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[中医体质类型与超重或肥胖关系的Logistic回归分析]

[Logistic regression analysis on relationships between traditional Chinese medicine constitutional types and overweight or obesity].

作者信息

Zhu Yan-bo, Wang Qi, Wu Cheng-yu, Pang Guo-ming, Zhao Jian-xiong, Shen Shi-lin, Xia Zhong-yuan, Yan Xue

机构信息

School of Administration, Beijing University of Chinese Medicine, Beijing 100029, China.

出版信息

Zhong Xi Yi Jie He Xue Bao. 2010 Nov;8(11):1023-8. doi: 10.3736/jcim20101104.

Abstract

OBJECTIVE

To explore the relationships between traditional Chinese medicine (TCM) constitutional types and overweight or obesity so as to provide evidence for adjusting constitutional bias and preventing and treating obesity.

METHODS

The data comes from a cross-sectional survey on TCM constitution of 18 805 samples aged above 18 in Beijing and 8 provinces (Jiangsu, Anhui, Gansu, Qinghai, Fujian, Jilin, Jiangxi and Henan) in China. The survey of TCM constitution was performed by standardized constitution in Chinese medicine questionnaire (CCMQ). Discriminatory analysis method was used to judge the individual's constitutional type (gentleness type, qi-deficiency type, yang-deficiency type, yin-deficiency type, phlegm-dampness type, dampness-heat type, blood-stasis type, qi-depression type and special diathesis type). The relationships between TCM constitution types and overweight or obesity was investigated by logistic regression analysis.

RESULTS

Compared with gentleness type, the risk of overweight (OR, 2.05; 95% CI, 1.79-2.35) and obesity (OR, 4.34; 95% CI, 3.52-5.36) in phlegm-dampness type is significantly increased; the risk of obesity (OR, 1.60; 95% CI, 1.30-1.98) in qi-deficiency type is significantly higher; the risk of overweight and obesity in yang-deficiency type, blood-stasis type, and qi-depression type is significantly lower.

CONCLUSION

Phlegm-dampness type and qi-deficiency type are the main constitutional risk factors of overweight or obesity.

摘要

目的

探讨中医体质类型与超重或肥胖之间的关系,为调整体质偏颇及防治肥胖提供依据。

方法

数据来源于对北京及中国8个省份(江苏、安徽、甘肃、青海、福建、吉林、江西和河南)18 805例18岁以上人群的中医体质横断面调查。采用标准化中医体质问卷(CCMQ)进行中医体质调查。运用判别分析方法判断个体的体质类型(平和质、气虚质、阳虚质、阴虚质、痰湿质、湿热质、血瘀质、气郁质和特禀质)。通过logistic回归分析研究中医体质类型与超重或肥胖之间的关系。

结果

与平和质相比,痰湿质超重(OR,2.05;95%CI,1.79 - 2.35)和肥胖(OR,4.34;95%CI,3.52 - 5.36)的风险显著增加;气虚质肥胖(OR,1.60;95%CI,1.30 - 1.98)的风险显著更高;阳虚质、血瘀质和气郁质超重和肥胖的风险显著更低。

结论

痰湿质和气虚质是超重或肥胖的主要体质危险因素。

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