体力活动水平与代谢综合征诊断组分个数的关系  

Relationship Between Physical Activities and Clustering of the Metabolic Syndrome Diagnostic Components

作　　者：郭琦[1] 王敬瀚[1] 蔡辉[1] 胡玉清[1] 许树根[1] 梁萌[1] 

机构地区：[1]中国人民解放军第174医院肾内科,福建厦门361003

出　　处：《中华高血压杂志》2010年第9期865-868,共4页Chinese Journal of Hypertension

摘　　要：背景增加体力活动是否是防治代谢综合征(MS)组分个数的有效方法,目前尚存在争议。目的探讨MS组分个数与体力活动水平,从而寻找预防MS的有效方法。方法采用全球运动水平调查表(GPAQ)问卷调查790例健康体检者的体力活动水平。按GPAQ的标准,分低、中、高3个不同体力活动水平,比较不同水平的血脂、空腹血糖、血压、体质量指数(BMI)的差异。以2004年中华医学会糖尿病学分会(CDS)建议MS诊断标准,按MS的组成个数分类,分为0到4个组分类别,寻找MS组分个数与体力活动水平的关系。结果高体力活动水平组,年龄较小,BMI、空腹血糖、三酰甘油、低密度脂蛋白胆固醇、胆固醇、收缩压、舒张压水平较低。有序多分类反应变量logistic回归分析示男性是MS组分个数的危险因素,男性是女性的2.487倍;体力活动水平是MS组分个数的保护性因素,高水平体力活动是低水平0.104倍,中等水平是低水平的0.238倍。按年龄<60及≥60岁进行分层,在≥60岁组中,男性及低水平体力活动是MS组分个数的危险因素,男性是女性的1.598倍,高水平是低水平0.114倍,中等水平是低水平的0.342倍;而年龄不是危险因素。而<60岁组,男性、低体力活动水平、年龄是MS组分个数的危险因素,男性是女性的3.396倍,<30岁是30～60岁的0.563倍;高水平是低水平0.128倍,中等水平是低水平的0.217倍。结论体力活动水平与MS组分个数相关,低体力活动水平是MS组分个数的危险因素。Background The relationship between physical activity and clustering of the metabolic symdrome （MS） diagnostic components remains uncertain.Objective To study the relationship between the level of physical activities and clustering of MS diagnostic components,to find a way for preventing the development of MS components.Methods We recorded the fasting serum glucose,lipid profiles,blood pressure and body mass index （BMI）,and conducted a survey by the Globel physical activity questionnaire（GPAQ） from the 790 participants who were undergoing physical examination.According to GPAQ the level of physical activities of each participant was classified into three groups：the high,intermediate,or the low level.The relationship between the level of physical activities and the number of the metabolic syndrome diagnostic components proposed by Chinese diabetes society （CDS） in 2004 was determined by variance analysis and cumulative logistic model regression.Results Levels of fasting serum glucose,blood lipid,blood pressure,BMI and age in high activity level group were significantly lower than that in low activity level group.In the regression model,the main risk factors contributing to the MS components were male and the lower level of physical activities.Male faces 2.487 times higher risk than female.Those in the high level group had 0.104 times higher risk than those in the low level group,and had 0.238 times higher risk than those in the intermediate level group.However,risk effect of age differed by strata analysis.Comparing to the high level group,the low level group was not the risk factor in strata with age more than 60 years old and was the risk factor for those in strata with age less than 60 years old.Male and the lower level of physical activities were still the risk factors in both strata.Conclusion The level of physical activity was associated with the MS diagnostic components proposed by CDS in 2004.Lower physical activities contribute to the MS diagnostic components.

关 键 词：代谢综合征 体力活动水平 问卷调查表 

分 类 号：R589[医药卫生—内分泌]