吴云艳,李伟,罗振华,成荣,吴立荣,刘兴德,郎勇,陈进
WU Yunyan,LI Wei,LUO Zhenhua,CHENG Rong,WU Lirong,LIU Xingde,LANG Yong,CHEN Jin

• 1:贵州医科大学附院心血管科
• 2:贵州医科大学
• 3:贵州省毕节市七星关区人民医院
• 4:贵州省人民医院中心实验室

摘要(Abstract)：

目的:探讨贵阳市40~85岁人群体重指数(BMI)水平与心血管危险因素的关系。方法:以分层随机抽样的方法抽取820名贵阳市40~85岁人群,调查其特征(性别、年龄、居住地、职业、婚姻状况和文化程度),同时进行体格检查及甘油三脂(TG)、总胆固醇(TC)、空腹血糖(FPG)检查;统计受检居民高血压、糖尿病、高脂血症等慢性病患病情况,分析不同特征人群的超重率及肥胖率,计算BMI,按BMI水平将人群分为低体重组(<18.5 kg/cm~2)、正常体重组(18.5~23.9 kg/cm~2)、超重组(24.0~27.9 kg/cm~2)及肥胖组(≥28 kg/cm~2),分析BMI水平与心血管危险因素(吸烟、饮酒、缺乏运动、高血压、糖尿病、高TC血症及高TG血症)间的关系。结果:本次调查人群超重率38.8%,肥胖率15.4%,男性超重率(42.7%)高于女性(35.9%,P<0.05);心血管危险因素中高血压、糖尿病及高甘油三酯血症检出率随BMI的增加而增加,肥胖组>超重组>正常组>低体重组,差异有统计学意义(P<0.05)。结论:本次调查人群的心血管危险因素中高血压、糖尿病、高甘油三酯血症的检出率随BMI增加而增加。
Objective: To investigate the relationship between body mass index( BMI) level and cardiovascular risk factors among people aged 40 ~ 85 years in Guiyang. Methods: The study was conducted among the people aged 40 ~ 85 years in Guiyang,who were selected through a stratified random sampling. Their characteristics including gender,age,residence,occupation,marital status and educational level were investigated. Meanwhile,physical examination and laboratory tests were conducted among the subjects,including body weight,height,triglycerides( TG),total cholesterol( TC),fasting plasma glucose( FPG). The prevalence of hypertension,diabetes and hyperlipidemia was collected statistically,the rates of overweight and obesity of subjects with different characteristic were analyzed,and BMI of subjects was calculated. According to the level of BMI,the people were divided into low weight group( < 18. 5 kg / cm~2),normal weight group( 18. 5 ~ 23. 9 kg /cm~2),overweight group( 24. 0 ~ 27. 9 kg /cm~2) and obesity group( ≥28 kg /cm~2),then the relationship between different BMI values and cardiovascular risk factors( smoking,drinking,lack of exercise,hypertension,diabetes,hypercholesterolemia and hypertriglyceridemia) was analyzed. Results: The rate of overweight was 38. 8% and the rate of obesity was 15. 4% among all subjects. The male overweight rate( 42. 7%) was significantly higher than female overweight rate( 35. 9%)( P < 0. 05). The detection rate of hypertension,diabetes,hypertriglyceridemia increased with the increase of BMI,following the rule of obesity group > overweight group > normal weight group > low weight group,and the differences between each group was statistically significant( P < 0. 05). Conclusion: With the increase of BMI,the detection rate of hypertension,diabetes,hypertriglyceridemia in the subjects was increased.

关键词(KeyWords)： 肥胖症;心血管系统;危险因素;贵阳;体重指数
obesity;cardiovascular system;risk factors;Guiyang;body mass index

Abstract:

Keywords:

基金项目(Foundation): 贵州省科技厅基金[黔科合SY字(2012)3113];贵州省科技厅联合基金[黔科合LG字(2011)031];; 贵州省优秀科技教育人才省长基金(2011-27)

作者(Author): 吴云艳,李伟,罗振华,成荣,吴立荣,刘兴德,郎勇,陈进
WU Yunyan,LI Wei,LUO Zhenhua,CHENG Rong,WU Lirong,LIU Xingde,LANG Yong,CHEN Jin

DOI: 10.19367/j.cnki.1000-2707.2016.05.014

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