中年人体质指数与高血压、血脂及血糖关系的研究  

Relationship of BMI to Hypertension,Blood Lipid and Glucose in Middle-aged Adults in Harbin

作　　者：王丽敏[1] 杨春生 王达[1] 王琪[1] 李晶焱[1] 赵丛笑 

机构地区：[1]哈尔滨医科大学公共卫生学院健康教育学教研室,黑龙江省哈尔滨市150081 [2]牡丹江市心血管医院心内科 [3]哈尔滨市健康医院

出　　处：《中国全科医学》2011年第5期503-505,共3页Chinese General Practice

基　　金：哈尔滨市科技创新人才研究专项资金(2007RFQXS076)

摘　　要：目的探讨哈尔滨市中年人体检者体质指数(BM I)与高血压、血脂、血糖的关系,为健康干预提供依据。方法以2008—2009年在哈尔滨市某医院健康体检的2 162名中年在岗人员为研究对象,对其身高、体质量及血压、血脂、血糖进行检测,根据国际通用标准将BM I划分为正常与异常组进行有关分析。结果男女超重和肥胖检出率分别为66.6%和25.3%;男性高血压、高血脂、高血糖的检出率(42.1%、32.7%、23.4%)高于女性(14.7%、0.3%、0.6%),差异均有统计学意义(P<0.001);超重和肥胖组的高血压、高血脂和高血糖及三高综合征检出率高于BM I正常组,OR值分别为3.80、4.03、3.41和3.77,差异均有统计学意义(P<0.001);多因素Logis-tic回归分析:超重和肥胖是单纯舒张期高血压及收缩期和舒张期联合性高血压的危险因素(OR值分别为2.14和2.85);超重和肥胖也是高血脂和高血糖的危险因素(OR值分别为2.16和1.85)。结论哈尔滨市中年在岗人员超重和肥胖率高达51.8%,控制体质量对高血压、高血脂及高血糖的防治具有重要意义。Objective To explore the relationship of body mass index（BMI） to Hypertension,Blood Lipid,Blood Glucose among middle-aged adults in Harbin,to provided basis for health intervention.Methods Height,body mass,blood pressure,blood lipid and glucose were determined in 2162 middle-aged adults having health examinations in a certain hospital of Harbin from the year of 2008 to 2009,who were divided,according to international standard,into groups normal BMI and abnormal,to find out the relationship of BMI to hypertension,blood lipid and glucose.Results Detection rates of overweight and obese of males and females were 66.6%,25.3%,respectively.Detection rates of hypertension,hyperlipidemia,hyperglycosemia were significantly higher in males（42.1%,32.7%,23.4%,respectively） than in females（14.7%,0.3%,0.6%,respectively）（P0.001）.Detection rates of hypertension,hyperlipidemia,hyperglycosemia and their syndromes were higher in groups overweight,obese than in normal group（OR=3.80,4.03,3.41,3.77,respectively;P0.001）.Multivariate Logistic regression analysis showed that overweight and obese were risk factors of isolated diastolic hypertension and combined systolic and diastolic hypertension（OR=2.14 and 2.85）,and also those of hyperlipidemia and hyperglycosemia（OR=2.16 and 1.85）.Conclusion The overweight and obese rate is up to 51.8% in middle-aged personnel remaining in positions in Harbin.Control of body weight is of great significance in prevention and treatment of hypertension,hyperlipidemia,hyperglycosemia.

关 键 词：体质指数 高血压 高脂血症 高糖血症 

分 类 号：R541.3[医药卫生—心血管疾病]