肥胖类型与壮族中老年居民心血管疾病危险因素发生及聚集情况的分析  

Analysis of obesity types and the incidence and aggregation of cardiovascular disease risk factors among middle-aged and elderly residents of Zhuang nationality

作　　者：张迷磊 杨琼 陈海燕 莫彬彬 戴霞[1] Zhang Milei;Yang Qiong;Chen Haiyan;Mo Binbin;Dai Xia(The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学第一附属医院,南宁530021

出　　处：《广西医科大学学报》2023年第9期1564-1569,共6页Journal of Guangxi Medical University

基　　金：国家重点研发计划项目(No.2016YFC1305700);广西医科大学第一附属医院“护理临床研究攀登计划”资助项目(No.YYZS2020028)。

摘　　要：目的:分析广西壮族中老年居民不同肥胖类型与心血管疾病(CVD)危险因素发生及聚集情况,为该人群预防和干预CVD的发生提供依据。方法:采用整群抽样的方法,抽取1 650例广西南宁市45岁以上壮族城乡居民作为研究对象。利用体质量指数和腰围作为不同肥胖类型的测量指标,将研究对象分为正常组、全身型肥胖组、腹型肥胖组和复合型肥胖组,比较各组间CVD危险因素检出率,分别采用二分类logistic回归、多分类logistic回归分析不同肥胖类型与CVD危险因素的发生及聚集情况。结果:Logistic回归结果显示,调整混杂因素后,复合型肥胖是发生高血压、2型糖尿病、血脂异常的危险因素;与正常组相比,复合型肥胖组发生1种CVD危险因素的风险存在统计学意义(P<0.05),腹型肥胖组、复合型肥胖组发生2种或2种以上CVD危险因素的风险分别为正常组的2.781倍(OR=2.781,95%CI:1.108~6.984)、3.416倍(OR=3.416,95%CI:2.818~4.141)(均P<0.05)。结论:广西南宁市壮族中老年居民肥胖类型与CVD危险因素的聚集有关,复合型肥胖的影响最高,其次为腹型肥胖。Objective:To analyze the incidence and aggregation of cardiovascular disease(CVD)risk factors among different obesity types in middle-aged and elderly residents of Zhuang nationality in Guangxi,so as to provide evidence for the prevention and intervention of CVD in this population.Methods:A cluster sampling method was used to select 1,650 urban and rural Zhuang residents over 45 years old in Nanning of Guangxi as the study subjects.Body mass index and waist circumference were used as measurement indicators of different obesity types.The subjects were divided into normal group,whole-body obesity group,abdominal obesity group and mixed obesity group.The detection rates of CVD risk factors among different groups were compared.Binary logistic regression and multinomial logistic regression were used to analyze the occurrence and aggregation of CVD risk factors associated with different obesity types,respectively.Results:The results of logistic regression analysis,after adjusting for confounding factors,showed that mixed obesity was a risk factor for hypertension,type 2 diabetes,and blood lipid abnormalities.Compared with the normal weight group,mixed obesity had a statistically significant risk of developing one CVD risk factor(P<0.05),while abdominal obesity and mixed obesity had a 2.781 times(OR=2.781,95%CI:1.108-6.984)and 3.416 times(OR=3.416,95%CI:2.818-4.141)higher risk,respectively,of developing two or more CVD risk factors(P<0.05).Conclusion:The aggregation of obesity types in middle-aged and elderly residents of Zhuang nationality in Nanning of Guangxi is associated with CVD risk factors,with mixed obesity having the highest impact,followed by abdominal obesity.

关 键 词：肥胖类型 心血管疾病 危险因素 壮族 中老年 

分 类 号：R54[医药卫生—心血管疾病]