上海预防医学
上海預防醫學
상해예방의학
SHANGHAI JOURNAL OF PREVENTIVE MEDICINE
2014年
12期
693-695,696
,共4页
老年人%体质指数%相关因素
老年人%體質指數%相關因素
노년인%체질지수%상관인소
Aged%Body mass index%Related factors
[目的]了解上海市打浦桥街道中影响老年人体质指数的相关因素,为进一步开展慢性病管理、治疗及健康教育工作提供依据。[方法]对2106名65岁以上老年人的体检资料进行分析,采用多元逐步回归法分析影响老年人体质指数的相关因素。[结果]2106名老年人中,各项体检指标均正常且既往无慢性病史者624人,占29.6%。异常检出率列前5位的分别是三酰甘油(65.8%),腰围(63.9%),体质指数(60.3%),血压(52.5%),总胆固醇(31.7%)。体质指数、总胆固醇、三酰甘油、低密度脂蛋白、高密度脂蛋白、收缩压均为女性高于男性,尿酸、腰围及舒张压男性高于女性(P均<0.01)。不同年龄组三酰甘油、低密度脂蛋白、尿酸的异常检出率不同(P均<0.05)。多元逐步回归分析结果显示,体质指数与性别、腰围、总胆固醇、低密度脂蛋白、尿酸呈正相关性(P<0.01),与年龄、高密度脂蛋白呈负相关性(P<0.01)。[结论]打浦桥街道老年人高脂血症、血压异常、肥胖和超重的检出率较高,体质指数与腰围、性别、血脂、年龄、尿酸呈相关性,今后应在社区中开展有针对性的慢性病干预和治疗。
[目的]瞭解上海市打浦橋街道中影響老年人體質指數的相關因素,為進一步開展慢性病管理、治療及健康教育工作提供依據。[方法]對2106名65歲以上老年人的體檢資料進行分析,採用多元逐步迴歸法分析影響老年人體質指數的相關因素。[結果]2106名老年人中,各項體檢指標均正常且既往無慢性病史者624人,佔29.6%。異常檢齣率列前5位的分彆是三酰甘油(65.8%),腰圍(63.9%),體質指數(60.3%),血壓(52.5%),總膽固醇(31.7%)。體質指數、總膽固醇、三酰甘油、低密度脂蛋白、高密度脂蛋白、收縮壓均為女性高于男性,尿痠、腰圍及舒張壓男性高于女性(P均<0.01)。不同年齡組三酰甘油、低密度脂蛋白、尿痠的異常檢齣率不同(P均<0.05)。多元逐步迴歸分析結果顯示,體質指數與性彆、腰圍、總膽固醇、低密度脂蛋白、尿痠呈正相關性(P<0.01),與年齡、高密度脂蛋白呈負相關性(P<0.01)。[結論]打浦橋街道老年人高脂血癥、血壓異常、肥胖和超重的檢齣率較高,體質指數與腰圍、性彆、血脂、年齡、尿痠呈相關性,今後應在社區中開展有針對性的慢性病榦預和治療。
[목적]료해상해시타포교가도중영향노년인체질지수적상관인소,위진일보개전만성병관리、치료급건강교육공작제공의거。[방법]대2106명65세이상노년인적체검자료진행분석,채용다원축보회귀법분석영향노년인체질지수적상관인소。[결과]2106명노년인중,각항체검지표균정상차기왕무만성병사자624인,점29.6%。이상검출솔렬전5위적분별시삼선감유(65.8%),요위(63.9%),체질지수(60.3%),혈압(52.5%),총담고순(31.7%)。체질지수、총담고순、삼선감유、저밀도지단백、고밀도지단백、수축압균위녀성고우남성,뇨산、요위급서장압남성고우녀성(P균<0.01)。불동년령조삼선감유、저밀도지단백、뇨산적이상검출솔불동(P균<0.05)。다원축보회귀분석결과현시,체질지수여성별、요위、총담고순、저밀도지단백、뇨산정정상관성(P<0.01),여년령、고밀도지단백정부상관성(P<0.01)。[결론]타포교가도노년인고지혈증、혈압이상、비반화초중적검출솔교고,체질지수여요위、성별、혈지、년령、뇨산정상관성,금후응재사구중개전유침대성적만성병간예화치료。
[ Objective] To investigate the influence factors of body mass index ( BMI ) in elderly in Shanghai Dapuqiao community , thus providing a basis for further management and treatment of chronic diseases and health education in this regard . [ Methods] Physical examination data were analyzed on a series of 2,106 elderly people over 65 by means of multiple stepwise regression in relation to relative factors influencing IBM in the elderly . [ Results] Among the 2,106 elderly people,624 had various physical indicators normal and no previous history of chronic diseases , accounting for 29 .6%.As to the anomaly detection rates,the top five were in triglyceride(TG)(65.8%),waistline(63.9%),BMI(60.3%),blood pressure(BP)(52.5%),and total cholesterol(TC)(31.7%).Women were found to be higher than men in values of BMI,TC,TG,HDL-C,LDL-C,SBP.But men were higher than women in values of wasitline,UA and DBP.The positive detection results in different age groups were different with TG ,LDL-C,UA.Through multiple stepwise regression analysis ,BMI was found to be in positive correlation with sex ,wasitline,TC, LDL-C,UA,and in negative correlation with age and HDL-C. [ Conclusion] Hyperlipidemia, high blood pressure ,overweight or obese were higher in detection rate among the elderly in Dapuqiao community . BMI was in relation with waistline , sex , blood lipid , age and UA .To investigate the basic health status of elderly people over 65 is important , which is of benefit to preventing and treating chronic disease in the community.