结直肠腺瘤患者人体组成特点  

Characteristics of human composition of colorectal adenoma

作　　者：刘中辉[1] 崔胜金 胡小明[3] 顾建芬[3] 樊敬文[1] 彭俊生[4] 

机构地区：[1]香港大学深圳医院结直肠外科,广东深圳518000 [2]香港大学深圳医院检验科,广东深圳518000 [3]香港大学深圳医院内分泌科,广东深圳518000 [4]中山大学附属第六医院胃肠外科,广东广州510655

出　　处：《中华肿瘤防治杂志》2016年第12期812-815,共4页Chinese Journal of Cancer Prevention and Treatment

基　　金：广州市天河区科技计划(201404KW020)

摘　　要：目的人体组成对结直肠腺瘤发病的影响尚不明确。本研究应用生物电阻抗分析(bioelectrical impedance analysis,BIA)检测结直肠腺瘤患者的人体组成,分析结直肠腺瘤的人体组成特点。方法回顾性分析2014-01-01-2015-06-01香港大学深圳医院无症状行结肠镜筛查的患者292例,依据肠镜检查及息肉病理结果分为结直肠腺瘤组158例和正常对照组134例。记录吸烟、饮酒和药物服用史等,测量身高、体质量、腰围和臀围;应用BIA检测研究对象身体组成,比较结直肠腺瘤组与正常对照组在人体组成的差别,分析人体组成对结直肠腺瘤发病的影响。结果结直肠腺瘤组腰围平均为(83.3±10.4)cm,高于正常对照组的(79.2±14.1)cm,P=0.015。在人体组成上,结直肠腺瘤组体脂率平均为(28.3±6.97)%,高于正常对照组的(26.2±6.41)%,P=0.034。结直肠腺瘤组腰臀脂肪比平均为0.91±0.065,正常对照组平均为0.88±0.059,P=0.024。结直肠腺瘤组患者体脂率超标的比例为75.9%,高于正常对照组的59.7%,P=0.003。结直肠腺瘤组腰臀脂肪比超标的比例为68.8%,正常对照组为56.7%,P=0.041。结论结直肠腺瘤患者腰围增加,人体组成以体脂率和腰臀脂肪比升高为特征。OBJECTIVE The impact of human composition on colorectal adenoma is unknown right now. We compared human composition of colorectal adenoma patients and normal population to find the characteristics of human composition of colorectal adenoma. METHODS Totally 292 participants underwent screening colonoscopy were recruited in this study. BMI, waist and hip circumference were checked. Human composition were estimated by meaning of bioelectri- cal impedance analysis using a machine of Inbody 220 （Biospace company, Korea）. RESULTS Totally 158 participants recruited in adenoma group （AG） and 134 participants in normal group （NG）. Mean waist circumference of AG was （83.3±10.4） cm, higher than that of NG which was （79.2± 14. 1） cm,P=0. 015. Mean body fat rate of AG was （28.3±6.97）% ,higher than that of NG which was （26.2±6.41）%,P=0. 034. Mean waist-hip fat ratio of AG was 0.91±0. 065,higher than that of NG which was 0.88±0. 059,P=0. 024. For body fat rate, 75.9% of AG patients is exceeding normal value,while that of NG was 59.7% ,P=0. 003. Exceeding waist-hip fat ratiol in AG was 68.4% , which was 56.7% in NG, P=0.041. CONCLUSION Patient of colorectal adenoma has a higher waist circumference, body fat rate and waist-hip fat raio.

关 键 词：结直肠腺瘤 中心型肥胖 生物电阻抗 

分 类 号：R735.34[医药卫生—肿瘤]