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[老年人肥胖与糖尿病——与某些慢性疾病的相关性及关系]

[Obesity and diabetes in the aged--correlation and relation to some chronic diseases].

作者信息

Weber P, Dedek I, Kocourková B

机构信息

I. interne Klinik des Universitätskrankenhauses Brno-Bohunice.

出版信息

Z Gerontol. 1993 Jul-Aug;26(4):280-4.

PMID:8212799
Abstract

The authors analyzed obesity in 1173 persons aged 75+. They were all inhabitants of the same section of the town of Brno, CSFR, 721 of them were diabetic and 452 non-diabetics. The authors concentrated on the internal analysis of both groups regarding obesity; they found it to occur much more frequently among the diabetics (p = 0.005). The difference in obesity occurrence between men and women was found to be significantly higher among diabetic women (p = 0.005). The authors also analyzed the relation of obesity to the occurrence of coronary heart disease, hypertension, cerebrovascular incidents, and chronic pyelonephritis. Higher values were found for both hypertension in obese non-diabetics (p = 0.005) and cerebrovascular incidents in obese diabetics (p = 0.025); other differences were not statistically significant. The authors compared cholesterol levels of both groups; the results are unfavorable for the obese diabetics (Table 2); only the difference between non-obese diabetics and the obese non-diabetics was not statistically significant. The authors also compared treatment regimens for obese and non-obese diabetics. A significant difference was found for diet, by which the non-obese diabetics were more frequently treated (p = 0.05).

摘要

作者分析了1173名75岁及以上人群的肥胖情况。他们均为捷克斯洛伐克布尔诺市同一区域的居民,其中721人患有糖尿病,452人无糖尿病。作者专注于对两组人群肥胖情况的内部分析;他们发现肥胖在糖尿病患者中更为常见(p = 0.005)。在糖尿病女性中,发现男性和女性肥胖发生率的差异显著更高(p = 0.005)。作者还分析了肥胖与冠心病、高血压、脑血管事件和慢性肾盂肾炎发生之间的关系。发现肥胖非糖尿病患者的高血压(p = 0.005)和肥胖糖尿病患者的脑血管事件(p = 0.025)的值更高;其他差异无统计学意义。作者比较了两组的胆固醇水平;结果对肥胖糖尿病患者不利(表2);只有非肥胖糖尿病患者与肥胖非糖尿病患者之间的差异无统计学意义。作者还比较了肥胖和非肥胖糖尿病患者的治疗方案。在饮食方面发现了显著差异,非肥胖糖尿病患者接受治疗的频率更高(p = 0.05)。

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