比较不同腰围、体质指数体检人群血压及心踝血管指数  

To compare blood pressure and cardio-ankle vascular index in health examination population with different waist circumference and body mass index

作　　者：吴继军[1] 胡华青[2] 黄章伟[2] 金小芬[2] 谭月霞[2] 韩卫星[1] 

机构地区：[1]安徽医科大学第一附属医院心血管内科,合肥230022 [2]安徽医科大学第一附属医院健康体检中心,合肥230022

出　　处：《安徽医科大学学报》2013年第12期1508-1511,共4页Acta Universitatis Medicinalis Anhui

基　　金：安徽省高等学校省级自然科学研究项目(编号:KJ2010B279);国家自然科学基金(编号:81070210)

摘　　要：目的比较体检人群中超重、肥胖者尤其是中心性肥胖者的血压及心踝血管指数(CAVI),分析腰围(WC)、体质指数(BMI)在评价动脉硬化和高血压中的意义。方法测量675例体检人群的身高、体重和WC,计算出其BMI,使用动脉硬化检测仪测出CAVI值与血压,对上述指标进行统计分析,进行评价。结果①体检人群中,男性中心性肥胖率为74.9%,女性中心性肥胖率为61.0%,男性超重者占48.1%,肥胖者占16.4%,女性超重者占35.6%,肥胖者占9.3%。②超重、肥胖者尤其是中心性肥胖者血压明显高于BMI正常者和WC正常者。男性组中心性肥胖者CAVI值低于WC正常者,而肥胖者CAVI值低于超重及BMI正常者。结论超重和肥胖尤其中心性肥胖者比BMI正常和WC正常者更具有患高血压的风险,男性CAVI值与WC、BMI呈负相关趋势,女性差异无统计意义,提示单纯的BMI或WC尚不能够准确的反映动脉硬化与肥胖的关系。Objective To compare blood pressure and cardio-ankle vascular index（CAVI） of the overweight and obesity, especially the central obesity in health examination population, analysising the significance of waist circumference （WC） and body mass index （BMI） in the evaluation of arteriosclerosis and hypertension. Methods To calculate their BMI by measuring the height, weight and WC of 675 health examination people and detect CAVI and blood pressure by using arteriosclerosis detector, then analyze the indexes above and do an evaluation. Results ①Among 675 health examination people, the rate of central obesity was 74.9% in male and 61.0% in female, and the overweight and obesity in male accounts for 48.1% and 16.4% , 35.6% and 9.3% in female. ② The blood pressure of overweight and obesity, especially central obesity was significantly higher than people with normal BMI and WC. The CAVI of central obesity in male was smaller than people with normal WC, the CAVI of obesity was smaller than people overweight and with normal BMI. Conclusion Overweight and obesity, especially central obesity have a higher risk of hypertension than people with normal BMI and WC. The CAVI in male negatively correlated with WC and BMI. The difference in women has no statistical significance. BMI or WC can not accurately reflect the relationship between obesity and the arteriosclerosis.

关 键 词：腰围 体质指数 高血压 心踝血管指数 中心性肥胖 

分 类 号：R589.25[医药卫生—内分泌] R543.5[医药卫生—内科学]