摘要
目的：探讨中老年人腰臀比（ WHpR）对体脂肪率及血管弹性的影响。方法选取2015年2—12月120例健康查体中老年人为研究对象,年龄40~60岁,测量腰臀比并将腰臀比值正常的60例受检者作为对照组,将腰臀比值高于正常范围的60例受检者作为研究组,对两组受检者的体脂肪率及动脉血管弹性、血压、血脂、血糖水平进行比较。结果研究组中体脂肪正常率及动脉血管正常率均低于对照组,研究组的体质脂肪率、脉搏波传导速度（ PWV）、体质量指数明显高于对照组,研究组的收缩压、舒张压、脉压、血糖、尿酸、甘油三酯、总胆固醇、低密度脂蛋白胆固醇均高于对照组,高密度脂蛋白胆固醇均低于对照组,各组间比较差异均有统计学意义（ P〈0.05）。腰臀比与体脂肪率、血管弹性硬化程度及体质指数均呈正相关（r＝0.135,P＝0.011；r＝0.189,P＝0.013；r＝0.146,P＝0.014）。血管弹性硬化程度和腰臀比、体脂肪率、体质量指数呈正相关（r＝0.189,P＝0.013；r＝0.123,P＝0.009；r＝0.097,P＝0.021）。结论中老年人腰臀比值可作为体脂肪率及血管弹性硬化的早期评估指标。
Objective To explore the influence of elderly waist-hip ratio （ WHpR） on adiposity and vascular elasticity. Methods A total of 120 healthy middle aged and elderly people aged 40-60 years old were selected between February, 2015 and December, 2015. A number of 60 patients with normal ratio of WHpR were treated as a control group, while another 60 patients with higher ratio of WHpR as study group. Adiposity, arterial blood vessel elasticity, blood pressure, blood fat and blood glucose of two groups were compared. Results Normal rate of body fat and arterial blood vessel of the study group were lower than those of the control group. Adiposity, pulse wave velocity（PWV）, body mass index of the study group were significantly higher than those of the control group. Systolic blood pressure, diastolic blood pressure, pulse pressure, blood glucose, uric acid, three acyl glycerin, total cholesterol, low-density lipoprotein cholesterol of the study group were higher than those of the control group, high density lipoprotein cholesterol was lower than that of the control group（ P〈0.05） . WHpR was positively associated with Adiposity, degree of elastic stiffness of blood vessels and body mass index （r=0.135, P=0.011;r=0.189, P=0.013;r=0.146, P=0.014）. Degree of elastic stiffness of blood vessels was positively related with WHpR, adiposity, body mass index （ r=0. 189, P=0. 013;r=0. 123, P=0. 009;r=0.097,P=0.021） . Conclusions WHpR can be used as an early evaluation index of Adiposity and blood vessel elasticity for middle aged and elderly people.
出处
《中华现代护理杂志》
2016年第30期4400-4403,共4页
Chinese Journal of Modern Nursing
关键词
腰臀比
体脂肪率
血管弹性
脉搏波传导速度
Waist-hip ratio
Adiposity
Blood vessel elasticity
Pulse wave velocity
