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张志将, 赵根明, 吴元民, 江萍. 人体测量指标和糖尿病危险状态指标的相关关系[J]. 中国公共卫生, 2002, 18(6): 689-690. DOI: 10.11847/zgggws2002-18-06-24
引用本文: 张志将, 赵根明, 吴元民, 江萍. 人体测量指标和糖尿病危险状态指标的相关关系[J]. 中国公共卫生, 2002, 18(6): 689-690. DOI: 10.11847/zgggws2002-18-06-24
ZHANG Zhi-jiang, ZHAO Gen-ming, WU Yuan-min, . Analysis on Canonical Correlation of Anthropometric Parameters with Blood Sugar Serum Insulin, Blood Lipids and Blood Pressure[J]. Chinese Journal of Public Health, 2002, 18(6): 689-690. DOI: 10.11847/zgggws2002-18-06-24
Citation: ZHANG Zhi-jiang, ZHAO Gen-ming, WU Yuan-min, . Analysis on Canonical Correlation of Anthropometric Parameters with Blood Sugar Serum Insulin, Blood Lipids and Blood Pressure[J]. Chinese Journal of Public Health, 2002, 18(6): 689-690. DOI: 10.11847/zgggws2002-18-06-24

人体测量指标和糖尿病危险状态指标的相关关系

Analysis on Canonical Correlation of Anthropometric Parameters with Blood Sugar Serum Insulin, Blood Lipids and Blood Pressure

  • 摘要: 目的 探讨人体测量指标与糖尿病危险状态指标(血糖、血清胰岛素、血脂和血压)的相关关系,确定人体测量指标组和糖尿病危险状态指标组中关联最密切的指标.方法 采用多级分层抽样法,随机抽取上海市长宁区华阳社区中40岁以上的常住人口1960人,测量身高、体重、腰围、腹围、臀围、股围、空腹血糖、血清胰岛素、总胆固醇、甘油三酯、高密度脂蛋白和血压.以资料完整的1867人作为研究对象,计算体重指数、腰/臀比、腹/臀比、锥消度指数、腰腿周径比,用固定年龄的偏相关典型相关方法在两性别组中分别分析体重指数、腰/臀比、腹/臀比、锥消度指数、腰腿周径比与血糖、血清胰岛素、血脂、血压的相关关系,并寻找3组中作用最大的指标.结果 人体测量指标和糖尿病危险状态指标之间呈现显著的典型相关(第一对典型相关系数男女组分别为0.50、0.61);男性组人体测量指标组中的腰/臀比的标化系数和相关系数最大,腹/臀比其次;女性组中体重指数的标化系数和相关系数最大,腰/臀比其次.糖尿病危险状态组中,血清胰岛素的标化系数和相关系数最大,其次是甘油三酯和舒张压.结论 (1)人体测量指标和血糖、血清胰岛素、血脂、血压指标间存在显著的典型相关关系,肥胖者易于发生各种代谢紊乱.

     

    Abstract: Objective To investigate the association between diabetes mellitus risk factors(blood sugar,serum insulin,blood lipids and blood pressure)and a set of anthropometric parameters,and to determine the variables correlating most greatly with the canonical variables.Methods A multistage stratified sampling was applied to select 1960 inhibitants,who are no less than 40 years old,from Huayang Community,Changning district,Shanghai.Datas including height,weight,circumference of waist,abdominal,hip,thigh and blood sugar,serum insulin,blood lipids,blood pressure were available with 1867 subjects.After calculating body mass index(BMI).waist/hip ratio(WHR),abdominal/hip ratio(AHR),waist/thigh ratio(WTR) and conicity index(CI),the association of a set of anthropometric parameters with the DM risk factors was explored by SAS partial canonical correlation analysis.Results Canonical correlation were statistically significant between the anthropometric parameters and the DM risk factors in both sex groups(the first canonical coefficient was 0.61,0.50 respectively for male and female groups).Of the anthropometric parameters,WHR had the highest standardized coefficient and correlation coefficient,while AHR had the second highest coefficients of the anthropometric parameters in male group.In female group,BMI had the highest coefficients and WHR had the second highest coefficients.Of the DM risk factors,serum insulin had the highest standardized coefficient and correlation coefficient.Diastolic blood pressure and TG has the second highest for both groups.Conclusion(1)The anthropometric parameters correlated significantly with the DM risk factors(blood sugar,blood insulin,blood lipids and blood pressure);those who were more obese were more liable to have unbalance in metabolism;(2)The correlation between seriuminsulin and anthropometr ic parameters was the highest among the DM risk factors;serum insulin was most greatly influenced by obesity;(3)WHR was the most valuable anthropometric parameter to indicate DM risk for male group;BMI was the best anthropometric parameter to indicate DM risk for female group.

     

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