CAJ | 학술논문

目的：：了解上海市莘庄社区中老年人在25岁及当前体质量指数( BMI)与目前社区常见慢性病的关系。方法：采取问卷调查及现场测量方式分别获取144名中老年人的慢性病史、25岁时及当前的身高、体质量、骨密度值等数据，通过统计学分析其25岁时BMI及目前BMI分别与慢性病的关联性。结果：单因素分析结果显示：25岁时不同BMI分级的中老年人糖尿病及骨质疏松症的患病率差异均有统计学意义(P<0.05和P<0.01)，而当前不同BMI分级的中老年人高脂血症的患病率差异有统计学意义(P<0.05)。多因素logistic回归分析显示：25岁时不同BMI中老年人糖尿病和骨质疏松症的患病率差异均有统计学意义(P=0.012和P=0.001)，当前不同BMI中老年人糖尿病的患病率差异有统计学意义(P=0.012)。结论：糖尿病与25岁时BMI呈正相关关系，骨质疏松症与25岁BMI呈负相关关系；糖尿病、高脂血症与当前的BMI呈正相关关系。从青年到老年，合理控制体质量是减少老年慢性病发生的有效方式之一。
목적：：료해상해시신장사구중노년인재25세급당전체질량지수( BMI)여목전사구상견만성병적관계。방법：채취문권조사급현장측량방식분별획취144명중노년인적만성병사、25세시급당전적신고、체질량、골밀도치등수거，통과통계학분석기25세시BMI급목전BMI분별여만성병적관련성。결과：단인소분석결과현시：25세시불동BMI분급적중노년인당뇨병급골질소송증적환병솔차이균유통계학의의(P<0.05화P<0.01)，이당전불동BMI분급적중노년인고지혈증적환병솔차이유통계학의의(P<0.05)。다인소logistic회귀분석현시：25세시불동BMI중노년인당뇨병화골질소송증적환병솔차이균유통계학의의(P=0.012화P=0.001)，당전불동BMI중노년인당뇨병적환병솔차이유통계학의의(P=0.012)。결론：당뇨병여25세시BMI정정상관관계，골질소송증여25세BMI정부상관관계；당뇨병、고지혈증여당전적BMI정정상관관계。종청년도노년，합리공제체질량시감소노년만성병발생적유효방식지일。
Objective:To investigate the relationships between the incidence of chronic disease and body mass index( BMI) at the age of 25 and now of middle-aged and elderly people in Xinzhuang Town of Shanghai. Methods:The chronic disease history,and height, weight and bone mineral density at the age of 25 and now of middle-aged and elderly people were investigated by questionnaire survey and on-site measurement methods. The relationships between chronic disease and BMI at the age of 25 and now were statistically analyzed. Results:Single factor analysis results showed that the differences of the incidence of diabetes and osteoporosis in different BMI at the age of 25 of middle-aged and elderly people were statistically significant(P<0. 05 and P<0. 01),the difference of the incidence of hyperlipemia in middle-aged and elderly people with different BMI was statistically significant(P <0. 05). Multiariable logistic regression analysis results showed that the differences of the incidence of diabetes and osteoporosis in different BMIs at the age of 25 of middle-aged and elderly people were statistically significant(P=0. 012 and P=0. 001),the difference of the incidence of diabetes in middle-aged and elderly people with different BMI was statistically significant(P=0. 012 and P=0. 001). Conclusions:Diabetes and osteoporosis are positively and negatively related with BMI at the age of 25,respectively. Diabetes and hyperlipidemia are positively correlated with the BMI of middle-aged and elderly people. From young to old,the reasonable weight control is one of effective way to decrease the occurrence of chronic disease.