中华老年心脑血管病杂志
中華老年心腦血管病雜誌
중화노년심뇌혈관병잡지
CHINESE JOURNAL OF GERIATRIC CARDIOVASCULAR AND CEREBROVASCULAR DISEASES
2014年
10期
1011-1014
,共4页
许建超%刘振东%路方红%刁玉涛%张华%赵颖馨%孙尚文%王舒建
許建超%劉振東%路方紅%刁玉濤%張華%趙穎馨%孫尚文%王舒建
허건초%류진동%로방홍%조옥도%장화%조영형%손상문%왕서건
肥胖症%高血压%糖尿病%脂代谢障碍%动脉硬化%血压监测 ,便携式%昼夜节律
肥胖癥%高血壓%糖尿病%脂代謝障礙%動脈硬化%血壓鑑測 ,便攜式%晝夜節律
비반증%고혈압%당뇨병%지대사장애%동맥경화%혈압감측 ,편휴식%주야절률
obesity%hypertension%diabetes mellitus%lipid metabolism disorders%arteriosclerosis%blood pressure monitoring,ambulatory%circadian rhythm
目的:探讨老年女性腹型肥胖与血压昼夜节律及动脉僵硬度的关系。方法选择老年女性353例,根据腰围将受试者分为2组,即非腹型肥胖组160例,腹型肥胖组193例。所有受试者监测颈桡动脉脉搏波传导速度(crPWV)、24 h动态血压。结果腹型肥胖组非杓型血压(32.6% vs 10.0%)、crPWV [(11.83±1.19)m/s vs (10.90±1.04)m/s]、对称动态动脉硬化指数[(0.31±0.15) vs (0.24±0.17)]显著高于非腹型肥胖组,夜间收缩压下降率、夜间舒张压下降率显著低于非腹型肥胖组(P<0.01)。多元线性回归分析显示,调整年龄、血脂和体质量指数后,腰围是crPWV、对称动态动脉硬化指数的主要影响因素(P<0.05)。logistic回归分析显示,腹型肥胖是血压昼夜节律改变的主要危险因素(OR=1.104,95% C I:1.074~1.134,P<0.05)。结论腹部脂肪沉积对老年女性血压昼夜节律改变及动脉僵硬度有着显著的影响,控制腰围对预防动脉硬化有着重要的意义。
目的:探討老年女性腹型肥胖與血壓晝夜節律及動脈僵硬度的關繫。方法選擇老年女性353例,根據腰圍將受試者分為2組,即非腹型肥胖組160例,腹型肥胖組193例。所有受試者鑑測頸橈動脈脈搏波傳導速度(crPWV)、24 h動態血壓。結果腹型肥胖組非杓型血壓(32.6% vs 10.0%)、crPWV [(11.83±1.19)m/s vs (10.90±1.04)m/s]、對稱動態動脈硬化指數[(0.31±0.15) vs (0.24±0.17)]顯著高于非腹型肥胖組,夜間收縮壓下降率、夜間舒張壓下降率顯著低于非腹型肥胖組(P<0.01)。多元線性迴歸分析顯示,調整年齡、血脂和體質量指數後,腰圍是crPWV、對稱動態動脈硬化指數的主要影響因素(P<0.05)。logistic迴歸分析顯示,腹型肥胖是血壓晝夜節律改變的主要危險因素(OR=1.104,95% C I:1.074~1.134,P<0.05)。結論腹部脂肪沉積對老年女性血壓晝夜節律改變及動脈僵硬度有著顯著的影響,控製腰圍對預防動脈硬化有著重要的意義。
목적:탐토노년녀성복형비반여혈압주야절률급동맥강경도적관계。방법선택노년녀성353례,근거요위장수시자분위2조,즉비복형비반조160례,복형비반조193례。소유수시자감측경뇨동맥맥박파전도속도(crPWV)、24 h동태혈압。결과복형비반조비표형혈압(32.6% vs 10.0%)、crPWV [(11.83±1.19)m/s vs (10.90±1.04)m/s]、대칭동태동맥경화지수[(0.31±0.15) vs (0.24±0.17)]현저고우비복형비반조,야간수축압하강솔、야간서장압하강솔현저저우비복형비반조(P<0.01)。다원선성회귀분석현시,조정년령、혈지화체질량지수후,요위시crPWV、대칭동태동맥경화지수적주요영향인소(P<0.05)。logistic회귀분석현시,복형비반시혈압주야절률개변적주요위험인소(OR=1.104,95% C I:1.074~1.134,P<0.05)。결론복부지방침적대노년녀성혈압주야절률개변급동맥강경도유착현저적영향,공제요위대예방동맥경화유착중요적의의。
Objective To study the relationship of abdominal obesity with circadian blood pressure rhythm and arterial stiffness in elderly women .Methods Three hundred and fifty-three elderly women were divided into non-abdominal obesity group (n= 160) and abdominal obesity group (n=193)according to their waist circumference .Their carotid radial pulse wave velocity(crPWV) and 24 h ambulatory blood pressure were monitored .Results The non-dipper blood pressure , crPWV and symmetric AASI were significantly higher in abdominal obesity group than in non-abdominal obesity group (32 .6% vs 10 .0% ,11 .83 ± 1 .19 m/s vs 10 .90 ± 1 .04 m/s ,0 .31 ± 0 .15 vs 0 .24 ± 0 .17 ,P<0 .05) wile the nocturnal systolic and diastolic blood pressure were significantly lower in abdominal obesity group than in non-abdominal obesity group (P<0 .01) .Multiple linear regression analysis showed that waist circumference was the main risk factor for crPWV and sym-metric AASI after adjustment for age ,blood lipid and BMI (P<0 .05) .Logistic regression analysis revealed that abdominal obesity was the main risk factor for circadian blood pressure rhythm (OR=1 .104 ,95% CI:1 .074 -1 .134 ,P<0 .05) .Conclusion Abdominal fat deposit can signifi-cantly affect circadian blood pressure rhythm and arterial stiffness in elderly women .It is of great importance to control waist circumference in preventing arteriosclerosis .