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普通体检人群中医体质与代谢指标的相关性分析

Correlation Analysis of Traditional Chinese Medicine Constitution and Metabolic Indexes in General Physical Examination People.

作者信息

Qu Xue, Xiong Hua-Zhong, Qu Dong-Qi, Liu Hang, Xu Xiao-Xuan, Sun Rui, Liu Yang-Yang

机构信息

Department of College of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Changchun, 130000, China.

Department of Prevention and Treatment of Disease Care Center, The Affiliated Hospital to Changchun University of Chinese Medicine, Changchun, 130000, China.

出版信息

Endocr Metab Immune Disord Drug Targets. 2024 Oct 3. doi: 10.2174/0118715303302433240918104124.

DOI:10.2174/0118715303302433240918104124
PMID:39364874
Abstract

OBJECTIVE

Analysis of Traditional Chinese Medicine (TCM) constitution type general medical patients and the relationship between the metabolic index.

METHODS

A cohort of 1,029 general individuals who underwent a physical examination at the Affiliated Hospital of Changchun University of Chinese Medicine for identification of their TCM constitution between January 2021 and April 2023 were included in this study. Their data were sorted and analyzed using Microsoft Excel and SPSS26.0 statistical software.

RESULTS

Among the 1029 study participants, the balanced constitution (BC) type was the most prevalent (33.24%), and the blood stasis constitution (BSC) type was the least prevalent (2.62%). Compared with BC, phlegm-dampness constitution (PDC) (P=0.000), yang-deficiency constitution (YADC) (P=0.000) and BSC (P=0.008) had significant differences in body mass index (BMI) (P<α). The systolic blood pressure (SBP) of PDC was different (P=0.042, P<α). There was a significant difference in diastolic blood pressure (P=0.001, P<α). The diastolic blood pressure (DBP) of YADC was significantly different (P=0.001, P<α). Yin-deficiency constitution (YIDC) (P = 0.007) and YADC differences between fasting blood glucose (FBG) (P = 0.025) were significantly (P<α). There were significant differences in uric acid (UA) of YADC (P=0.000), BSC (P=0.004), PDC (P=0.007) and qi-stagnation constitution (QSC) (P=0.012, P<α). The triglyceride (TG) of YADC (P=0.000) and PDC (P=0.005) were significantly different (P<α). There was a difference in total cholesterol (TC) between PDC (P=0.046) and BC (P<α). BSC (P = 0.028) and PDC (P = 0.023) of low-density lipoprotein cholesterol (LDL-C) also had a significant difference (P<α).

CONCLUSION

People with PDC, YADC and BSC had more abnormal metabolic indexes than people with BC, and the metabolic indexes of people with YIDC constitution were different from those with BC. Individuals with these four TCM constitution types should pay attention to making appropriate changes in lifestyles and dietary habits and take required measures to prevent the incidence and development of metabolic diseases.

摘要

目的

分析普通内科患者的中医体质类型与代谢指标之间的关系。

方法

本研究纳入了2021年1月至2023年4月期间在长春中医药大学附属医院进行体检以确定中医体质的1029名普通个体。使用Microsoft Excel和SPSS26.0统计软件对他们的数据进行整理和分析。

结果

在1029名研究参与者中,平和质类型最为普遍(33.24%),血瘀质类型最不普遍(2.62%)。与平和质相比,痰湿质(P = 0.000)、阳虚质(P = 0.000)和血瘀质(P = 0.008)在体重指数(BMI)方面有显著差异(P<α)。痰湿质的收缩压(SBP)存在差异(P = 0.042,P<α)。舒张压有显著差异(P = 0.001,P<α)。阳虚质的舒张压(DBP)有显著差异(P = 0.001,P<α)。阴虚质(P = 0.007)和阳虚质在空腹血糖(FBG)方面存在显著差异(P = 0.025)(P<α)。阳虚质(P = 0.000)、血瘀质(P = 0.004)、痰湿质(P = 0.007)和气滞质(P = 0.012,P<α)的尿酸(UA)有显著差异。阳虚质(P = 0.000)和痰湿质(P = 0.005)的甘油三酯(TG)有显著差异(P<α)。痰湿质(P = 0.046)与平和质之间的总胆固醇(TC)存在差异(P<α)。血瘀质(P = 0.028)和痰湿质(P = 0.023)的低密度脂蛋白胆固醇(LDL-C)也有显著差异(P<α)。

结论

痰湿质、阳虚质和血瘀质的人比平和质的人有更多异常代谢指标,阴虚质体质的人与平和质的人代谢指标不同。这四种中医体质类型的个体应注意适当改变生活方式和饮食习惯,并采取必要措施预防代谢疾病的发生和发展。

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本文引用的文献

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The Correlation between Traditional Chinese Medicine Constitution and Hyperuricemia and Gout: A Systematic Review and Meta-Analysis.中医体质与高尿酸血症及痛风的相关性:系统评价与Meta分析
Evid Based Complement Alternat Med. 2023 Apr 17;2023:5097490. doi: 10.1155/2023/5097490. eCollection 2023.
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Correlation between TCM Constitutional Types and Lung Carcinoma in Various Geographical Areas: A Systematic Review and Meta-Analysis.中医体质类型与不同地区肺癌的相关性:系统评价和荟萃分析。
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四项人体测量指标与美国成年人代谢综合征的关系。
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Risk Classification for Metabolic Syndrome and the Incidence of Cardiovascular Disease in Japan With Low Prevalence of Obesity: A Pooled Analysis of 10 Prospective Cohort Studies.代谢综合征风险分类与日本低肥胖患病率心血管疾病的发生率:10 项前瞻性队列研究的汇总分析。
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