中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2012年
4期
255-258
,共4页
赵辉%冷松%刘颖%孙广慧%于书君
趙輝%冷鬆%劉穎%孫廣慧%于書君
조휘%랭송%류영%손엄혜%우서군
肥胖症%危险因素%体脂肪含量%体质指数
肥胖癥%危險因素%體脂肪含量%體質指數
비반증%위험인소%체지방함량%체질지수
Obesity%Risk factors%Body fat percentage%Body mass index
目的 探讨体质指数(BMI)正常但体脂肪含量(BF％)偏高的正常体质指数性肥胖(NWO)与心血管危险因素之间的关系.方法 采用横断面研究的方法对健康体检者940名,选取BMI介于18.5 ～25 kg/m2者407名.利用生物电阻抗( BIA)原理进行BF％测定,按BF％≥25％(男)或BF％ ＞35％(女)定义为NWO组,BF％＜ 25％(男)或BF％＜ 35％(女)者为对照组.两组心血管危险因素水平及检出率的比较采用独立样本t检验和x2检验.Logistic回归分析NWO组发生各心血管危险因素的危险度(OR).结果 男性、女性NWO检出率分别为13.13％、14.91％.随年龄增长NWO检出率有增高趋势(趋势x2=6.90,P＜0.05).NWO组收缩压、舒张压、总胆固醇、三酰甘油、低密度脂蛋白胆固醇及尿酸水平均高于对照组(t分别为2.97、2.44、2.54、5.09、2.71和3.91,P＜0.05),高密度脂蛋白胆固醇水平低于对照组(t=-3.90,P＜0.05).高血压、高血糖、高三酰甘油、低高密度脂蛋白胆固醇、血脂异常及高尿酸的检出率NWO组均高于对照组(x2分别为6.76、5.58、14.50、11.97、10.97和8.76,P＜0.05).NWO组高血压、高血糖、高血脂和高尿酸的发病风险分别是对照组的2.186、2.120、2.088和4.175倍.校正了年龄和性别因素,NWO组高尿酸的发病风险降低为对照组的3.491倍.结论 NWO与心血管危险因素相关,是具有高心血管疾病危险的群体.
目的 探討體質指數(BMI)正常但體脂肪含量(BF％)偏高的正常體質指數性肥胖(NWO)與心血管危險因素之間的關繫.方法 採用橫斷麵研究的方法對健康體檢者940名,選取BMI介于18.5 ～25 kg/m2者407名.利用生物電阻抗( BIA)原理進行BF％測定,按BF％≥25％(男)或BF％ ＞35％(女)定義為NWO組,BF％＜ 25％(男)或BF％＜ 35％(女)者為對照組.兩組心血管危險因素水平及檢齣率的比較採用獨立樣本t檢驗和x2檢驗.Logistic迴歸分析NWO組髮生各心血管危險因素的危險度(OR).結果 男性、女性NWO檢齣率分彆為13.13％、14.91％.隨年齡增長NWO檢齣率有增高趨勢(趨勢x2=6.90,P＜0.05).NWO組收縮壓、舒張壓、總膽固醇、三酰甘油、低密度脂蛋白膽固醇及尿痠水平均高于對照組(t分彆為2.97、2.44、2.54、5.09、2.71和3.91,P＜0.05),高密度脂蛋白膽固醇水平低于對照組(t=-3.90,P＜0.05).高血壓、高血糖、高三酰甘油、低高密度脂蛋白膽固醇、血脂異常及高尿痠的檢齣率NWO組均高于對照組(x2分彆為6.76、5.58、14.50、11.97、10.97和8.76,P＜0.05).NWO組高血壓、高血糖、高血脂和高尿痠的髮病風險分彆是對照組的2.186、2.120、2.088和4.175倍.校正瞭年齡和性彆因素,NWO組高尿痠的髮病風險降低為對照組的3.491倍.結論 NWO與心血管危險因素相關,是具有高心血管疾病危險的群體.
목적 탐토체질지수(BMI)정상단체지방함량(BF％)편고적정상체질지수성비반(NWO)여심혈관위험인소지간적관계.방법 채용횡단면연구적방법대건강체검자940명,선취BMI개우18.5 ～25 kg/m2자407명.이용생물전조항( BIA)원리진행BF％측정,안BF％≥25％(남)혹BF％ ＞35％(녀)정의위NWO조,BF％＜ 25％(남)혹BF％＜ 35％(녀)자위대조조.량조심혈관위험인소수평급검출솔적비교채용독립양본t검험화x2검험.Logistic회귀분석NWO조발생각심혈관위험인소적위험도(OR).결과 남성、녀성NWO검출솔분별위13.13％、14.91％.수년령증장NWO검출솔유증고추세(추세x2=6.90,P＜0.05).NWO조수축압、서장압、총담고순、삼선감유、저밀도지단백담고순급뇨산수평균고우대조조(t분별위2.97、2.44、2.54、5.09、2.71화3.91,P＜0.05),고밀도지단백담고순수평저우대조조(t=-3.90,P＜0.05).고혈압、고혈당、고삼선감유、저고밀도지단백담고순、혈지이상급고뇨산적검출솔NWO조균고우대조조(x2분별위6.76、5.58、14.50、11.97、10.97화8.76,P＜0.05).NWO조고혈압、고혈당、고혈지화고뇨산적발병풍험분별시대조조적2.186、2.120、2.088화4.175배.교정료년령화성별인소,NWO조고뇨산적발병풍험강저위대조조적3.491배.결론 NWO여심혈관위험인소상관,시구유고심혈관질병위험적군체.
Objective To determine the relationship between normal weight obesity (NOW) and cardiovascular risk factors.Methods A total of 940 adults who received a health examination in out hospital were recruited in a cross-sectional study,and 407 with a body mass index (BMI) of18.5 to 25 kg/m2 were enrolled for further analysis.Body fat percentage ( BF％ ) was measured by bioelectrical impedance analysis (BIA),and the subjects were assigned to the NOW group ( BF％ ≥25％ for male or BF％ ≥35％for female) or the control group ( BF％ ＜ 25％ for male or BF％ ＜ 35％ for female).Cardiovascular risk factors and their detection rates were compared between the two groups by using independent sample t test and x2 test.The correlation between NOW and cardiovascular risk factors was assessed by logistic regression.Results The prevalence of NOW in men and women were13.1％ and14.9％,respectively.The prevalence of NOW was increased with age ( x2 =6.90,P ＜0.05 ).Systolic blood pressure (SBP),diastolic blood pressure ( DBP ),total cholesterol ( TC ),triglycerides ( TG ),low-density lipoprotein cholesterol ( LDL-C) and serum uric acid (SUA) were significantly increased in the NOW group (t values were 2.97,2.44,2.54,5.09,2.71and 3.91,respectively; all P ＜ 0.05 ) ; whereas high-density lipoprotein cholesterol ( HDL-C) was significantly decreased in the NOW group (t =-3.90,P ＜ 0.05 ).The prevalence of hypertension,hyperglycemia,high triglyceride,low HDL-C,dyslipidmia and hyperuricemia was increased in the NOW group in comparison with the control group ( x2 values were 6.76,5.58,14.50,11.97,10.97 and 8.76,respectively; all P＜ 0.05 ).Logistic regression showed NOW increased the risk of hypertension,hyperglycemia,dyslipidmia or hyperuricemia by 2.186,2.120,2.088 or 4.175 times.After adjustment for age and gender,the risk for hyperuricemia was decreased to 3.491,but remained statistically significant higher.Conclusions NOW may be correlated with cardiovascular risk factors,and those with NOW could be at higher risk for cardiovascular diseases.
