老年2型糖尿病患者营养不良及腹型肥胖发生率  

Incidences of malnutrition and abdominal obesity in elderly type 2 diabetes

作　　者：于康[1] 李玉秀[2] 刘秋英[2] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院营养科,100730 [2]中国医学科学院北京协和医学院北京协和医院内分泌科 100730

出　　处：《中华临床营养杂志》2009年第1期13-16,共4页Chinese Journal of Clinical Nutrition

摘　　要：目的调查老年2型糖尿病患者营养不良（包括营养不足、超重和肥胖）及腹型肥胖发生率。方法随机选取符合纳入标准并获知情同意的老年2型糖尿病患者133例[研究组，平均年龄（66．9±5．4）岁]及老年健康者133名[对照组，平均年龄（66．3±5．8）岁]，采用多频生物电阻抗法测定体重、总体脂肪、腹部脂肪、内脏脂肪、内脏脂肪面积和腰臀围比值（WHR），以体重指数（BMI）判定营养不足、超重和肥胖的发生率，以WHR判定腹型肥胖发生率，并比较两组结果。结果与对照组比较，老年2型糖尿病患者的BMI[（25．7±3．8）％（24．2．4±2．2）kg／m^2，P=0．001]、总体脂肪[（20．1±6．9）／）5．（17．4±5．0）kg，P=0．001]、WHR（0．92±0．10w．0．87±0．06，P=0．001）、腹部脂肪[（10．2±3．4）讹（8．6±2．5）kg，P=0．001]、内脏脂肪[（2．7±0．9）w．（2．3±0．7）kg，P=0．001]和内脏脂肪面积[（89．1±28．8）强（75．74±21．6）cm^2，P=0．001]均显著增高。老年2型糖尿病患者的营养不足（BMI〈18．5）（3．8％w．0，P=0．024）和肥胖（BMI≥28．0）发生率（26．3％％6．0％，P=0．001）均显著高于对照组。老年男性2型糖尿病患者体脂过高（52．1％傩．34．1％，P=0．023）和腹型肥胖的发生率（83．6％％67.1％，P=0．017）均显著高于对照组。结论对老年2型糖尿病患者应强调总体脂肪、腰围、腹部和内脏脂肪的测定与控制。Objective To investigate the incidences of malnutrition （including undemutrition, overweight, and obesity） and abdominal obesity in elderly type 2 diabetes. Methods Totally, 133 elderly type 2 diabetes patients [study group, aged （66. 9 ±5.4） years] and 133 age-matched healthy subjects [control group, aged （66. 3 ± 5.8 ） years] who met entry criteria and obtained informed consent were randomly enrolled into this study. Body weight, total body fat （TBF）, abdominal fat, visceral fat, visceral fat area, and waist-to-hip ratio （WHR） were measured by multi-frequency bioeleetrie impedance analysis. The incidences of undemutrition, overweight, obesity, and abdominal obesity judged by BMI and WHR respectively were compared between the two groups. Results Compared to control group, BMI [ （25.7 ± 3.8 ） vs. （ 24. 2 ±2. 2 ） kg/m2, P = 0. 001 ], TBF [ （ 20. 1 ± 6. 9 ） vs. （17.4±5.0） kg, P=0.001], WHR （0.92±0. lOvs. 0.87±0.06, P=0.001）, abdominal fat [（10.2±3.4） vs. （8.6±2.5） kg, P=0.001], visceral fat [（2.7±0.9） vs. （2.3±0.7） kg, P=0.001], and visceral fat area [ （89. 1 ≥28.8） vs. （75.7 ±21.6） cm^2, P =0. 001 ] significantly increased in study group. The incidences of undemutrition （ BMI 〈 18.5, 3. 8% vs. 0, P = 0. 024） and obesity （ BMI ≥28.0, 26. 3% vs. 6. 0%, P = O. 001 ） judged by BM! Chinese standard in study group were significantly higher than those in control group. The incidences of ＂over-TBF＂ （52. 1% vs. 34. 1%, P =0. 023） and abdominal obesity in males of study group （83.6% vs. 67. 1%, P =0. 017 ） were significantly higher than those in control group. Conclusion Measurement and control of TBF, waist circumference, and abdominal and visceral fats should be emphasized in elderly patients with type 2diabetes.

关 键 词：老年 糖尿病 营养不良 体重指数 腹型肥胖 

分 类 号：R587[医药卫生—内分泌] R589[医药卫生—内科学]