[老年人群体重指数及腰围与其他心血管危险因素聚集情况的研究]
[Study on the body mass index and waist circumference of aged with clustering of other cardiovascular risk factors].
作者信息
Zhang Feng-Mei, Xu Heng-Jian
机构信息
Hospital of Shandong University of Technology, Zibo 255049, China.
出版信息
Zhonghua Yu Fang Yi Xue Za Zhi. 2007 Jan;41(1):33-7.
OBJECTIVE
To explore the relation of body mass index (BMI) and waist circumference (WC) of the aged with clustering of other cardiovascular risk factors.
METHODS
Total 654 old people were checked up, and the systolic blood press (SBP), diastolic blood press (DBP), total cholesterol (TC), triglyceride (TG), high-density lipoprotein cholesterol (HDL-C) and fasting plasma glucose (FPG) of them were investigated according to different BMI and WC, then the other cardiovascular risk factors analysis was carried out on the detection rates of SBP, DBP, TC, HDL-C, FPG level and high blood pressure, high TC, high TG. The clustering of the other cardiovascular risk factors was analyzed.
RESULTS
The rising of BMI and WC was regular cardiovascular risk factor in the aged. The average level of SBP, DBP, TC, TG, and FPG of the aged was obviously rising along with BMI and WC increasing, meanwhile the HDL-C was obviously decreased, and the detection rates of high blood pressure, high TC, TG and diabetes mellitus were obviously increased. When the BMI was 24 kg/m(2)-27.9 kg/m2, the detection rates of high blood pressure, high TC, TG and diabetes mellitus were 59.74%, 3.89%, 28.57%, 10.06% respectively, and their risks of suffering high blood pressure, high TC and TG were 1.65, 1.88, 1.85 times of those with normal BMI. When the BMI > or = 28.0 kg/m2, the detection rates of high blood pressure, high TC, TG and diabetes mellitus were 83.05%, 5.08%, 35.59%, 15.25% respectively, and their risks of suffering high blood pressure, high TC and TG were 5.44, 2.60, 2.98 times of those with normal BMI. When the man WC > or = 85 cm or women WC > or = 80 cm, the detection rates of high blood pressure, high TC, TG and diabetes mellitus were 66.15.%, 4.47%, 29.57%, 10.12%, and their risks of suffering high blood pressure, high TC and TG were 3.52, 6.51, 1.68 times of those with normal BMI. The rate of the aged with several cardiovascular risk factors was significantly increased for those with BMI > or = 24.0 kg/m2 or man WC > or = 85 cm or women WC > or = 80 cm.
CONCLUSION
The rising of BMI and WC should be important factor for the clustering of cardiovascular risk factors in the aged.
目的
探讨老年人身体质量指数（BMI）和腰围（WC）与其他心血管危险因素聚集的关系。
方法
对654名老年人进行体检，根据不同的BMI和WC调查其收缩压（SBP）、舒张压（DBP）、总胆固醇（TC）、甘油三酯（TG）、高密度脂蛋白胆固醇（HDL-C）和空腹血糖（FPG），然后对SBP、DBP、TC、HDL-C、FPG水平及高血压、高TC、高TG的检出率进行其他心血管危险因素分析。分析其他心血管危险因素的聚集情况。
结果
BMI和WC升高是老年人常见的心血管危险因素。老年人SBP、DBP、TC、TG和FPG的平均水平随BMI和WC的增加而明显升高，同时HDL-C明显降低，高血压、高TC、高TG和糖尿病的检出率明显增加。当BMI为每平方米24千克至27.9千克时，高血压、高TC、高TG和糖尿病的检出率分别为59.74%、3.89%、28.57%、10.06%，其患高血压、高TC和高TG的风险分别是BMI正常者的1.65倍、1.88倍、1.85倍。当BMI≥每平方米28.0千克时，高血压、高TC、高TG和糖尿病的检出率分别为83.05%、5.08%、35.59%、15.25%，其患高血压、高TC和高TG的风险分别是BMI正常者的5.44倍、2.60倍、2.98倍。当男性WC≥85厘米或女性WC≥80厘米时，高血压、高TC、高TG和糖尿病的检出率分别为66.15%、4.47%；29.57%、10.12%，其患高血压、高TC和高TG的风险分别是WC正常者的3.52倍、6.51倍、1.68倍。BMI≥每平方米24.0千克或男性WC≥85厘米或女性WC≥80厘米的老年人中，具有多种心血管危险因素的比例显著增加。
结论
BMI和WC升高应是老年人心血管危险因素聚集的重要因素。
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