新疆维吾尔族女性不同BMI与血糖、血脂及腰椎骨质疏松发生率的相关性研究  

Correlational study of the relationship among different BMI,blood glucose,blood fat,and the incidence of lumbar vertebra osteoporosis in Uighur women in Xinjiang

作　　者：宋丽俊[1] 郭璇[1] 常冰岩[1] 

机构地区：[1]新疆医科大学附属中医医院影像中心骨密度室,乌鲁木齐830000

出　　处：《中国骨质疏松杂志》2013年第4期403-406,共4页Chinese Journal of Osteoporosis

摘　　要：目的探讨新疆乌鲁木齐地区维吾尔族妇女不同体重指数(BMI)与血糖、甘油三酯及腰椎骨质疏松症的相关性,并对其影响因素进行相关分析。方法从2011年4月至2012年8月间来医院就诊的1300余例维吾尔族妇女中,排除有严重疾病的患者,如严重的心脑血管疾病、肾病、甲亢、甲减等其它慢性疾病、代谢性疾病,入选维吾尔族女性423例,测量其甘油三脂、空腹血糖、体重指数(BMI)、腰椎(L1～L4))BMD等指标并进行分析。结果随着体重指数(BMI)的增高,维吾尔族女性正常组和肥胖组的甘油三酯、血糖分别进行比较,均有显著性差异(P<0.05)。结论 (1)新疆维吾尔族女性甘油三酯、血糖水平与体重指数(BMI)呈正相关。(2)新疆维吾尔族肥胖女性高甘油三酯、高血糖的发生率均有较高水平。(3)维吾尔族妇女肥胖的发生率高于国内其它省市。(4)在相同年龄段,BMI正常组腰椎的骨质疏松发生率与其它民族一致,其骨量丢失年龄也与其它民族一致,而肥胖组腰椎(L1～L4)BMD则大于正常组。Objective To investigate the relationship among different body mass index （BMI）, blood glucose, triglycerides, and the incidence of lumbar vertebra osteoporosis in Uighur women in Urumqi, Xinjiang, and to perform the correlation analysis of the influential factors. Methods A total of 423 patients were selected from more than 1300 Uighur women, who came to our hospital from April 2011 to August 2012, excluding the patients with serious illnesses such as severe cardiovascular disease, nephropathy, hyperthyroidism, hypothyroidism, and other chronic diseases or metabolic diseases. Triglycerides and fasting blood glucose, body mass index （BMI） , and bone mineral density （BMD） of the lumbar vertebrae （LI-IA） were measured. And all the data were analyzed. Results Along with the increase of BMI, the concentrations of triglycerides and blood glucose of Uighur women in control group and obese group had significant differences, respectively （ P 〈 0.05 ）. Conclusion The concentrations of triglycerides and blood glucose of Uighur women are positively correlated with BMI. The incidence of hypertriglyceridemia and hyperglycemia in Uighur obese women is high. The incidence of obesity in Uygur women is higher than that in other provinces and cities. When compared at the same age and normal BMI, the incidence of lumbar vertebra osteoporosis in Uighur women is similar to that in other ethnic groups. The age of losing bone mass is also similar to that in other ethnic groups. But the BMD of L1-L4 in obesity group is higher than that in control group.

关 键 词：肥胖 甘油三酯 血糖 BMI BMD 骨质疏松 

分 类 号：R589[医药卫生—内分泌]