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刘立忠, 常野, 孙英贤. 辽宁省农村居民不同肥胖相关人体测量指数与脑卒中患病关系[J]. 中国公共卫生, 2017, 33(10): 1434-1439. DOI: 10.11847/zgggws2017-33-10-05
引用本文: 刘立忠, 常野, 孙英贤. 辽宁省农村居民不同肥胖相关人体测量指数与脑卒中患病关系[J]. 中国公共卫生, 2017, 33(10): 1434-1439. DOI: 10.11847/zgggws2017-33-10-05
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LIU Li-zhong, CHANG Ye, SUN Ying-xian. Relationship between obesity-related anthropometric indexes and stroke among rural residents in Liaoning province[J]. Chinese Journal of Public Health, 2017, 33(10): 1434-1439. DOI: 10.11847/zgggws2017-33-10-05
Citation: LIU Li-zhong, CHANG Ye, SUN Ying-xian. Relationship between obesity-related anthropometric indexes and stroke among rural residents in Liaoning province[J]. Chinese Journal of Public Health, 2017, 33(10): 1434-1439. DOI: 10.11847/zgggws2017-33-10-05
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辽宁省农村居民不同肥胖相关人体测量指数与脑卒中患病关系

Relationship between obesity-related anthropometric indexes and stroke among rural residents in Liaoning province

    摘要
  • 摘要: 目的 了解辽宁省农村居民不同肥胖相关人体测量指数与脑卒中患病的关系，为脑卒中的预防控制提供参考依据。方法 于2012年1月—2013年8月采取多阶段随机整群抽样方法在辽宁省大洼、彰武和辽阳县抽取3个镇26个村11 345名≥35岁农村居民进行问卷调查、体格检查和实验室检测，分析身体形态指数（ABSI）、身体圆度指数（BRI）、体质指数（BMI）、腰围（WC）、腰臀比（WHR）5种肥胖相关人体测量指数与脑卒中患病的关系。结果 辽宁省11 345名≥35岁农村居民中，脑卒中患者996例，脑卒中患病率为8.8%；在调整了年龄、民族、文化程度、家庭年均收入、吸烟、饮酒、收缩压、舒张压、空腹血糖、总胆固醇、甘油三酯、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、血脂、血尿酸等混杂因素后，对ABSI、BRI、BMI、WC、WHR等5种肥胖相关人体测量指数第四四分位数与第一四分位数脑卒中患病情况比较，多因素非条件logistic回归分析结果显示，在男性人群中，对脑卒中患病均无预测意义（均P>0.05）；在女性人群中，BRI预测能力较强（OR=1.81，95%CI=1.36~2.42），其次为WHR（OR=1.75，95%CI=1.31~2.34），再次为WC（OR=1.55，95%CI=1.16~2.07）和BMI（OR=1.47，95%CI=1.09~1.98），ABSI预测能力最弱（OR=1.42，95%CI=1.08~1.87）。结论 ABSI、BRI、BMI、WC、WHR等5种肥胖相关人体测量指数在辽宁省农村居民中对脑卒中的预测能力不一致，其中BRI在女性中显示出较好的预测能力。

     

    Abstract: Objective To explore the relationship between obesity-related anthropometric indexes and stroke among rural residents in Liaoning province,and to provide references for the prevention and control of stroke.Methods We conducted a cross-sectional study at 26 villages of 3 towns selected with multi-stage stratified random cluster-sampling in Dawa,Zhangwu,and Liaoyang county of Liaoning province from January 2012 to August 2013.All eligible permanent residents (n=11 345) aged ≥35 years were included in the study and were surveyed with a questionnaire interview,physical examination and laboratory test.Associations of A body shape index (ABSI),body roundness index (BRI),body mass index (BMI),waist circumference (WC),and waist-to-hip ratio (WHR) with stroke among the participants were analyzed.Results Totally 996 stroke patients were identified,with a stroke prevalence of 8.8%,among all the participants.The stroke prevalence among the participants with the lowest quartiles of ABSI,BRI,BMI,WC,and WHR were compared to that of the participants with the highest quartiles of those five indicators.After adjusting confounding covariates such as age,ethnicity,education level,average annual household income,smoking,alcohol drinking,systolic blood pressure,diastolic blood pressure,fasting blood glucose,total cholesterol,triglyceride,low-density lipoprotein cholesterol,high-density lipoprotein cholesterol,blood lipids,and uric acid,the results of unconditional multivariate logistic regression showed no significant associations of the five obesity-related indexes with stroke among the male participants (P>0.05 for all);whereas,among the female participants,BRI was the strongest predictor for stroke (odds ratioOR=1.81,95% confidence interval 95%CI:1.36-2.42),followed by WHR (OR=1.75,95%CI:1.31-2.34),WC (OR=1.55,95%CI:1.16-2.07),and BMI (OR=1.47,95%CI:1.09-1.98) and ABSI was the weakest predictor (OR=1.42,95%CI:1.08-1.87).Conclusion The results showed different ability of ABSI,BMI,BRI,WC and WHR for stroke prediction among rural residents and BRI may be an alternative obesity measurement in assessment of stroke risk among female residents in Liaoning province.

     

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