CAJ | 학술논문

目的:研究成年人腰臀比(WHR)和静态肺容量的关系.方法: 2008年7月至10月通过问卷和体检抽取黑龙江省部分地区19-81岁健康成年受试者1 307人,其中男性372人,女性935人,测量其身高、体重、腰臀比、肺功能和身体成分,以男性WHR≥0.86、女性WHR ≥0.82为中心性肥胖进行分组,分析WHR和静态肺容量关系.结果: 无论性别、腰臀比有随年龄、体重指数(BMI)增长而增大的趋势(P<0.01),中心性肥胖组的脂肪含量和体脂百分比都高于腰臀比正常组(P<0.01).无论性别,WHR皆与补呼气量(ERV)独立负相关(P<0.05),中心性肥胖组ERV显著低于WHR正常组(P<0.05):男性下降11%,女性下降8%(P<0.05).男性WHR与深吸气量(IC)独立正相关(P<0.05),中心性肥胖组IC较WHR正常组上升约6%(P<0.05).女性WHR与每分通气量(MV)正相关(P<0.05),中心性肥胖组VT,MV较WHR正常组分别上升7%、6%(P<0.05).结论: 腰臀比与ERV独立负相关.腰臀比升高是肺功能损伤的危险因素.腰臀比升高男性IC上升,女性MV上升可能与代偿ERV下降导致的动脉血氧分压有关.
목적:연구성년인요둔비(WHR)화정태폐용량적관계.방법: 2008년7월지10월통과문권화체검추취흑룡강성부분지구19-81세건강성년수시자1 307인,기중남성372인,녀성935인,측량기신고、체중、요둔비、폐공능화신체성분,이남성WHR≥0.86、녀성WHR ≥0.82위중심성비반진행분조,분석WHR화정태폐용량관계.결과: 무론성별、요둔비유수년령、체중지수(BMI)증장이증대적추세(P<0.01),중심성비반조적지방함량화체지백분비도고우요둔비정상조(P<0.01).무론성별,WHR개여보호기량(ERV)독립부상관(P<0.05),중심성비반조ERV현저저우WHR정상조(P<0.05):남성하강11%,녀성하강8%(P<0.05).남성WHR여심흡기량(IC)독립정상관(P<0.05),중심성비반조IC교WHR정상조상승약6%(P<0.05).녀성WHR여매분통기량(MV)정상관(P<0.05),중심성비반조VT,MV교WHR정상조분별상승7%、6%(P<0.05).결론: 요둔비여ERV독립부상관.요둔비승고시폐공능손상적위험인소.요둔비승고남성IC상승,녀성MV상승가능여대상ERV하강도치적동맥혈양분압유관.
AIM: The study is designed to probe for the relationship between waist to hip ratio(WHR)and static lung volumes of adults. METHODS: In July-October 2008, 1 307 healthy adults(372 males and 935 females)were selected in Heilongjiang province by means of questionnaire and physical examination. The height, weight, WHR, fat mass, percentage body fat and lung function were measured, and then grouped according to the standard of classification of WHR(central obesity male WHR ≥ 0.86, female ≥ 0.82)for analysis of the relationship between WHR and static lung volume. RESULTS: WHR was found, regardless of sex, to tend to go up with the increase in age and BMI(P<0.01), and both the fat mass and percentage body fat of the central obesity group were higher than those in the group with normal WHR(P<0.01). An independent negative correlation was found(P<0.05), also regardless of sex, between the WHR with expiratory reserve volume(ERV)in all these adults. ERV in central obesity group was lower than that in the group with normal WHR(P<0.05). Compared to the normal group, ERV in the central obesity group decreased by 11% for males and 8% for females(P<0.05). However, with regard to the relationship between WHR and VT, IC, MV, and VC, gender differences were found. For the males, a significant independent positive correlation was observed between WHR and IC(P<0.05), with IC of the central obesity group 6% higher than that in the group with normal WHR(P<0.05). For the females, significant independent positive correlation was found between WHR and MV(P<0.05), with the VT and MV of the central obesity group 7% and 6% higher(P<0.05), respectively, than that in the group with normal WHR. CONCLUSION: WHR is in an independent negative correlation with ERV. The elevation of WHR may play a role in the impairment of respiratory function. Its occurrence is accompanied by a rise of IC for the male and a rise of MV for the female. These changes in the two genders could be associated with the decrease in arterial oxygen tension caused by the decrease of ERV.