中老年人群体重指数腰围与血糖水平及糖尿病关系的分析  

Relationship between body mass index、waist circumference and blood glucose among 5205 residents in Chengdu area

作　　者：易延静[1] 秦侠[1] 黄晓波[1] 刘雅[1] 欧阳凌云[1] 曾伟[2] 刘剑雄[1] 胡咏梅[1] 郑庆昆[1] 杨雷[1] 钟宏[1] 马艳[1] 王晓祥[1] 

机构地区：[1]成都市第二人民医院老年医学科心内科内分泌科,四川成都610017 [2]成都市疾病预防控制中心,四川成都610041

出　　处：《四川医学》2013年第7期908-910,共3页Sichuan Medical Journal

基　　金：成都市"十一五"科技规划重大专项"城乡社区常见多发慢性病防治"项目(成都市科技局:07YTYB959SF-020)

摘　　要：目的探讨成都地区人群体重指数(BMI)、腰围(WC)与血糖水平及糖尿病的关系。方法 2008年4月～11月采用分层整群抽样的方法,在成都地区40～79岁中老年人口中开展问卷调查,并进行血压、空腹血糖、葡萄糖75g餐后血糖等检测,共获取有效调查资料5205份。结果成都地区人群空腹血糖、葡萄糖75g餐后血糖水平及糖尿病患病率均随着BMI的增加呈线性上升趋势(线性趋势检验P<0.01)。腹型肥胖的人群空腹血糖、葡萄糖75g餐后血糖水平及糖尿病的患病率均高于腰围正常的人群,差异均有统计学意义(线性趋势检验P<0.01)。结论成都地区人群血糖水平及糖尿病患病率均与BMI、WC密切相关。BMI、WC是糖尿病的重要影响因素,对于糖尿病的发生有着重要的预测作用。Objective To explore the relationship between body mass index,waist circumference and blood glucose among residents in Chengdu area.Methods Using the stratified cluster sampling method,a questionnaire was conducted in a middle-aged population aged 40～70 years old in the urban and rural areas of Chengdu in Apr-Nov 2008,to measure blood pressure,fasting blood glucose,blood glucose after oral administration of 75g glucose,blood lipid,etc;5,205 valid copies of questionnaires were obtained in total.Results The level of FPG and PPG and diabetes mellitus prevalence rate were significantly positively correlated with BMI（all P0.01）.FPG,PPG levels and diabetes mellitus prevalence rate were significantly higher in people with abdomen obesity than people with normal waist circumference（all P0.01）.BMI,waist circumference in diabetic residents were significantly higher than non—diabetic residents（all P0.01）.Conclusion Blood glucose level and diabetes prevalence rate were closely related with BMI and waist circumference among residents in Chengdu area.

关 键 词：糖尿病 人体质量指数 腰围 

分 类 号：R587.1[医药卫生—内分泌]