中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2014年
3期
160-162
,共3页
人体质量指数%运动活动%平板运动试验
人體質量指數%運動活動%平闆運動試驗
인체질량지수%운동활동%평판운동시험
Body mass index%Motor activity%Treadmill exercise test
目的 探讨体质指数(BMI)与血脂、身体活动、血压和心电图V1导联P波终末电势(Ptfv1)的关系,综合评估BMI在早期预警心血管疾病隐患中的作用,为制定健康教育及管理措施提供有效依据.方法 选择无糖尿病、心血管病和高血压病的自愿受试者1 548例,按照《中国成人超重和肥胖症预防控制指南(试行)》的BMI分类标准分成3组,正常组:303例,超重组:624例,肥胖组:621例.分析BMI与血脂之间的关联度;各组中再选择无运动性哮喘、静息心电图正常的体检自愿受试者195例行平板运动试验,对其身体活动评分(PAS)、极量血压和Ptfv1进行对比分析.结果 正常、超重和肥胖三组的胆固醇、三酰甘油、PAS及极量收缩压的定量均值分别为:(4.76±0.92) mmol/L、(4.95±1.04) mmol/L、(5.02±0.91) mmol/L,(1.21±0.76) mmol/L、(1.82±1.07)mmol/L、(2.26±1.55) mmol/L,(44.00±9.70)分、(40.04±9.28)分、(38.83±8.73)分,(144.58±25.47)mmHg、(154.95±28.06) mmHg、(169.33±30.09)mmHg,三组之间差异有统计学意义(胆固醇:F=7.57,P＜0.05;三酰甘油:F=73.40,P＜0.05;PAS:F=4.52,P＜0.05;极量收缩压F=11.75,P＜0.05);平板运动试验不同组Ptfv1比较(正常组与肥胖组:x2=5.67,P＜0.05;超重组与肥胖组:x2=6.17,P＜0.05)差异均有统计学意义.结论 随着BMI的增加,血脂、极量收缩压呈递增趋势,PAS呈递减趋势,Ptfv1异常与BMI明显相关.肥胖者增加平板运动试验可筛选心血管疾病隐患的高危人群,Ptfv1可作为预警信号.
目的 探討體質指數(BMI)與血脂、身體活動、血壓和心電圖V1導聯P波終末電勢(Ptfv1)的關繫,綜閤評估BMI在早期預警心血管疾病隱患中的作用,為製定健康教育及管理措施提供有效依據.方法 選擇無糖尿病、心血管病和高血壓病的自願受試者1 548例,按照《中國成人超重和肥胖癥預防控製指南(試行)》的BMI分類標準分成3組,正常組:303例,超重組:624例,肥胖組:621例.分析BMI與血脂之間的關聯度;各組中再選擇無運動性哮喘、靜息心電圖正常的體檢自願受試者195例行平闆運動試驗,對其身體活動評分(PAS)、極量血壓和Ptfv1進行對比分析.結果 正常、超重和肥胖三組的膽固醇、三酰甘油、PAS及極量收縮壓的定量均值分彆為:(4.76±0.92) mmol/L、(4.95±1.04) mmol/L、(5.02±0.91) mmol/L,(1.21±0.76) mmol/L、(1.82±1.07)mmol/L、(2.26±1.55) mmol/L,(44.00±9.70)分、(40.04±9.28)分、(38.83±8.73)分,(144.58±25.47)mmHg、(154.95±28.06) mmHg、(169.33±30.09)mmHg,三組之間差異有統計學意義(膽固醇:F=7.57,P＜0.05;三酰甘油:F=73.40,P＜0.05;PAS:F=4.52,P＜0.05;極量收縮壓F=11.75,P＜0.05);平闆運動試驗不同組Ptfv1比較(正常組與肥胖組:x2=5.67,P＜0.05;超重組與肥胖組:x2=6.17,P＜0.05)差異均有統計學意義.結論 隨著BMI的增加,血脂、極量收縮壓呈遞增趨勢,PAS呈遞減趨勢,Ptfv1異常與BMI明顯相關.肥胖者增加平闆運動試驗可篩選心血管疾病隱患的高危人群,Ptfv1可作為預警信號.
목적 탐토체질지수(BMI)여혈지、신체활동、혈압화심전도V1도련P파종말전세(Ptfv1)적관계,종합평고BMI재조기예경심혈관질병은환중적작용,위제정건강교육급관리조시제공유효의거.방법 선택무당뇨병、심혈관병화고혈압병적자원수시자1 548례,안조《중국성인초중화비반증예방공제지남(시행)》적BMI분류표준분성3조,정상조:303례,초중조:624례,비반조:621례.분석BMI여혈지지간적관련도;각조중재선택무운동성효천、정식심전도정상적체검자원수시자195례행평판운동시험,대기신체활동평분(PAS)、겁량혈압화Ptfv1진행대비분석.결과 정상、초중화비반삼조적담고순、삼선감유、PAS급겁량수축압적정량균치분별위:(4.76±0.92) mmol/L、(4.95±1.04) mmol/L、(5.02±0.91) mmol/L,(1.21±0.76) mmol/L、(1.82±1.07)mmol/L、(2.26±1.55) mmol/L,(44.00±9.70)분、(40.04±9.28)분、(38.83±8.73)분,(144.58±25.47)mmHg、(154.95±28.06) mmHg、(169.33±30.09)mmHg,삼조지간차이유통계학의의(담고순:F=7.57,P＜0.05;삼선감유:F=73.40,P＜0.05;PAS:F=4.52,P＜0.05;겁량수축압F=11.75,P＜0.05);평판운동시험불동조Ptfv1비교(정상조여비반조:x2=5.67,P＜0.05;초중조여비반조:x2=6.17,P＜0.05)차이균유통계학의의.결론 수착BMI적증가,혈지、겁량수축압정체증추세,PAS정체감추세,Ptfv1이상여BMI명현상관.비반자증가평판운동시험가사선심혈관질병은환적고위인군,Ptfv1가작위예경신호.
Objective To explore the relationship between body mass index(BMI) and blood lipid,physical activity,blood pressure and electrocardiagram(ECG) lead V1 P wave terminal force(PTFv1).Methods A total of 1 548 heahy volunteers with no diabetes,cardiovascular disease and hypertension were assigned to the normal control,overweight or obese groups.The correlation between BMI and lipid profiles was analyzed.One hundred and ninty-five volunteers without exercise-induced asthma and emergency were required to do treadmill exercise test to analyze the correlation between physical activity score,blood maximum pressure and Ptfv1.Results BMI was significantly different by blood lipid (Cholesterol:F=7.57,P＜0.05; Triglyceride:F=73.40,P＜0.05),physical activity score(F=4.52,P＜0.05) and blood maximum pressure(F=1 1.75,P＜0.05) other than age(P＞0.05).In the three groups,treadmill exercise test was significantly different in Ptfv1(normal control group vs obese group:x2=5.67,P＜0.05; overweight group vs obese group:x2=6.17,P＜0.05).Conclusion With the increase of BMI,blood lipid and maximal systolic pressure were increased,although physical activity score was decreasing.Abnormal PTFv1 was significantly associated with BMI.increased Treadmill exercise test may be helpful in screening potential cardiovascular disease among high risk obesity populations.
