中国组织工程研究与临床康复
中國組織工程研究與臨床康複
중국조직공정연구여림상강복
JOURNAL OF CLINICAL REHABILITATIVE TISSUE ENGINEERING RESEARCH
2007年
34期
6908-6911
,共4页
金香春%方今女%黄明爱%金钟久%金平锡
金香春%方今女%黃明愛%金鐘久%金平錫
금향춘%방금녀%황명애%금종구%금평석
朝鲜族%汉族%肥胖%影响因素
朝鮮族%漢族%肥胖%影響因素
조선족%한족%비반%영향인소
背景:不同民族的肥胖病发生率及肥胖的相关因素可能存在差异,不同类型肥胖对心脑血管疾病的影响程度也不同.目的:调查延边农村社区朝鲜族和汉族人群肥胖特征及相关因素.设计:随机对比观察.单位:吉林省安图县医院.对象:于2004-08/2005-08在延边地区图们市和安图县选择4个镇,调查该地区30岁以上的朝鲜族和汉族常驻居民.采取单纯随机原则抽取≥30岁朝鲜族和汉族人群1 786人,纳入对象的来源地区民族比例相近,均为农民,其中90%为初中以下文化程度.为了准确比较民族间肥胖的患病率,排除了混血家族成员;排除患有严重的心血管疾病和其他器质性疾病的人群;纳入该年龄段的初次接受类似本次调查的汉族和朝鲜族人群.纳入对象均对调查内容和检测项目知情同意.方法:①在被选社区及其卫生院,采用家访的方法和健康体验的形式收集本次调查的相关信息.调查前对所有调查人员严格培训,规范调查内容、操作流程和方法,并按统一的调查表进行家访询问调查.②全部受检者在清晨空腹安静状态下进行体格测量,由统一的仪器和检查者完成.体检内容包括身高、体质量、腰围、臀围、血压.采集空腹静脉血2 mL,用全自动化分析仪测定血清总胆固醇、三酰甘油、高密度脂蛋白-胆固醇及空腹血糖.上述生化指标均用全自动化分析仪测定.③计算粗患病率,并应用直接法以延边朝鲜族自治州2000年第五次人口普查资料计算标准化患病率.④率的比较采用χ2验和u检验.主要观察指标:不同民族不同类型肥胖的患病率及其相关因素.结果:①朝、汉族男性整体型肥胖的标准化患病率分别为19.9%,24.7%,女性分别为26.3%,29.7%.汉族两性标化患病率均明显高于朝鲜族(P＜0.01).朝、汉族男性以腰臀围比值为诊断指标的腹型肥胖的标准化患病率分别为33.9%,31.6%,女性分别为53.4%,51.1%.朝鲜族男女标准化患病率均明显高于汉族(P＜0.01).以腰围身高比值为诊断指标的朝、汉族男性腹型肥胖的标准化患病率分别为48.8%,44.0%,女性分别为63.7%,60.3%.标化患病率朝鲜族男女均明显高于汉族(P＜0.01)②朝鲜族男女高血压、高血糖、低高密度脂蛋白胆固醇血症及代谢综合征患病率均明显高于汉族(P＜0.01);朝鲜族男性高三酰甘油血症患病率、吸烟及饮酒率明显高于汉族(P＜0.01);汉族女性的吸烟率明显高于朝鲜族(P＜0.01)③朝鲜族和汉族不同类型肥胖的发生均与高血压、高血糖、低高密度脂蛋白胆固醇血症、高三酰甘油血症及代谢综合征等因素相关.结论:①延边农村社区朝鲜族和汉族人群不同类型肥胖水平及其影响因素的分布特征存在差异.②不同类型肥胖均与高血压、高血糖、低高密度脂蛋白胆固醇血症、高三酰甘油血症及代谢综合征等因素相关.
