毛南族绝经和未绝经女性体成分与血脂的相关性  

Association between body composition and blood lipids in pre-and post-menopausal women of Maonan ethnicity

作　　者：邓琼英[1] 蒋现永 玉洪荣[1] 周丽宁[1] 龚继春[1] 邓秋云[2] 

机构地区：[1]广西医科大学人体解剖学教研室,南宁530021 [2]广西壮族自治区疾病预防控制中心,南宁530021

出　　处：《解剖学报》2014年第5期710-714,共5页Acta Anatomica Sinica

基　　金：国家自然科学基金资助项目(31160222)

摘　　要：目的研究毛南族绝经与未绝经女性的体成分和血脂的差异,探讨绝经后脂肪含量和分布的变化与血脂的相关性。方法随机抽取广西环江毛南族绝经和未绝经女性200人,追溯其3代均为毛南族,采用生物电阻抗法测定体成分,抽血检测总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL-C)和低密度脂蛋白(LDL-C)。结果绝经女性的内脏脂肪等级(面积)、腰臀比、左(右)下肢的脂肪量、TC、TG、LDL-C等均大于未绝经女性,且差异具有统计学意义(P<0.01);绝经女性的高胆固醇血症、混合型高脂血症及血脂异常的检出率均高于未绝经女性(P<0.01);血脂4项与腰臀比和内脏脂肪含量密切相关(P<0.05或P<0.01),除TC外,TG、HDL-C、LDL-C均与体脂率、BMI和皮下脂肪含量显著相关(P<0.05或P<0.01)。结论毛南族女性绝经后脂肪在内脏和腰腹部的堆积增多可能是血脂异常的主要影响因素之一。与BMI和BF%相比,WHR能更好地反映血脂水平。Objective To study the differences in body composition and blood lipids between the pre-and post-menopausal women of Maonan ethnicity , and to explore the correlations between body fat content , fat distribution and blood lipids.Methods Totally 200 Maonan pre-and post-menopausal women were randomly selected from Huanjiang county in Guangxi.Body composition were measured by bioelectrical impedance analysis （BIA）, and blood lipids were tested from blood samples .Results Compared with the pre-menopausal women , the visceral fat level （/area ） , waist-hip ratio （WHR）, left （/right） lower limbs fat, total cholesterol （TC）, triglyceride （TG） and low-density lipoprotein（ LDL-C） in post-menopausal women were significantly higher （ P 〈0.01 ） , and the detection rate of hypercholesterolemia , mixed hyperlipidemia and dyslipidemia in postmenopausal group was also significantly higher （ P〈0.01 ） .All the blood lipids were closely related to WHR and visceral fat content （P〈0.05 or P〈0.01）.In addition, TG, high-density lipoprotein （ HDL-C） and LDL-C except TC were significantly correlated to %BF, BMI and subcutaneous fat content （ P〈0.05 or P〈0.01）.Conclusion The accumulation of visceral and abdominal fat in Maonan postmenopausal women is significantly correlated to dyslipidemia .The results may provide references for making preventive program for the Maonan women .

关 键 词：毛南族 绝经 体成分 血脂 生物电阻抗法 女性 

分 类 号：Q984[生物学—人类学]