[Relationship between abdominal obesity and dyslipidemia in postmenopausal women in a community of Suzhou City in 2014].

OBJECTIVE

To explore the relationship between abdominal obesity and dyslipidemia in postmenopausal women.

METHODS

Based on the project of 2014 community comprehensive intervention for prevention of chronic diseases in Suzhou Industrial Park, 2 000 residents in a community were randomly selected. Among them, a total of 323 women with natural menopause for more than 12 months were observed. Height, body weight, waist circumference, blood pressure, and plasma levels of triglycerides( TG) level, total cholesterol( TC) level, high-density lipoprotein cholesterol( HDL-C) level and low-density lipoprotein cholesterol( LDL-C) were measured. Abdominal obesity was diagnosed by waist circumference( ≥85 cm) according to Criteria of Weight for Adults. Hyperglycemia was diagnosed by TG, TC, HDL-C and LDL-C in Guidelines for Prevention and Treatment of Dyslipidemia in Chinese Adults( 2007). Relationship between abdominal obesity and dyslipidemia was analyzed by Logistic regressionmethod.

RESULTS

The incidences of abdominal obesity and dyslipidemia were13. 6%( 44/323) and 29. 7%( 96/323), respectively. The rate of dyslipidemia was significantly higher in abdominal obesity group than in the control group( 43. 2% vs27. 6%, P = 0. 036). Waist circumference was positively correlated with TG( r = 0. 28, P < 0. 01) and LDL-C( r = 0. 20, P < 0. 01), and negatively correlated with HDL-C( r =-0. 26, P < 0. 01). The multivariate Logistic regression analysis showed that abdominal obesity had significantly increased risk of dyslipidemia( OR = 2. 07, 95% CI 1. 04-4. 13, P = 0. 039). The OR for TG and HDL-C were 3. 81( 95% CI 1. 69-8. 60, P =0. 001) and 3. 19( 95% CI 1. 36-7. 52, P = 0. 008), respectively.

CONCLUSION

Abdominal obesity is likely to be a risk factor for dyslipidemia in postmenopausal women.