揹景:不同民族的肥胖病髮生率及肥胖的相關因素可能存在差異,不同類型肥胖對心腦血管疾病的影響程度也不同.目的:調查延邊農村社區朝鮮族和漢族人群肥胖特徵及相關因素.設計:隨機對比觀察.單位:吉林省安圖縣醫院.對象:于2004-08/2005-08在延邊地區圖們市和安圖縣選擇4箇鎮,調查該地區30歲以上的朝鮮族和漢族常駐居民.採取單純隨機原則抽取≥30歲朝鮮族和漢族人群1 786人,納入對象的來源地區民族比例相近,均為農民,其中90%為初中以下文化程度.為瞭準確比較民族間肥胖的患病率,排除瞭混血傢族成員;排除患有嚴重的心血管疾病和其他器質性疾病的人群;納入該年齡段的初次接受類似本次調查的漢族和朝鮮族人群.納入對象均對調查內容和檢測項目知情同意.方法:①在被選社區及其衛生院,採用傢訪的方法和健康體驗的形式收集本次調查的相關信息.調查前對所有調查人員嚴格培訓,規範調查內容、操作流程和方法,併按統一的調查錶進行傢訪詢問調查.②全部受檢者在清晨空腹安靜狀態下進行體格測量,由統一的儀器和檢查者完成.體檢內容包括身高、體質量、腰圍、臀圍、血壓.採集空腹靜脈血2 mL,用全自動化分析儀測定血清總膽固醇、三酰甘油、高密度脂蛋白-膽固醇及空腹血糖.上述生化指標均用全自動化分析儀測定.③計算粗患病率,併應用直接法以延邊朝鮮族自治州2000年第五次人口普查資料計算標準化患病率.④率的比較採用χ2驗和u檢驗.主要觀察指標:不同民族不同類型肥胖的患病率及其相關因素.結果:①朝、漢族男性整體型肥胖的標準化患病率分彆為19.9%,24.7%,女性分彆為26.3%,29.7%.漢族兩性標化患病率均明顯高于朝鮮族(P＜0.01).朝、漢族男性以腰臀圍比值為診斷指標的腹型肥胖的標準化患病率分彆為33.9%,31.6%,女性分彆為53.4%,51.1%.朝鮮族男女標準化患病率均明顯高于漢族(P＜0.01).以腰圍身高比值為診斷指標的朝、漢族男性腹型肥胖的標準化患病率分彆為48.8%,44.0%,女性分彆為63.7%,60.3%.標化患病率朝鮮族男女均明顯高于漢族(P＜0.01)②朝鮮族男女高血壓、高血糖、低高密度脂蛋白膽固醇血癥及代謝綜閤徵患病率均明顯高于漢族(P＜0.01);朝鮮族男性高三酰甘油血癥患病率、吸煙及飲酒率明顯高于漢族(P＜0.01);漢族女性的吸煙率明顯高于朝鮮族(P＜0.01)③朝鮮族和漢族不同類型肥胖的髮生均與高血壓、高血糖、低高密度脂蛋白膽固醇血癥、高三酰甘油血癥及代謝綜閤徵等因素相關.結論:①延邊農村社區朝鮮族和漢族人群不同類型肥胖水平及其影響因素的分佈特徵存在差異.②不同類型肥胖均與高血壓、高血糖、低高密度脂蛋白膽固醇血癥、高三酰甘油血癥及代謝綜閤徵等因素相關.
배경:불동민족적비반병발생솔급비반적상관인소가능존재차이,불동류형비반대심뇌혈관질병적영향정도야불동.목적:조사연변농촌사구조선족화한족인군비반특정급상관인소.설계:수궤대비관찰.단위:길림성안도현의원.대상:우2004-08/2005-08재연변지구도문시화안도현선택4개진,조사해지구30세이상적조선족화한족상주거민.채취단순수궤원칙추취≥30세조선족화한족인군1 786인,납입대상적래원지구민족비례상근,균위농민,기중90%위초중이하문화정도.위료준학비교민족간비반적환병솔,배제료혼혈가족성원;배제환유엄중적심혈관질병화기타기질성질병적인군;납입해년령단적초차접수유사본차조사적한족화조선족인군.납입대상균대조사내용화검측항목지정동의.방법:①재피선사구급기위생원,채용가방적방법화건강체험적형식수집본차조사적상관신식.조사전대소유조사인원엄격배훈,규범조사내용、조작류정화방법,병안통일적조사표진행가방순문조사.②전부수검자재청신공복안정상태하진행체격측량,유통일적의기화검사자완성.체검내용포괄신고、체질량、요위、둔위、혈압.채집공복정맥혈2 mL,용전자동화분석의측정혈청총담고순、삼선감유、고밀도지단백-담고순급공복혈당.상술생화지표균용전자동화분석의측정.③계산조환병솔,병응용직접법이연변조선족자치주2000년제오차인구보사자료계산표준화환병솔.④솔적비교채용χ2험화u검험.주요관찰지표:불동민족불동류형비반적환병솔급기상관인소.결과:①조、한족남성정체형비반적표준화환병솔분별위19.9%,24.7%,녀성분별위26.3%,29.7%.한족량성표화환병솔균명현고우조선족(P＜0.01).조、한족남성이요둔위비치위진단지표적복형비반적표준화환병솔분별위33.9%,31.6%,녀성분별위53.4%,51.1%.조선족남녀표준화환병솔균명현고우한족(P＜0.01).이요위신고비치위진단지표적조、한족남성복형비반적표준화환병솔분별위48.8%,44.0%,녀성분별위63.7%,60.3%.표화환병솔조선족남녀균명현고우한족(P＜0.01)②조선족남녀고혈압、고혈당、저고밀도지단백담고순혈증급대사종합정환병솔균명현고우한족(P＜0.01);조선족남성고삼선감유혈증환병솔、흡연급음주솔명현고우한족(P＜0.01);한족녀성적흡연솔명현고우조선족(P＜0.01)③조선족화한족불동류형비반적발생균여고혈압、고혈당、저고밀도지단백담고순혈증、고삼선감유혈증급대사종합정등인소상관.결론:①연변농촌사구조선족화한족인군불동류형비반수평급기영향인소적분포특정존재차이.②불동류형비반균여고혈압、고혈당、저고밀도지단백담고순혈증、고삼선감유혈증급대사종합정등인소상관.
