中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2012年
1期
34-37,41
,共5页
周娜%梁军%腾飞%邹彩艳%杨曼青%祁禄%宋怀东
週娜%樑軍%騰飛%鄒綵豔%楊曼青%祁祿%宋懷東
주나%량군%등비%추채염%양만청%기록%송부동
脉搏%颈动脉%股动脉%葡糖耐受不良%血糖/代谢
脈搏%頸動脈%股動脈%葡糖耐受不良%血糖/代謝
맥박%경동맥%고동맥%포당내수불량%혈당/대사
Pulse%Carotid arteries%Femoral artery%Glucose intolerance%Blood glucose/ME
目的 分析本地区成年人颈-股动脉脉搏波速度(cf-PWV)与空腹血糖受损(IFG)风险的相关性,探讨年龄、体重指数(BMI)、体脂率、颈围、腰围及血脂对空腹血糖受损风险相关因素的影响.方法 对5099例本地区来自社区的健康体检人群测量cf-PWV、BMI、体脂率、颈围、腰围、血压、空腹血糖、空腹胰岛素及血脂水平.分析影响空腹血糖受损的相关因素.结果 对年龄、性别、血脂、血压等多因素进行校正后,通过升高分组变量cf-PWV水平,计算cf-PWV各五分位组的空腹血糖受损(impaired fasting glucose,IFG)风险,IFG风险的比值比及95％的可信区间(ORs,95％ CI)分别为1.00,1.07(0.83 - 1.39),1.20(1.08 - 1.34),1.13(1.04 - 1.23),1.14(1.05 - 1.25)(P＜0.01).cf-PWV与年龄、颈围交互作用对IFG风险产生影响(P＜0.01).结论 cf-PWV与IFG密切相关,并独立于其他代谢危险因素,cf-PWV与年龄、颈围交互作用影响IFG风险.
目的 分析本地區成年人頸-股動脈脈搏波速度(cf-PWV)與空腹血糖受損(IFG)風險的相關性,探討年齡、體重指數(BMI)、體脂率、頸圍、腰圍及血脂對空腹血糖受損風險相關因素的影響.方法 對5099例本地區來自社區的健康體檢人群測量cf-PWV、BMI、體脂率、頸圍、腰圍、血壓、空腹血糖、空腹胰島素及血脂水平.分析影響空腹血糖受損的相關因素.結果 對年齡、性彆、血脂、血壓等多因素進行校正後,通過升高分組變量cf-PWV水平,計算cf-PWV各五分位組的空腹血糖受損(impaired fasting glucose,IFG)風險,IFG風險的比值比及95％的可信區間(ORs,95％ CI)分彆為1.00,1.07(0.83 - 1.39),1.20(1.08 - 1.34),1.13(1.04 - 1.23),1.14(1.05 - 1.25)(P＜0.01).cf-PWV與年齡、頸圍交互作用對IFG風險產生影響(P＜0.01).結論 cf-PWV與IFG密切相關,併獨立于其他代謝危險因素,cf-PWV與年齡、頸圍交互作用影響IFG風險.
목적 분석본지구성년인경-고동맥맥박파속도(cf-PWV)여공복혈당수손(IFG)풍험적상관성,탐토년령、체중지수(BMI)、체지솔、경위、요위급혈지대공복혈당수손풍험상관인소적영향.방법 대5099례본지구래자사구적건강체검인군측량cf-PWV、BMI、체지솔、경위、요위、혈압、공복혈당、공복이도소급혈지수평.분석영향공복혈당수손적상관인소.결과 대년령、성별、혈지、혈압등다인소진행교정후,통과승고분조변량cf-PWV수평,계산cf-PWV각오분위조적공복혈당수손(impaired fasting glucose,IFG)풍험,IFG풍험적비치비급95％적가신구간(ORs,95％ CI)분별위1.00,1.07(0.83 - 1.39),1.20(1.08 - 1.34),1.13(1.04 - 1.23),1.14(1.05 - 1.25)(P＜0.01).cf-PWV여년령、경위교호작용대IFG풍험산생영향(P＜0.01).결론 cf-PWV여IFG밀절상관,병독립우기타대사위험인소,cf-PWV여년령、경위교호작용영향IFG풍험.
Objective To examine the relation between pulse wave velocity (PWV) and impaired fasting glucose (IFG),then evaluate the modification effects of age,BMI,hypertension and lipids in Chinese adults.Methods 5099 cases from a community-based health examination survey in Xuzhou,Jiangsu prownce,China,were enrolled in this study.Blood pressure,weight,height,waist circumference,neck circumference,body fat ratio and determination of fasting glucose,lipidsand pulse wave velocity were measured in all cases.IFG was defined as 6.1 mmol/L≤FBG ＜7.0 mmol/L.Results The odds ratios (OR,95％ CI ) of IFG across increasing variable of cf-PWV were 1.00,1.07(0.83 - 1.39),1.20( 1.08 -1.34),1.13(1.04 - 1.23),1.14(1.05 - 1.25) ( Pfor trend ＜0.01).Age and neck circumference levels significantly interacted with cf-PWV in relation to IFG risk ( P ＜0.01 ).Conclusions The present data indicate serum cf-PWV concentration was associated with the risk of IFG,and the association was modified by age and neck circumference levels.
