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一项基于社区的研究:大腿围较大与超重和肥胖个体的血压较低相关。

Large thigh circumference is associated with lower blood pressure in overweight and obese individuals: a community-based study.

作者信息

Shi Jie, Yang Zhen, Niu Yixin, Zhang Weiwei, Lin Ning, Li Xiaoyong, Zhang Hongmei, Gu Hongxia, Wen Jie, Ning Guang, Qin Li, Su Qing

机构信息

Department of Endocrinology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Department of Endocrinology and Metabolism, Institute of Endocrinology and Diabetes, Huashan Hospital, Fudan University, Shanghai, China.

出版信息

Endocr Connect. 2020 Apr;9(4):271-278. doi: 10.1530/EC-19-0539.

Abstract

OBJECTIVE

A small thigh circumference is associated with an increased risk of diabetes, cardiovascular diseases, and total mortality. The purpose of this study was to evaluate the association between thigh circumference and hypertension in the middle-aged and elderly population.

METHODS

A total of 9520 individuals aged 40 years and older with measurement of thigh circumference were available for analysis. The measurement of thigh circumference was performed directly below the gluteal fold of the thigh. The association of thigh circumference with hypertension was tested in logistic regression analyses and reported as odds ratio (OR) with 95% CI.

RESULTS

Thigh circumference was negatively correlated with systolic blood pressure, diastolic blood pressure, fasting glucose, and total cholesterol. Compared with the lowest thigh circumference tertile group, the risk of hypertension was significantly lower in the highest tertile group, both in overweight individuals (OR 0.68; 95% CI 0.59-0.79, P < 0.001) and obese individuals (OR 0.51; 95% CI 0.38-0.70, P < 0.001).

CONCLUSION

In the present study, large thigh circumference is associated with lower risk of hypertension in overweight and obese Chinese individuals.

摘要

目的

较小的大腿围与糖尿病、心血管疾病及全因死亡率风险增加相关。本研究旨在评估中老年人群中大腿围与高血压之间的关联。

方法

共有9520名年龄在40岁及以上且测量了大腿围的个体可供分析。大腿围的测量在大腿臀褶正下方进行。在逻辑回归分析中测试大腿围与高血压的关联,并以比值比(OR)及95%置信区间(CI)报告。

结果

大腿围与收缩压、舒张压、空腹血糖及总胆固醇呈负相关。与大腿围最低三分位数组相比,在超重个体(OR 0.68;95% CI 0.59 - 0.79,P < 0.001)和肥胖个体(OR 0.51;95% CI 0.38 - 0.70,P < 0.001)中,大腿围最高三分位数组的高血压风险均显著更低。

结论

在本研究中,较大的大腿围与超重和肥胖的中国个体患高血压的风险较低相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4387/7159266/54319b0ef963/EC-19-0539fig1.jpg

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