index have different impact on young students＇ HRQoL. Both obesity and underweight could reduce HRQoL. But obesity have more impact on girls ＇ mental domain than boys, and underweight have more impact on boys＇ physical domain than girls.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2010年第1期59-61,共3页
Chinese Journal of Behavioral Medicine and Brain Science
基金
国家重点基础研究发展计划“973计划”资助（2005CB523501）
