摘要
目的探讨某地区2948例健康体检者体质指数(BMI)分布及其与血压、血脂、血糖及血尿酸的相关性。方法随机选取2014年1月至2017年1月我市某医院共2498例健康成人体检者作为研究对象,采用问卷调查的方式记录所有纳入研究者的性别、年龄、BMI等一般临床资料和患者体检过程中血脂、血糖等生化指标,并比较不同BMI组间各指标情况差异,分析其BMI与血压、血脂及血糖等生化指标的相关性。结果(1)随着年龄的增加,男女BMI值逐渐升高,即超重率逐渐上升;男性肥胖率在30~45岁最高,而其超重率在60岁以上有所下降。男女随着年龄的增加,其高血压、血脂异常和高血糖检出率均逐渐上升;男性SUA异常检出率随年龄增长逐渐下降,女性随之上升(P<0.05);(2)Spearman等级相关分析可得,BMI与HDL-C呈负相关,与SBP、DBP、TG、TC、LDL-C、FPG及SUA均呈正相关(P<0.05)。结论该地区的超重率和肥胖率较全国平均水平较低,应定期定时进行体检,密切观察血压、血脂及血糖和血尿酸的变化并及时采取措施,预防超重和肥胖的产生,降低高血脂、高血压、高血糖以及高尿酸血症的发生率。
Objective To investigate the distribution of body mass index（BMI） and its correlations with blood pressure,blood lipids,blood glucose and serum uric acid in 2948 healthy subjects.Methods A total of 2498 healthy adult subjects were selected from a hospital in Chengdu between January 2014 and January 2017.The general clinical data and such biochemical indexes as blood lipids and glucose were recorded for each subject,including gender,age,BMI.Indicators were compared between groups of different BMI.The correlations between BMI and biochemical indexes such as blood pressure,blood lipid and blood glucose were analyzed.Results（1） With the increase of age,the BMI of men and women increased gradually,that is,the overweight rate increased gradually,and the obesity rate of males was the highest in the group aged 30 to 45,while the overweight rate decreased among adults over 60 years old.（P〈0.05）.With the increase of age,the detection rate of hypertension,abnormal rate of dyslipidemia and the FPG level gradually increased,while the abnormal rate of male SUA decreased gradually with age,which was the opposite among females（P〈0.05）.（2） By Spearman rank correlation analysis,there was a negative correlation between BMI and HDL-C,but there was a positive correlation between BMI and SBP,DBP,TG,TC,LDL-C,FPG,SUA（P〈0.05）.Conclusion Overweight and obesity rates in this region are lower than the national average.Adults should be regularly checked for blood tests,blood pressure,blood glucose and uric acid and immediate measures should be taken to prevent overweight and obesity and reduce the incidence of high blood lipids,high blood pressure,high blood sugar and hyperuricemia.
出处
《解放军预防医学杂志》
CAS
2017年第11期1374-1376,共3页
Journal of Preventive Medicine of Chinese People's Liberation Army
基金
四川省卫生厅科研课题(No.101207)
关键词
健康体检者
体质指数
血压
血脂
血糖
血尿酸
相关性
healthy subjects
body mass index
blood pressure
blood lipids,
blood glucose
blood uric acid
