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[北京市成年人不同体重异常指标与血脂异常关系的研究]

[Study on the relationship between indexes of different abnormal weight and dyslipidemia in adults in Beijing City].

作者信息

Ma A J, Dong Z, Qi K, Jiang B, Xie C

机构信息

Institute for Chronic Disease Prevention and Control, Beijing Center for Disease Prevention and Control,Beijing 100013,China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2023 Mar 6;57(3):400-405. doi: 10.3760/cma.j.cn112150-20220526-00533.

Abstract

To analyze the relationship and consistency between indexes of different abnormal weight and dyslipidemia in adults in Beijing City. From August to December of 2017, 4 975 residents aged 18 to 79 years old in 5 districts of Beijing were randomly selected as subjects by using a multi-stage stratified cluster sampling method. Questionnaire, physical examination and laboratory tests were conducted. The prevalence of overweight/obesity, high body fat rate, central obesity, and high waist-to-height ratio was calculated. Partial correlation was used to analyze the correlation of blood lipid with body mass index (BMI), body fat rate, waist circumference and waist-height ratio. Logistic regression analysis for complex sampling was used to analyze the relationship between indexes of different abnormal weight and dyslipidemia after controlling for relevant risk factors, including age, sex, smoking status, drinking, insufficiency intake of vegetable and fruit, physical inactivity. value was computed to analyze the consistency between indexes of different abnormal weight. The weighted prevalence of dyslipidemia was 30.48%, and it was higher in men than that in women (40.16% 20.52%, <0.01). The weighted rate of overweight/obesity, high body fat rate, central obesity, and high waist-to-height ratio was 56.65%, 47.52%, 42.48% and 59.45%, respectively. BMI, body fat rate, waist circumference and waist-to-height ratio were positively correlated with the level of total cholesterol, triglyceride, low-density lipoprotein cholesterol, and non-high-density lipoprotein cholesterol, and negatively correlated with high-density lipoprotein cholesterol. Logistic regression analysis for complex sampling showed that the high body fat rate (1.67, 95%: 1.35-2.07), overweight/obesity (1.65, 95%: 1.26-2.14) and high waist-to-height ratio (1.46, 95%: 1.09-1.96) were associated with dyslipidemias. values of high body fat rate with overweight/obesity, high waist-to-height ratio and central obesity were 0.65, 0.53 and 0.58, respectively (<0.05). In 2017, the prevalence of dyslipidemia in adults in Beijing City is high, especially in men. Overweight/obesity, high body fat rate and high waist-to-height ratio are associated with dyslipidemia. The high body fat rate is most associated with dyslipidemia.

摘要

分析北京市成年人不同超重及血脂异常指标之间的关系及一致性。2017年8月至12月,采用多阶段分层整群抽样方法,在北京5个区随机选取4975名18至79岁居民作为研究对象,进行问卷调查、体格检查及实验室检测,计算超重/肥胖、高体脂率、中心性肥胖及高腰高比的患病率,采用偏相关分析血脂与体重指数(BMI)、体脂率、腰围及腰高比的相关性,采用复杂抽样的Logistic回归分析在控制年龄、性别、吸烟状况、饮酒、蔬菜水果摄入不足、身体活动不足等相关危险因素后不同超重异常指标与血脂异常的关系,计算Kappa值分析不同超重异常指标之间的一致性。血脂异常加权患病率为30.48%,男性高于女性(40.16%对20.52%,P<0.01)。超重/肥胖、高体脂率、中心性肥胖及高腰高比加权率分别为56.65%、47.52%、42.48%和59.45%。BMI、体脂率、腰围及腰高比与总胆固醇、甘油三酯、低密度脂蛋白胆固醇及非高密度脂蛋白胆固醇水平呈正相关,与高密度脂蛋白胆固醇呈负相关。复杂抽样的Logistic回归分析显示,高体脂率(OR=1.67,95%CI:1.35 - 2.07)、超重/肥胖(OR=1.65,95%CI:1.26 - 2.14)及高腰高比(OR=1.46,95%CI:1.09 - 1.96)与血脂异常相关。高体脂率与超重/肥胖、高腰高比及中心性肥胖的Kappa值分别为0.65、0.53和0.58(P<0.05)。2017年北京市成年人血脂异常患病率较高,尤以男性为甚。超重/肥胖、高体脂率及高腰高比与血脂异常相关,高体脂率与血脂异常关联最为密切。

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