广州地区部分铁路职工代谢综合征观测指标与体质测定的相关性研究  

Study on Correlation between Observation Index of Metabolic Syndrome and Physical Fitness Measurement of Railway Workers in Guangzhou

作　　者：吴晓璇 王芳 于莹莹 曾晨笛 林海艺 张月婷 WU Xiaoxuan;WANG Fang;YU Yingying;ZENG Chendi;LIN Haiyi;ZHANG Yueting(Guangzhou Railway Disease Prevention and Control Center,China Railway Guangzhou Bureau Group Co.,Ltd.,Guangzhou Guangdong 510000,China)

机构地区：[1]中国铁路广州局集团有限公司广州铁路疾病预防控制中心,广东广州510000

出　　处：《铁路节能环保与安全卫生》2024年第6期6-11,共6页Railway Energy Saving & Environmental Protection & Occupational Safety and Health

基　　金：中国铁路广州局集团有限公司科技研究开发项目(2020K101-Z)。

摘　　要：探讨广州地区部分铁路职工的代谢综合征(MS)观测指标与体质测定指标之间的关系,旨在通过体质测定指标评估MS观测指标相关趋势,为今后职工开展运动锻炼、制定亚健康和慢性病干预措施提供科学依据。采用方便抽样,在广州地区11个铁路单位抽取761名20~59岁职工作为研究对象开展体质测定,对测定指标与MS观测指标进行相关性分析。结果显示,研究对象体质测定总合格率为78.7%,体质指数(BMI)评分和体质测定结果总分与收缩压(SBP)、舒张压(DBP)、空腹血糖(FPG)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、尿酸(UA)呈现负相关,与高密度脂蛋白胆固醇(HDL-C)呈正相关(P<0.05)。台阶指数得分与DBP、FPG、TG及UA呈负相关,与HDL-C呈正相关(P<0.05)。坐位体前屈得分与TG、UA呈负相关,与HDL-C呈正相关(P<0.05)。反应时得分与DBP、UA呈负相关(P<0.05)。闭眼单脚站立得分与SBP、TG、FPG均呈负相关,与HDL-C呈正相关(均P<0.05)。未观察到肺活量、俯卧撑和纵跳得分与各项体检指标的相关性。提示体质测定总分等级与MS观测指标(血压、血糖、血脂、尿酸)具有负相关性,职工体质测定总分等级越好,上述MS观测指标水平越正常。进而提出在开展职工健康监测的同时,应经常性进行职工体质监测,重点对高BMI或坐位体前屈得分低的职工的健康水平和内环境状态加强监测和干预;日常监测可将体质指数、台阶指数、坐位体前屈等指标作为日常干预效果评价量化指标,有针对性开展干预性训练,以达到增强职工体质、提高职工健康水平的目标。To explore the relationship between the observation index of metabolic syndrome(MS)and physical measurement index of railway workers in Guangzhou,aiming to evaluate the relevant trend of MS observation index through physical measurement index,and provide scientific basis for workers to carry out exercise and intervene in sub-health and chronic diseases in the future.Using convenient sampling,761 workers aged 20-59 were selected from 11 railway units in Guangzhou to carry out physical fitness measurement,and the correlation analysis was conducted between the measurement index and MS observation index.The results showed that the total qualified rate of physical fitness test was 78.7%.Physical fitness index(BMI)and systolic blood pressure(SBP),diastolic blood pressure(DBP),fasting blood glucose(FPG),triglycerides(TG),LDL cholesterol(LDL-C),uric acid(UA)showed a negative correlation,with High-density Lipoprotein Cholesterol(HDL-C)showed a positive correlation(P<0.05).The step index score was negatively correlated with DBP,FPG,TG and UA and positively correlated with HDL-C(P<0.05).Sitting anterior flexion score was negatively correlated with TG,UA and positively correlated with HDL-C(P<0.05).The score during the reaction was negatively associated with DBP and UA(P<0.05).The standing score was correlated negatively with SBP,TG,and FPG,and positively with HDL-C(all P<0.05).No correlation was observed between vital capacity,push-ups,and longitudinal jump scores and various physical indicators.It is suggested that the total score of physical measurement and MS observation indicators(blood pressure,blood sugar,blood lipid,uric acid)are negatively correlated,the better the total score of employees physical measurement,the more normal the above MS observation indicators.It is proposed that the health monitoring of employees should be carried out regularly at the same time,and the health level and internal environment state of employees with high BMI or low sitting flexion score should be monitored and intervened;daily monito

关 键 词：铁路 体质测定 代谢综合征 观测指标 相关性 

分 类 号：R589[医药卫生—内分泌] G804.4[医药卫生—内科学]