身高对男性成人慢性病及中心性肥胖判定的影响  

Effect of stature on judgement of chronic diseases and central obesity among male adults

作　　者：辛鹏[1] 常改[1] 李静[1] 潘怡[1] 王子兵[1] 田双力 江国虹[1] 

机构地区：[1]天津市疾病预防控制中心营养科,天津300011 [2]天津医科大学营养与食品卫生学系,天津300070

出　　处：《职业与健康》2017年第8期1086-1089,1093,共5页Occupation and Health

摘　　要：目的对天津市18岁及以上男性居民的身高与其慢性病关系进行回顾性研究,并探讨身高对于判定中心型肥胖的是否存在局限性。方法根据国家营养监测方案,分别在2010、2011和2012年选取天津市河西区、北辰区和静海县作为监测点,对18岁及以上男性居民1 075人进行调查,并将所有调查人群的身高分成4个层级(矮、较矮、较高、高),回顾性分析调查人群不同身高分级的慢性病患病情况,并分析仅通过一个腰围界值判定中心性肥胖可能存在的局限性。结果 4个层次身高分级男性成人的腰围分别为86.77±9.79、90.09±8.97、91.97±9.08、93.22±10.22 cm,差异有统计学意义(P<0.01);不同身高分级的男性成人的中心性肥胖率:矮为57.4%,较矮为71.9%,较高为79.9%,高为80.4%,且差异有统计学意义(P<0.01);除糖尿病外,各组间超重肥胖率、血脂异常率、高血压率差异均无统计学意义;各组间血脂正常但是被判定为中心性肥胖的率随身高的增高而增加,差异有统计学意义(P<0.01)。结论天津市成年男性随身高的增高腰围增加;不同身高的男性成人的中心性肥胖率和糖尿病率有明显差别;以确诊的多种慢性病作为标准,发现中心性肥胖的判定方法可能存在一定的局限性,需考虑身高因素进行细化。[ Objective ] To carry out the retrospective study on the association between stature and chronic diseases among male residents aged 18 years and over in Tianjin, explore the importance of stature for judging central obesity. [ Methods ] According to the national nutrition surveillance programme, 1 075 male residents aged 18 years and over were chosen by using multi-stage stratified cluster sampling from the surveillance points of Hexi District, Beichen District and Jinghai County in 2010,2011 and 2012 respectively in Tianjin,and the objects were divided into four groups （shortest, shorter,higher and highest） by stature. The prevalence status of chronic diseases in different groups were analyzed by the retrospective study, and the possible limitations of assessment method which was only use a waistline value of central obesity were discussed.[Results] The waistline of male adults in four stature classification groups was respectively （86.77±9.79）, （90.09±8.97）, （91.97±9.08 ） and （93.22± 10.22） cm, and the difference was statistically significant （P〈0.01）. The rates of central obesity in shortest,shorter,higher and highest groups was respectively 57.4% ,71.9% ,79.9% and 80.4%, and the difference was statistically significant （P〈0.01）. Except diabetes, there were no statistically significant differences in the rate of overweight/obesity, dyslipidemia and hypertension among different groups. The rate of central obesity with ortholiposis increased with increasing stature,and the difference was statistically significant （P〈0.01）. [Conclusionl The waistline increases with the increasing stature among male adults in Tianjin,and there are statistically significant differences in rate of central obesity and diabetes among different stature groups. The results also suggest that the present determination method of central obesity perhaps has some shortcomings on the basis of diagnosed chronic diseases, thus, the factor of stature may be considered.

关 键 词：身高分级 男性成人 慢性病 腰围 中心性肥胖 

分 类 号：R181.3[医药卫生—流行病学]