摘要
目的调查常州地区自然人群的高血压和血脂紊乱的发病率,探讨并比较3种人体测量指标包括体重指数(BMI)、腰臀比(WHR)和体脂肪率(FAT%)及其与血压、血脂的关系。方法在常州市社区自然人群中采用临床横断面研究通过整群抽样抽取研究样本,采用格式化调查表收集人群信息,并检测血糖、血脂、血压、BMI、WHR、FAT%、尿酸、肝肾功能等指标。结果常州地区自然人群血脂紊乱、高血压、糖尿病的发病率分别为41.6%、28.2%和10.7%。调整年龄差异后男女的BMI、WHR和FAT%均有显著差异,其中男性的BMI、WHR高于女性,女性的FAT%显著高于男性。在自然人群中BMI和WHR在预测血脂紊乱和高血压的能力上没有显著差异,并都显著高于FAT%的预测能力,但在男女分层后无差别。3种人体测量指标的的独立影响因素包括SBP、HDL、LDL、UA。年龄是BMI和WHR的影响因素。结论常州地区自然人群高血压和血脂紊乱的发病率呈现高发趋势;BMI、WHR和FAT%不仅是肥胖的指标,对潜在的心血管疾病危险因素—血脂紊乱和高血压发生的危险性亦有预报作用。超重和肥胖的早期发现,指导人群改变生活习惯,控制BMI、WHR和FAT%的上升发展趋势的工作迫在眉睫。
Objective To evaluate the association of anthropometrie measurements such as body mass index （BMI）, waist-to-hip eircumference（WHR） and body fat percentage（FAT% ） with blood pressure, serum lipids and the prevalence of hypertension as well as dyslipidemia in Changzhou natural population. Methods A cross - sectional survey in a representative sample was conducted by stratified - clustered - random sampling. The participants were investigated by a self -made questionnaire. Blood sugar, serum lipid profiles, blood pressure, BMI, WHR, Fat%, uric acid, liver and renal function were measured. Results The prevalence of hypertension, dyslipidemia and diabetes was 41.6%, 28.2% and 10.7% respectively. Age- adjusted means for BMI, WHR were higher for men than for women. Age - adjusted means for FAT% were higher for wom- en than for men. BMI, WHR, FAT% can provide information for assessing hypertension or dyslipidemia in natural population. BMI and WHIR had similar areas under the receiver operating characteristic curves （ROC）. The areas of BMI or WHR were higher than that of FAT% ＇s. However, when stratified by sex, the areas were the same among three anthropometric indices. Multiple regression analysis showed that systolic blood pressure（SBP）, high- density lipoprotein cholesterol （HI）L）, low-density lipoprotein cholesterol（LDL）, uric acid（UA） were three independent factors of anthropometric indices. Age was dependent factor of BMI or WHR. Conclusion Hypertensionand dyslipidemia increased in Changzhou natural population . BMI , W-HR and FAT % were not only anthropometric indices to assess overweight or obesity but provided information of cardiovascular risks including hypertension and dyslipidemia. Efforts to find overweight and obesity, to change individuals＇ lifestyle, to halt the trend of increasing BMI and WC should be undertaken immediately.
出处
《实用临床医药杂志》
CAS
2010年第1期42-45,共4页
Journal of Clinical Medicine in Practice
关键词
体重指数
腰臀比
体脂肪率
血压
血脂
body mass index （BMI）
waist - to- hip circumference （WHR）
body fat percentage （FAT % ）
blood pressure
serum tipids
