军事飞行员腰围变化趋势与血脂相关性分析及干预建议  

Analysis on the correlation between changes of waist circumference and blood lipids in military pilots and intervention suggestions

作　　者：骆芝英 刘君 王炜芳 程超 邹杰 唐艳超 巩艳秋 张荷 Luo Zhiying;Liu Jun;Wang Weifang;Cheng Chao;Zou Jie;Tang Yanchao;Gong Yanqiu;Zhang He(Department of Health Management,Third Sanatorium of Air Force Healthcare Center for Special Services Hangzhou,Hangzhou 310000,China;First Department of Recuperation,Third Sanatorium of Air Force Healthcare Center for Special Services Hangzhou,Hangzhou 310000,China;Department of Pharmacy,the 903rd Hospital of PLA,Hangzhou 310002,China)

机构地区：[1]空军杭州特勤疗养中心疗养三区健康管理科,杭州310000 [2]空军杭州特勤疗养中心疗养三区疗养一科,杭州310000 [3]联勤保障部队第九O三医院药剂科,杭州310002

出　　处：《中华航空航天医学杂志》2024年第3期187-192,共6页Chinese Journal of Aerospace Medicine

摘　　要：目的分析军事飞行员腰围纵向变化趋势及其与BMI、血脂代谢指标的相关性,为制定军事飞行员个性化健康干预措施提供参考。方法采用回顾性分析,收集2017年1月至2022年1月于空军杭州特勤疗养中心连续疗养3次,完成3次健康体检指标检测的323名飞行员的体检资料。按其腰围大小分为<85、≥85~90和≥90 cm组;按其腰围变化趋势分为腰围增加组(腰围差值>0 cm)和腰围减少组(腰围差值≤0 cm);按照腰围5年间的变化率(Δ5)分为腰围相对增加组(Δ5>3%)、腰围相对稳定组(-3%≤Δ5≤3%)和腰围相对减少组(Δ5<-3%)。比较不同腰围分层、腰围5年变化率与BMI、血脂指标及高脂血症异常率情况。腰围的测量及判定标准分别依据飞行人员及成人的相关标准。结果①323名飞行员腰围均值接近中心型肥胖前期,BMI均值已达到超重标准,TG、TC均值在正常高值。②5年期间3次重复测量血脂指标值中TG、TC和LDL-C均值呈升高趋势,差异有统计学意义(F=7.39、9.49、3.67,P=0.001、<0.001、=0.026),且第3次测量结果TG、TC均值已达到边缘升高。③BMI、TG连续3次测量结果,LDL-C(第1、3次测量结果),TC(第1次测量结果)和高脂血症异常率均随腰围的增加而增加,差异均有统计学意义(F=3.06~133.39,χ^(2)=9.08~22.99,P均<0.05);HDL-C随腰围的增加而降低,差异有统计学意义(F=6.32、9.78、10.86,P=0.002、<0.001、<0.001)。腰围≥85~90 cm组3次检测BMI均值均达到了超重水平,前2次检测TG、TC均值在正常高值,但第3次均值高于正常范围;腰围≥90 cm组BMI、TG和TC 3次均值均在异常范围。④腰围增加组BMI、LDL-C的5年变化率高于腰围减少组(F=26.02、14.95,P均<0.001)。⑤腰围相对稳定组及相对增加组的高脂血症新发率较高,分别有27人(21.77%)、24人(20.00%),腰围相对减少组高脂血症好转比例最高,有5人(6.33%),但差异均无统计学意义(P均>0.05)。结论军事飞行员腰围、BMIObjectiveTo provide basis for personalized health interventions for military pilots by analyzing the longitudinal variation trend of waist circumference and its correlation with BMI and lipid metabolism indicators among military pilots.MethodsA retrospective analysis was used on the base of collecting the physical examination data of 323 pilots who had been consecutively recuperated for 3 times and completed 3 health indicator examinations in Air Force Healthcare Center for Special Services Hangzhou from January of 2017 to January of 2022.The pilots were divided into waist circumference<85 cm group,≥85-90 cm group,and≥90 cm group.According to their waist circumference change trend,they were divided into increased group(difference of waist circumference>0 cm)and decreased group(difference of waist circumference≤0 cm).According to the 5-year change rate of waist circumference(Δ5),they were divided into waist circumference relative increased group(Δ5>3%),relative stable group(-3%≤Δ5≤3%),and relative decreased group(Δ5<-3%).The stratification of different waist circumference,the 5-year change rate of waist circumference and BMI,blood lipid indexes and abnormal rate of hyperlipidemia were compared.Waist circumference was measured and determined according to the relevant standards for flying personnel and adults.Results①The mean waist circumference of 323 pilots was close to the value of pre-central obesity.The mean BMI had reached the overweight standard,and the mean TG and TC were at high end of normal values.②During the 5-year period,the values of blood lipid metabolism indicators were repeatedly measured 3 times,and the mean values of TG,TC,and LDL-C showed an increasing trend,with significant differences(F=7.39,9.49,3.67,P=0.001,<0.001,=0.026)and the mean values of TG and TC of the third measurement had approached to high limit.③The results of BMI,TG in 3 measurements,LDL-C in the first and third measurements,TC in the first measurement and the incidence of hyperlipidemia were all increased wit

关 键 词：腰围 血脂 健康干预 军事飞行员 

分 类 号：R85[医药卫生—航空、航天与航海医学]