深圳市中高层职业人群腰臀比值和体质量指数与代谢综合征的相关性  

Correlation of waist-to-hip ratio and body mass index with metabolic syndrome in people from middle to high socio-economic class in Shenzhen

作　　者：朱翠凤[1] 卞苏环[2] 刘颜[3] 叶敏[2] 陈恒娇[1] 吴远[2] 张献共[2] 

机构地区：[1]北京大学深圳医院营养科,广东省深圳市123518036 [2]北京大学深圳医院特诊科,广东省深圳市123518036 [3]北京大学深圳医院统计室,广东省深圳市123518036

出　　处：《中国临床康复》2006年第36期48-51,共4页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:调查分析深圳市中高层职业人群腰臀比值、体质量指数与代谢综合征的相关性及流行病学特征。方法:于2004-09/2005-08选择北京大学深圳医院特诊中心进行健康体检的深圳市企事业单位中高层职业人群1515例,分别进行身高、体质量、腰围、臀围、血压、血脂、血糖等检测,并按腰臀比值、体质量指数进行分层分析其与肥胖、高脂血症、高血压、高血糖等代谢综合征组成成分的相关性。将观察对象按腰臀比值分为向心性肥胖[≥0.90(男),≥0.85(女)]和正常体型[<0.90(男),<0.85(女)],按体质量指数分为正常体质量(<23)、超重(23～24)和肥胖(≥25)3类。结果:受检者肥胖的患病率为27.9%,超重的患病率为21.6%,向心性肥胖的患病率为24.8%,高脂血症的患病率为55.25%,高血压的患病率为10.69%,高血糖的患病率为7.92%,代谢综合征的患病率为13.07%。向心性肥胖和外周肥胖的代谢综合征的患病率明显高于正常体型和正常体质量者。向心性肥胖的代谢综合征的患病率明显高于外周肥胖。向心性肥胖与外周肥胖都与代谢综合征的患病率呈正相关(r=0.597,0.531,P=0.000)。结论:深圳市中高层职业人群以肥胖、高血脂、高血压、高血糖等表现为特征的代谢综合征的患病率明显增高,尤其是高脂血症值得关注。向心性肥胖比外周性肥胖危险性更大。腰臀比值与体质量指数都与代谢综合征的患病率有显著的相关性。通过改善饮食习惯和生活方式,维持正常的体质量指数和腰臀比值,可有效防治代谢综合征及其所诱发的心血管等疾病的发生。AIM： To investigate the relationship and epidemiologieal characteristics of waist-to-hlp ratio （WHR） and body mass index （BMI） with metabolic syndrome （MS） in people from middle to high socio-economic class in Shenzhen. METHODS： 1 515 managers in Shenzhen enterprises physically examined in the Special Diagnosis Center, Peking University Shenzhen Hospital from September 2004 to August 2005 were selected. Their height, body mass, waist circumference, hip circumference, blood pressure, blood lipid and blood glucose were determined to analyze the correlation of WHR and BMI with the components of MS such as obesity, hyperlipemia, hypertension and hyperglycemia. The subjects were divided into abdominal obesity [≥ 0.90 （male）, ≥ 0.85 （female）] and normal body type group [〈 0.90 （male）, 〈 0.85 （female）] according to their WHR; and normal BM group （〈 23）, overweight group （23-24） and obesity group （≥25） according to their BMI. RESULTS： The prevalence of obesity of the subjects was 27.6%, overweight 21.4%, and abdominal obesity 24.8%; the prevalence of hyperlipemia was 55.25%, hypertension 10.69%, hyperglycemia 7.92%, MS 13,07%. The prevalence of MS of the abdominal obesity and visceral obesity was higher than the subjects of normal body type and normal BM groups, and the prevalence of MS of the abdominal obesity was higher than the visceral obesity, Both abdominal obesity and visceral obesity were positively correlated with the prevalence of MS （r=0.597, 0.531, P=-0.000）. CONCLUSION： The prevalence of MS such as obesity, hyperlipemia, hypertension and hyperglycemia in people from middle to high socioeconomic class in Shenzhen has shown a significant increase, and hyperlipemia in particular. Abdominal adiposity is a stronger risk factor compared with visceral adiposity. Both WHR and BMI are correlated with the prevalence of MS. MS and MS induced heart disease can be effectively prevented and cured by means of improving diet habit and life style and maintaining

关 键 词：代谢综合征X 腰臀比 人体质量指数 危险因素 

分 类 号：R589[医药卫生—内分泌]