中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2009年
12期
1056-1059
,共4页
周晓梅%齐保申%潘阳杏%祖淑玉%韩少梅%朱广瑾
週曉梅%齊保申%潘暘杏%祖淑玉%韓少梅%硃廣瑾
주효매%제보신%반양행%조숙옥%한소매%주엄근
体脂肪率%腰臀比%心率%血压
體脂肪率%腰臀比%心率%血壓
체지방솔%요둔비%심솔%혈압
Adiposity%Waist-hip ratio%Heart rate%Blood pressure
目的 分析黑龙江省成年女性身体脂肪的含量及分布对心血管系统功能的影响.方法 依据分层不等概率二阶整群抽样原则,抽取黑龙江省部分地区18～70岁成年女性1903名,测量其身高、体重、腰臀比(WHR)等指标;分析脂肪体重、瘦体重和体脂百分比(PBF)等身体成分指标与心率、心输出量、心指数、搏出量、搏出指数、收缩压、舒张压、左心作功和体循环血管阻力等心血管功能指标的关系.结果 女性PBF和WHR有随年龄增长而增大的趋势.18岁～、30岁～、40岁～、50岁～、60～70岁年龄组PBF分别为(16.86±5.37)%、(18.43±4.89)%、(20.99±5.79)%、(23.47±5.74)%、(25.77±6.38)%(F=154.46,P<0.01),WHR分别为0.77±0.05、0.80±0.05、0.83±0.05、0.85±0.06、0.89±0.07(F=229,84,P<0.01).在校正年龄、身高和体重的影响后,PBF正常组心率、心输出量、心指数、收缩压、舒张压、左心作功分别为(75.45±0.35)次/min、(4.42±0.02)L/min、(2.78±0.01)L·min~(-1)·m~(-2)、(114.94±0.40)mm Hg(1 mm Hg=0.133 kPa)、(64.90±0.28)mm Hg、(4.57±0.03)kg·m/m~(-2),PBF肥胖组分别为(77.42±0.88)次/min、(4.54±0.05)L/min、(2.88±0.03)L·min~(-2)·m~(-2)、(120.55±1.00)mm Hg、(66.56±0.71)mm Hg、(4.86±0.07)kg·m/m~2(两组比较,F值分别为3.18、9.17、8.48、13.50、2.64、10.63,P值均<0.05).在校正年龄、身高和体重因素后,PBF与心率、心输出量、心指数、收缩压及左心作功呈正相关(r值分别为0.14、0.14、0.19、0.18、0.10、0.12,P值均<0.05);WHR与心指数、搏出指数、收缩压、舒张压、左心作功和体循环血管阻力呈正相关(r值分别为0.10、0.19、0.18、0.12、0.12,P值均<0.01).结论 女性PBF增加且呈腹部型肥胖者,可导致心脏负荷加重,心输出量增加、血压明显升高等心血管系统功能的改变.
目的 分析黑龍江省成年女性身體脂肪的含量及分佈對心血管繫統功能的影響.方法 依據分層不等概率二階整群抽樣原則,抽取黑龍江省部分地區18～70歲成年女性1903名,測量其身高、體重、腰臀比(WHR)等指標;分析脂肪體重、瘦體重和體脂百分比(PBF)等身體成分指標與心率、心輸齣量、心指數、搏齣量、搏齣指數、收縮壓、舒張壓、左心作功和體循環血管阻力等心血管功能指標的關繫.結果 女性PBF和WHR有隨年齡增長而增大的趨勢.18歲～、30歲～、40歲～、50歲～、60～70歲年齡組PBF分彆為(16.86±5.37)%、(18.43±4.89)%、(20.99±5.79)%、(23.47±5.74)%、(25.77±6.38)%(F=154.46,P<0.01),WHR分彆為0.77±0.05、0.80±0.05、0.83±0.05、0.85±0.06、0.89±0.07(F=229,84,P<0.01).在校正年齡、身高和體重的影響後,PBF正常組心率、心輸齣量、心指數、收縮壓、舒張壓、左心作功分彆為(75.45±0.35)次/min、(4.42±0.02)L/min、(2.78±0.01)L·min~(-1)·m~(-2)、(114.94±0.40)mm Hg(1 mm Hg=0.133 kPa)、(64.90±0.28)mm Hg、(4.57±0.03)kg·m/m~(-2),PBF肥胖組分彆為(77.42±0.88)次/min、(4.54±0.05)L/min、(2.88±0.03)L·min~(-2)·m~(-2)、(120.55±1.00)mm Hg、(66.56±0.71)mm Hg、(4.86±0.07)kg·m/m~2(兩組比較,F值分彆為3.18、9.17、8.48、13.50、2.64、10.63,P值均<0.05).在校正年齡、身高和體重因素後,PBF與心率、心輸齣量、心指數、收縮壓及左心作功呈正相關(r值分彆為0.14、0.14、0.19、0.18、0.10、0.12,P值均<0.05);WHR與心指數、搏齣指數、收縮壓、舒張壓、左心作功和體循環血管阻力呈正相關(r值分彆為0.10、0.19、0.18、0.12、0.12,P值均<0.01).結論 女性PBF增加且呈腹部型肥胖者,可導緻心髒負荷加重,心輸齣量增加、血壓明顯升高等心血管繫統功能的改變.
