成都地区中老年人群体质量指数、腰围与血尿酸水平及高尿酸血症关系的分析  

Analysis of the Relationship Between Body Mass Index,Waist Circumference and Serum Uric Acid Level as well as Hyperuricemia of Middle Aged and Elderly People in Chengdu

作　　者：梁静[1] 黄晓波[1] 邬丹[1] 刘雅[1] 易延静[1] 欧阳凌云[1] 刘剑雄[1] 张娜[2] 彭顺蓉[1] 夏丽娜[1] 

机构地区：[1]成都市第二人民医院心内科,内分泌科,四川成都610017 [2]四川大学公共卫生学院,四川成都610041

出　　处：《四川医学》2016年第8期857-859,共3页Sichuan Medical Journal

基　　金：四川省科技厅基金项目(编号:2009FZ 0027);成都市科技局项目(编号:10YTYB272SF)

摘　　要：目的：探讨成都地区中老年人群体质量指数（ BMI）、腰围（ WC）与血尿酸水平及高尿酸血症的关系及其对护理工作的启示。方法采用分层整群抽样的方法，以社区（村）为单位，在成都地区40-79岁城乡人口中开展问卷调查，并进行身高、体质量、腰围、血尿酸等检测，共获取有效调查资料4978份。结果成都地区中老年人群血尿酸水平及高尿酸血症患病率均随着BMI及WC的增加呈明显的线性上升趋势（ P〈0．01）。体质量肥胖人群高尿酸血症患病率是体质量正常人群患病率的2．5倍，重度腹型肥胖人群高尿酸血症患病率是腰围正常人群患病率的2．8倍。结论成都地区中老年人群血尿酸水平及高尿酸血症患病率均与BMI、WC密切相关。 BMI、WC是高尿酸血症的重要危险因素，对高尿酸血症的发生有着重要的预测作用。护理工作中积极开展与超重肥胖等相关的健康知识教育，对于高尿酸血症的防治有着较为重要的意义。Objective To explore the relationship between body mass index （ BMI） , waist circumference （ WC） and serum uric acid level as well as hyperuricemia of middle aged and elderly people in Chengdu and its enlightenment for nursing work. Methods Community or village as a unit, stratified cluster sampling was used to do questionaire among urban or rural people aged between 40 and 79 in Chengdu, whose height, weight, waist circumference, blood uric acid and other indicators were also detected. Totally 4978 copies of effective investigation data were obtained. Results The blood uric acid level and prevalence of hyperuricemia of middle aged and elderly people in Chengdu had an obvious linear upward trend following the increase of BMI and WC（P〈0. 01）. The prevalence of hyperuricemia in obesity was 2. 5 times of normal weight people and it was 2. 8 times of normal WC people in severe abdominal obesity. Conclusion The blood uric acid level and prevalence of hyperuricemia of middle aged and elderly people in Chengdu are both closely related to their BMI and WC. BMI and WC are important risk factors of hyperuricemia and have prediction function for the incidence of hyperuricemia. It has important significance for the prophylaxis and treatment of hyperuricemia to actively carry out health education about overweight and obesity in nursing work.

关 键 词：体质量指数 腰围 血尿酸 高尿酸血症 

分 类 号：R589.7[医药卫生—内分泌]