体质指数和腰臀比与代谢综合征患病关系

蒋建华; 肖永康; 胡传来; 张宝; 朱启星

doi:10.11847/zgggws2006-22-12-40

体质指数和腰臀比与代谢综合征患病关系

Study of relationship between BMI, WHR and prevalence rate of metabolic syndrome

摘要

摘要:
目的探讨体质指数(BMI)和腰臀比(WHR)与代谢综合征(MS)中高血压、高血糖和血脂紊乱患病率的关系。
方法通过整群抽样, 对合肥市4 726名35岁以上脑力劳动者进行MS流行病学调查, 比较分析BMI、WHR异常者的3种代谢异常疾病(高血压、高血糖和血脂紊乱)患病情况。
结果调查对象BMI异常检出率为36.5%, WHR异常检出率为40.9%, 且均随年龄增长肥胖患病率呈增加趋势; WHR异常组的高血糖患病率高于BMI异常组(P < 0.001), OR分别为3.22和1.90, 95%CI=2.50~4.15和1.39~2.61;BMI与WHR均异常组的3种代谢异常疾病患病率均明显高于BMI、WHR各单项异常组(P < 0.001)。
结论中老年脑力劳动者肥胖问题较为严重, BMI异常、WHR异常(尤其BMI与WHR均异常)可增加代谢异常疾病的患病风险, 预防肥胖在代谢综合征及其他疾病防治中具有重要意义。

Abstract:
Objective To explore the relationship between body mass index(BMI), waist to hip ratio(WHR)and the prevalence rate of hypertension, hyperglycemia and disorder in lipo-metabolism amongmental lobourers and to provide reference for further prevention and control of chronic disease.
Methods 4 726 subjects(above 35 years old)were selected by cluster sampling.The comparison of prevalence rate of the metabolic abnormalities in different abonormal BMI, WHR groups.
Results The rate of the BMI abnormal and WHR abnormal were 36.5% and 40.0% respectively, increasing along with age.The prevalence rate of hyperglycemia in Abnormal WHR group was significantly higher than that of abnormal BMI group(P < 0.001).Their relative risk were 3.22 and 1.90 respectively, their 95% confidence in interval(CI)were 2.50~4.15 and 1.39~2.61.
Conclusion Obesity, expecially in obesity of abnormal type, may increase the risk of the metabolic abnormalities.Prevention and intervention of obesity are in urgent need among senior mental lobourers.

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