摘要
目的:分析中年人体质指数(body mass index,BMI)与收缩压、血糖、血脂及10年缺血性心血管病发病风险的关系,为超重和肥胖中年人心血管疾病的预防提供依据。方法:从2014年9月至2015年9月在郑州市管城区航东和南关社区卫生服务中心的体检者中随机抽取1 628例社区常住中年人为研究对象,按照BMI的大小,将其分为体重未超标组、超重组和肥胖组,并对其体检结果进行回顾性分析。结果:郑州市管城区中年人超重率和肥胖率分别为47.97%和15.72%。不同BMI组间,血压、空腹血糖、血脂水平和10年缺血性心血管病发病风险分布的差异有统计学意义。超重组和肥胖组高血压、高血脂、高血糖的检出率高于体重未超标组。多因素Logistic回归分析显示,超重和肥胖是高血压、高血糖、高血脂的危险因素(OR值分别为2.144、1.911和2.028)。结论:郑州市管城区中年人超重率和肥胖率较高。超重和肥胖与其他心血管危险因素存在聚集现象,控制体重可全面降低心血管病危险因素水平与发病危险。
Objective To explore the association between body mass index and blood pressure, blood glucose, blood lipids and the 10-year risk of ischemic cardiovascular disease（ICVD） among the middle-aged population and to provide theoretical evidence to prevent cardiovascular disease among overweight and obese middle-aged population in the community. Methods A total of 1,628 middle-aged residents having health examinations in Hangdong and Nanguan Community Health Service Center in Guancheng District of Zhenghzou City from September 2014 to September 2015 were selected as subjects and were divided into three groups ： normal group,overweight group, and obesity group according the size of the body mass index. The relationship among BMI,blood pressure, blood glucose, blood lipids and the 10-year risk of ICVD was explored. Results The prevalence of overweight and obesity in the population was 47.97% and 15.72% respectively. There was significant difference in body mass index, systolic blood pressure, fasting blood glucose, blood lipids and the distribution of the 10-year risk for ICVD（all P〈0.05）. The incidence of hypertension, hyperglycosemia and hyperlipidemia increased with the increase of BMI（all P〈0.05）. Multivariate logistic regression analysis showed that overweight and obesity were independent risk factors of hypertension, hyperglycosemia and hyperlipidemia（OR =2.144, 1.911, 2.028）. Conclusions The prevalence of overweight and obesity among middle-aged population is high in Guancheng District of Zhengzhou City. Overweight and obesity co-exit with other cardiovascular risk factors. Normal BMI is important to reduce the level of risk for CVD and the 10-year risk of ICVD.
出处
《实用医学杂志》
CAS
北大核心
2016年第10期1693-1695,共3页
The Journal of Practical Medicine
基金
河南省国际科技合作计划项目(编号:144300510056)
河南省教育厅科学技术研究重点项目(编号:14A320014)
郑州大学全国大学生创新创业训练计划项目(编号:201510459096)
关键词
体质指数
危险因素
心血管疾病
Body mass index
Cardiovascular disease
Risk factors
