448例老年人体脂分布特征及其与糖代谢障碍的关系  

Characteristics of adipose tissue distribution of 448 old people and their impact on disorders of glucose metabolism

作　　者：黄亚莉[1] 尹世达[1] 周建光[1] 张海峰[1] 韩海克[1] 王迎[1] 

机构地区：[1]中国人民解放军第四一一医院干部病房科,上海200081

出　　处：《中华老年心脑血管病杂志》2001年第4期224-226,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的　探讨老年人体重指数 (BMI)和腰臀围比值 (WHR)的分布特征 ,分析肥胖与糖代谢障碍的关系。方法　选取 6 0～ 85岁接受口服葡萄糖耐量试验 (OGTT)的老年人 44 8例 ,按不同年龄层和不同BMI分组 ,进行统计分析。结果　 (1)总体BMI均值 (2 5 6 2± 3 11)kg m2 ,随年龄增加而逐渐增高 ,WHR为 0 92± 0 0 6 ;(2 )老年人糖代谢障碍组BMI和WHR分别为 2 7 11和 0 94,与糖耐量正常组 (NGT)比较 ,差异有极显著性意义 (P<0 0 0 1) ;(3)当BMI≥2 5和WHR >0 93时 ,糖尿病、糖耐量减退患病率为 32 4%和 37 6 %。结论　上海地区海军离退休老年人超重者占5 6 % ,BMI和WHR均随年龄增加而升高 ,超重和肥胖是糖尿病、糖耐量减退发病重要因素之一 ,老年人适宜BMI为2 2～ 2 4和WHR 0Objective To investigate the distribution of body mass index (BMI) and waist hip ratio (WHR) of old people,and to analyze the relation between obesity and disorders of glucose metabolism.Methods 448 old people with complete oral glucose tolerance test (OGTT) data were selected and were divided into groups according to age and BMI.The relation between obesity and glucose metabolic disorders was analyzed.Results (1) In all these people,the mean BMI was (25.62±3.11) kg/m 2 and increased with age.The mean WHR was 0.92±0.06.(2)BMI was 27.11 and WHR was 0.94 in the group with glucose metabolic disorders and were significantly different from those of normal glucose tolerance (NGT) group (P<0.001).(3) The incidences of diabetes mellitus(DM) and impaired glucose tolerance (IGT) were 32.4% and 37.6% respectively in those whose BMI was ≥25 kg/m 2 and WHR>0.93.Conclusions The rate of overweight in old people of Shanghai was 56%.BMI and WHR increased with age.Overweight and obesity were among the major factors inducing DM and IGT.

关 键 词：老年人 体重指数 腰臀比值 糖尿病 肥胖 

分 类 号：R587.1[医药卫生—内分泌]