BACKGROUND: The prevalence of obesity and the related factors may be different among different nationalities, and different types of obesity have different influence on cerebrovascular and cardiovascular diseases.OBJECTIVE: To investigate the characteristics and related factors of obesity in Korean and Han populations in rural Yanbian.DESIGN: A randomized controlled observation.SETTING: Antu County Hospital of Jilin Province.PARTICIPANTS: The survey was carried out in 4 towns of Tumen city and Antu county in Yanbian area from August 2004 to August 2005. Totally 1 786 Korean and Han residents above 30 years old were randomly selected, the proportion of nationalities in each area was close. In order to accurately compare the prevalence of obesity among different nationalities, family members of mixed blood were excluded, as well as patients with severe cardiovascular disease and other organic diseases. Informed contents were obtained from all the subjects.METHODS: The information related to this survey was collected by means of home visit and physical examination in the selected community and health center. All the investigators were strictly trained to standardize the contents, procedure and methods before the survey. Related information was collected by means of face-to-face inquisition with uniform questionnaire. ② All the examinees accepted the physical examination in the morning under fasting and resting states by uniform device and examiners. The physical examination included measurements of body height, body mass, waistline,hip circumference, blood pressure. Fasting venous blood (2 mL) was collected to determine serum levels of total cholesterol, triglyceride, high density lipoprotein-cholesterol (HDL-C) and fasting plasma glucose with automatic biochemical analyzer. ③The crude prevalence rate was calculated. The age adjusted prevalence rate was calculated directly by using the sample survey data of Yanbian Korean National Minority Autonomous Prefecture in 2000. ④ The enumeration data were compared with the Chi-square test and u test.MAIN OUTCOME MEASURES: Prevalence and related factors of different types of obesity between different nationalities.RESULTS: ① The age adjusted prevalence was 19.9% and 24.7% in Korean and Han males respectively, whereas 26.3% and 29.7% in females, and it was obviously higher in Han than in Korean population (P ＜ 0.01). The age adjusted prevalence of abdominal obesity, taking waist-to-hip ratio as the diagnostic standard, was 33.9% and 31.6% in Korean and Han males respectively, whereas 53.4% and 51.1% in females, and it was obviously higher in Korean than in Han for both males and females (P ＜ 0.01). The age adjusted prevalence of abdominal obesity, taking waistline/body height ratio as the diagnostic standard, was 48.8% and 44.0% in Korean and Han males respectively, whereas 63.7% and 60.3% in females, and it was obviously higher in Korean than in Han for both males and females (P ＜ 0.01). ② The prevalence of hypertension, hyperglycemia, low HDL-C and metabolic syndrome were markedly higher in Korean than in Han for both males and females (P＜ 0.01); The prevalence of hypertriglycerdemia, smoking and drinking rates were obviously higher in Korean males than in Han ones (P ＜ 0.01); The smoking rate was markedly higher in Han females than in Korean ones (P ＜ 0.01). ③ The occurrences of different types of obesity were associated with hypertension,hyperglycemia, low HDL-C, hypertriglyceridemia and metabolic syndrome in both Korean and Han population.CONCLUSION: ① The different types of obesity and the distribution of influencing factors are different between Korean and Han population in rural Yanbian. ② Different types of obesity are all associated with hypertension, hyperglycemia,low HDL-C, hypertriglyceridemia, metabolic syndrome.
