成年人腹型肥胖与健康相关生命质量关系的Logistic回归分析  

Logistic regression analysis of the relationship between abdominal obesity and health-related quality of life in adults

作　　者：鹿佳[1] 朱燕波[1] 索艳风 史会梅[1] 张笑梅[1] 虞晓含 石劢[1] 李桐[1] 严辉[1] 李彦妮[1] 

机构地区：[1]北京中医药大学管理学院,北京,100029

出　　处：《中华行为医学与脑科学杂志》2016年第5期446-451,共6页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家科技基础性工作专项（2013FY114400-5）;国家重点基础研究发展计划（973计划）（2011CB505403）;国家中医药管理局重点学科（中医文化学）;北京中医药文化研究基地建设项目

摘　　要：目的 探求腹型肥胖与健康相关生命质量（HRQOL）的关系,为该人群进行科学的体重管理提供依据.方法 采用横断面现场调查法收集广东、安徽两家医院1 114例健康体检人群数据.健康相关生命质量采用SF-36量表进行调查.采用Logistic回归分析探索腹型肥胖与健康相关生命质量的关系.结果 与非腹型肥胖组相比,轻度腹型肥胖组仅躯体疼痛[（75.25±21.29）分vs （78.07±19.37）分,t=4.47,P＜0.05]得分较低;重度腹型肥胖组SF-36的生理领域[（71.74±17.08）分vs（77.49± 15.36）分,t=17.01,P＜0.01]及其3个维度[生理功能：（83.14± 15.90）分vs（89.24±12.61）分,t=26.32,P＜0.01;躯体疼痛：（70.02±20.99）分vs（78.07±19.37）分,t=21.26,P＜0.01;生理职能：（75.90±35.45）分vs（83.18±29.74）分,t=7.00,P＜0.05]生命质量较差,心理领域的精神健康维度[（78.68±17.70）分vs（74.41±16.97）分,t=7.97,P＜0.01]较好.多因素Logistic回归分析显示,与非腹型肥胖组比,重度腹型肥胖组生理领域（OR=1.64,95％ CI=1.15～2.32,P＜0.01）、生理功能（OR=2.03,95％ CI=1.42～2.90,P＜0.01）、躯体疼痛（OR=1.74,95％ CI=1.22～2.49,P＜0.01）HRQOL减损的危险度增加;心理领域所属的精神健康维度（OR=0.56,95％ CI=0.39～ 0.82,P＜0.01）HRQOL受损的危险度降低.结论 腹型肥胖对HRQOL的影响主要表现在重度腹型肥胖对生理领域的减损;而对心理领域及各维度则产生正向影响,其中以精神健康维度最显著.Objective To explore the relationship between abdominal obesity and health related quality of life （HRQOL） in Chinese adults and provide the basis of scientific weight management for people.Methods By cross-sectional survey,data of 1 114 cases were collected from physical examination centers of two hospitals in Guangdong and Anhui.Logistic regression analysis was used to explore the relationship between abdominal obesity and HRQOL.Results Compared with non-abdominal obesity group,the bodily pain score of the mild abdominal obesity group was lower（（75.25±21.29） vs （78.07±19.37）,t=4.47,P〈0.05）;the SF-36 score of the physical component summary（（71.74± 17.08） vs （77.49±15.36）,t=17.01,P〈0.01）and its three dimensions （physical functioning（83.14± 15.90） vs （89.24± 12.61）,t=26.32,P〈0.01;bodily pain （70.02±20.99） vs （78.07± 19.37）,t=21.26,P〈0.01;role physical （75.90±35.45） vs （83.18±29.74）,t=7.00,P〈0.05） of the severe abdominal obesity group were lower and the mental health dimension of mental component summary was higher.Mnltiple logistic regression analysis showed that,compared with normal subject,data on the odds ratios （ORs） of impaired HRQOL in physical component summary （OR=1.64,95% CI=1.15-2.32,P〈0.01）,physical functioning （OR=2.0,95% CI=1.42-2.90,P〈0.01） and bodily pain （OR=1.74,95% CI=1.22-2.49,P〈0.01） increased among severe abdominal obesity group while in mental health dimension（OR=0.56,95% CI=0.39-0.82,P〈0.01） of mental component summary decreased.Conclusion The abdominal obesity＇ s effects on HRQOL are mainly reflected in the impairment of physical component summary made by the severe abdominal obesity group.While it has positive effect on mental component summary and its dimensions,especially in the mental health.

关 键 词：腹型肥胖 健康相关生命质量 LOGISTIC回归分析 

分 类 号：R589.2[医药卫生—内分泌]