超重/肥胖与中医体质相关性的横断面研究  

A cross-sectional study of correlation between overweight/obesity and traditional Chinese medicine body constitution

作　　者：韩燕[1] 杨月嫦 周扬 史默怡 刘玉 邓逸辰 倪俊磊 吴勇 HAN Yan;YANG Yuechang;ZHOU Yang;SHI Moyi;LIU Yu;DENG Yichen;NI Junlei;WU Yong(Preventive Treatment Center,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院治未病中心,上海200437

出　　处：《上海中医药杂志》2022年第10期24-28,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市卫健委上海市中医药事业发展三年行动计划项目(ZY[2018-2020]-ZWB-1001);上海市卫健委上海市进一步加快中医药传承创新发展三年行动计划项目(ZY[2021-2023]-0104-01);上海中医药大学附属岳阳中西医结合医院自然基金面上项目(2021yyjm06)。

摘　　要：目的采用横断面调查研究方法,探讨超重/肥胖与中医体质的相关性,寻找可能影响超重/肥胖的中医体质因素,为超重/肥胖的临床防控提供依据。方法选择上海中医药大学附属岳阳中西医结合医院体检中心的体检客户为调查对象,收集性别、年龄、婚姻状况、籍贯等一般人口学特征信息,采用超声波电子人体秤测量身高、体质量,并由此获得体质量指数(BMI)数据,借助中医体质辨识软件判断中医体质类型,运用logistic回归模型分析超重/肥胖与一般人口学特征、中医体质之间的相关性。结果①纳入761例研究对象,其中BMI≥24者303例,设为超重/肥胖组,18.5≤BMI<24者458例,设为正常体重组;两组性别分布比较,差异有统计学意义(P<0.05)。②两组均以兼夹体质多见,单一体质偏少。与正常体重组相比,超重/肥胖组阳虚质、血瘀质较少,痰湿质、湿热质较多,差异有统计学意义(P<0.05)。在男性亚组中,两组阳虚质、痰湿质、特禀质判定情况比较,差异有统计学意义(P<0.05);在女性亚组中,两组阳虚质、痰湿质判定情况比较,差异有统计学意义(P<0.05)。③logistic回归分析结果显示,校正性别和9种中医体质相互混杂因素作用后,超重/肥胖与性别[OR=3.39,95%CI(2.41~4.76),P<0.001]、阳虚质[OR=0.46,95%CI(0.27~0.79),P=0.004]、倾向是痰湿质[OR=2.37,95%CI(1.20~4.69),P=0.013]、痰湿质[OR=3.35,95%CI(2.01~5.57),P<0.001]有关。结论超重/肥胖可能与多种中医体质类型相关,其中与痰湿质、阳虚质相关的可能性最大。Objective To investigate the correlation between overweight/obesity and traditional Chinese medicine(TCM)constitution,to find TCM constitution factors that may affect overweight/obesity,and to provide a basis for clinical prevention and control of overweight/obesity based on a cross-sectional survey study.Methods The clients of the physical examination center of Yueyang Hospital of Integrative Traditional Chinese and Western Medicine affiliated to Shanghai University of Traditional Chinese Medicine were selected as the subjects of the survey,and data on general demographic characteristics such as gender,age,marital status,and place of origin were collected.Digital ultrasonic electronic body scales were used to measure height and body mass,and body mass index(BMI)was calculated.The type of TCM constitution was evaluated with the TCM constitution identification software.Logistic regression model was used to analyze the correlation between overweight/obesity and general demographic data and TCM constitution.Results①Totally 761 subjects were included,among which 303 cases(BMI≥24)were categorized as overweight/obesity group,and 458 cases(18.5≤BMI<24)were categorized as normal weight group.There was significant difference in gender distribution between the two groups(P<0.05).②Participants in both groups often possessed two or more constitutional types,and seldom had just one type.Compared with the normal weight group,the overweight/obesity group had less yang deficiency constitution and blood stasis constitution,but more phlegm dampness constitution and damp heat constitution,and the differences were statistically significant(P<0.05).In the male subgroup,there were significant differences in the prevalence of yang deficiency constitution,phlegm dampness constitution and special endowment constitution between the two groups(P<0.05);In the female subgroup,there were significant differences in the prevalence of yang deficiency constitution and phlegm dampness constitution between the two groups(P<0.05).③Logistic

关 键 词：超重 肥胖 中医体质 体质量指数 痰湿质 阳虚质 横断面研究 

分 类 号：R259[医药卫生—中西医结合]