超重人群中医体质辨识调查与分析  

Investigation and analysis of traditional Chinese medicine constitution identification in overweight population

作　　者：尹超群[1] 杨卫华[2] 郭洪波[3] 张海燕 戴惠容[1] 黎小崇[4] YIN Chao qun;YANG Wei-hua;GUO Hong-bo;ZHANG Hai-yan;DAI Hui-rong;LI Yiao-chong(Longgang District People 's Hospital,Shenzhen 518172,P. R. China)

机构地区：[1]深圳市龙岗区人民医院赐昱社康中心,,广东深圳518172 [2]深圳市龙岗区人民医院放射科,广东深圳518172 [3]深圳市龙岗区人民医院中心城社康中心,广东深圳518172 [4]深圳市龙岗区人民医院千林山居社康中心,广东深圳518172

出　　处：《社区医学杂志》2019年第6期316-319,共4页Journal Of Community Medicine

基　　金：深圳市龙岗区卫生与计划生育局社区中医药服务重点发展项目(LGKCYLWS2018000178)

摘　　要：目的肥胖及超重在全世界范围内发病率呈逐年增加趋势,已成为社会关注的主要公共卫生问题。本研究调查超重人群的中医体质分布情况,旨在为超重人群的中医干预和指导提供科学依据。方法选取2017-08-01-2017-09-31深圳市龙岗区赐昱工业园区105名超重人员,进行基本体检和中医体质辨识调查。有效问卷100份,有效率95.2%。计量资料符合正态分布,组间比较采用t检验;计数资料采用χ^2检验。结果男性体质量指数(body mass index,BMI)为26.46±0.94,高于女性的25.32±0.81,t=6.109,P<0.001;男性平均腰臀比为1.11±0.10,高于女性的1.02±0.19,t=3.108,P=0.002。18~岁组BMI为25.27±0.73,35~岁组为27.11±0.59,45~岁组为24.48±0.40,差异有统计学意义,F=161.206,P<0.001;18~岁组腰臀比为1.02±0.12,35~岁组为1.10±0.06,45~岁组为1.10±0.06,差异有统计学意义,F=8.549,P<0.001。100名超重人员偏颇体质者94例(94.00%),偏颇体质中又以湿热体质最多,占30%;男性湿热质多于女性;湿热质随年龄增加而减少,χ^2=7.17,P=0.03;阳虚质随年龄增加而增加,χ^2=10.69,P=0.01。结论超重人群的BMI和腰臀比在年龄和性别上存在差异;超重人群中医体质分布有一定的特征。OBJECTIVE The incidence of obesity and overweight is increasing year by year all over the world,which has become a major public health issue of social concern.The purpose of this study is to investigate the distribution of TCM constitution in overweight population,and to provide scientific basis for TCM intervention and guidance of overweight population.METHODS A total of 105 overweight people in Ciyu Industrial Park of Longgang District of Shenzhen City from August 1,2017 to September 31,2017 were selected for basic physical examination and physical identification of traditional Chinese medicine.Effective questionnaire 100,efficient 95.2%.Metrological data conform to the normal distribution,and t test is used for comparison between groups;The count data is tested byχ^2.RESULTS The male body mass index(BMI)was 26.46±0.94,which was higher than 25.32±0.81 in female,t=6.109,P<0.001.The male waist-tohip ratio was 1.11±0.10,which was higher than 1.02±0.19 of the female,t=3.108,P=0.002.The BMI of the over18-year-old group was 25.27±0.73,that in the over 35-year-old group was 27.11±0.59,and that of the over 45-year-old group was 24.48±0.40.The difference was statistically significant,F=161.206,P<0.001.The waist-to-hip ratio of the over 18-year-old group was 1.02±0.12,that of the over 35-year-old group was 1.10±0.06,and that of the over45-year-old group was 1.10±0.06.The difference was statistically significant,F=8.549,P <0.001.Ninety-four(94.00%)of the 100 overweight persons had biased constitution,and the most biased constitution was damp-heat constitution,accounting for 30%.Men had more damp-heat quality than women.The damp heat quality decreased with age(χ^2=7.17,P=0.03),and the yang deficiency increased with age(χ^2=10.69,P=0.01).CONCLUSIONS BMI and waist-to-hip ratio of overweight people were different in age and gender.The distribution of TCM constitution of overweight people has certain characteristics.

关 键 词：超重 中医体质辨识 调查 体质量指数 腰臀比 

分 类 号：R229[医药卫生—中医基础理论]