목적 분석흑룡강성성년녀성신체지방적함량급분포대심혈관계통공능적영향.방법 의거분층불등개솔이계정군추양원칙,추취흑룡강성부분지구18～70세성년녀성1903명,측량기신고、체중、요둔비(WHR)등지표;분석지방체중、수체중화체지백분비(PBF)등신체성분지표여심솔、심수출량、심지수、박출량、박출지수、수축압、서장압、좌심작공화체순배혈관조력등심혈관공능지표적관계.결과 녀성PBF화WHR유수년령증장이증대적추세.18세～、30세～、40세～、50세～、60～70세년령조PBF분별위(16.86±5.37)%、(18.43±4.89)%、(20.99±5.79)%、(23.47±5.74)%、(25.77±6.38)%(F=154.46,P<0.01),WHR분별위0.77±0.05、0.80±0.05、0.83±0.05、0.85±0.06、0.89±0.07(F=229,84,P<0.01).재교정년령、신고화체중적영향후,PBF정상조심솔、심수출량、심지수、수축압、서장압、좌심작공분별위(75.45±0.35)차/min、(4.42±0.02)L/min、(2.78±0.01)L·min~(-1)·m~(-2)、(114.94±0.40)mm Hg(1 mm Hg=0.133 kPa)、(64.90±0.28)mm Hg、(4.57±0.03)kg·m/m~(-2),PBF비반조분별위(77.42±0.88)차/min、(4.54±0.05)L/min、(2.88±0.03)L·min~(-2)·m~(-2)、(120.55±1.00)mm Hg、(66.56±0.71)mm Hg、(4.86±0.07)kg·m/m~2(량조비교,F치분별위3.18、9.17、8.48、13.50、2.64、10.63,P치균<0.05).재교정년령、신고화체중인소후,PBF여심솔、심수출량、심지수、수축압급좌심작공정정상관(r치분별위0.14、0.14、0.19、0.18、0.10、0.12,P치균<0.05);WHR여심지수、박출지수、수축압、서장압、좌심작공화체순배혈관조력정정상관(r치분별위0.10、0.19、0.18、0.12、0.12,P치균<0.01).결론 녀성PBF증가차정복부형비반자,가도치심장부하가중,심수출량증가、혈압명현승고등심혈관계통공능적개변.
Objective To analyze the relationship between body fat mass and distribution and cardiovascular function in the adult females of Heilongjiang province. Methods Based on the statistic variable random sampling principal,we selected 1903 healthy adult females with ages of 18 -70 years old in Heilongjiang province to conduct the study. The height,body weight,waist,chest measurement and waist-hip ratio (WHR) were measured. Body components quota including fat weight, lean weight,percentage of body fat (PBF) were taken respectively; systolic blood pressure (SBP) , diastolic blood pressure (DBP), heart rate (HR) ,cardiac output (CO),cardiac index (CI),stroke volume (SV),stroke index (SI) , left cardiac work (LCW) and systemic vascular resistance (SVR) were determined. Results The PBF and WHR increased with aging,and the PBF of those with ages of 18 - ,30 - ,40 - ,50 - and 60-70 year's old were (16.86±5.37)%,(18.43 ±4. 89)% , (20.99 ± 5.79)% , (23.47 ±5.74)% and(25.77 ±6.38)%, respectively(F = 154. 46 ,P <0. 01) ; and the WHR were 0. 77 ±0. 05,0. 80 ± 0. 05,0. 83 ±0.05,0. 85 ±0.06 and 0.89 ± 0. 07, respectively (F = 229. 84,P < 0.01). The HR, CO, CI, SBP, DBP and LCW were (75.45±0.35)bpm,(4.42±0.02)L/min,(2.78±0.01)L·min~(-1)·m~(-2),(114.94±0.40)mm Hg (1 mm Hg=0.133kPa),(64.90±0.28)mm Hg,(4.57±0.03)kg·m/m~2 respectively in normal PBF groups; whereas the HR,CO,CI,SBP,DBP and LCW in the PBF obesity groups were (77. 42 ±0. 88)bpm,(4.54±0.05)L/min,(2.88±0.03)L·min~(-1)·m~(-2),(120.55±1.00)mm Hg,(66.56±0.71)mm Hg and (4.86±0.07)kg·m/m~2,respectively,F values were 3.182,9.173,8.478,13.497,2.637,and 10. 631, respectively (all P values < 0. 05) after the adjustment of age, height and weight, PBF was positively correlated with HR,CO,CI, SI, SBP, DBP and LCW (r values were 0. 06,0. 11,0. 10,0. 11 and 0. 12, respectively,all P values <0. 05); WHR was positively correlated with CI,SI,SBP, DBP, LCW and SVR (r values were 0. 14,014,0. 19,0. 18,0. 10 and 0. 12, respectively, all P values <0. 01) after the adjustment of age, height and weight Conclusion PBF augmentation and abdominal obesity in females can result in cardiac dysfunction such as cardiac overload,CO increasing and blood pressure rising.
