中华内分泌代谢杂志
中華內分泌代謝雜誌
중화내분비대사잡지
CHINESE JOURNAL OF ENDOCRINOLOGY AND METABOLISM
2015年
3期
210-214
,共5页
曹海涛%邱长春%程祖亨%丁志坚
曹海濤%邱長春%程祖亨%丁誌堅
조해도%구장춘%정조형%정지견
游牧部落%克里雅人%生理特征%代谢综合征
遊牧部落%剋裏雅人%生理特徵%代謝綜閤徵
유목부락%극리아인%생리특정%대사종합정
Nomadic tribe%Keriyans%Physiological characteristics%Metabolic syndrome
目的 探讨游牧部落克里雅人的生理特征及其与代谢综合征低患病率的关系.方法 采取随机抽样的方法在克里雅人群中随机选取503人,在新疆和田地区于田县先拜巴扎镇随机选取维吾尔族237人作为对照人群进行流行病学调查,运用24 h膳食回顾法进行膳食营养调查.采用病例对照研究的方法,比较2组人群体质和生化指标;比较2组人群代谢综合征的患病率.结果 克里雅人组的体重指数小于对照组[(21.25±3.10对22.66±4.18)kg/m2,P<0.05].克里雅人组平均收缩压[(110±18对122±21) mmHg,1 mmHg=0.133 kPa,P<0.01]、舒张压水平[(73±11对80±15)mmHg,P<0.01]均低于对照组,总胆固醇[(2.23±1.02对3.26±0.85)mmol/L,P<0.01]、甘油三酯[(0.98±0.77对1.50±1.29)mmol/L,P<0.01]、低密度脂蛋白胆固醇[(1.41±0.68) mmol/L,P<0.01]、空腹血糖[(4.43±1.19对5.56±1.39)mmol/L,P<0.01]水平低于对照组,有统计学差异.克里雅人组高血压(9.94%对29.11%,P<0.01)、高血脂、糖尿病(2.2%对11.91%,P<0.01)患病率均明显低于对照组,有统计学差异.克里雅人代谢综合征检出率为0.6%(3/500),对照人群为13.62%(32/235),克里雅人代谢综合征检出率明显低于对照组(P<0.01).克里雅人组摄取的热能明显低于对照组[(1 502.341对2 106.870)kcal,P<0.01].结论 克里雅人少肥胖,低体重指数、低血脂、低血压的生理特征,低热量、脂肪、碳水化合物、油脂摄入,少吸烟,饮酒的生活习惯及无污染的自然生活环境是他们代谢综合征患病率低的相关因素,而尤以低热量摄入最为重要.
目的 探討遊牧部落剋裏雅人的生理特徵及其與代謝綜閤徵低患病率的關繫.方法 採取隨機抽樣的方法在剋裏雅人群中隨機選取503人,在新疆和田地區于田縣先拜巴扎鎮隨機選取維吾爾族237人作為對照人群進行流行病學調查,運用24 h膳食迴顧法進行膳食營養調查.採用病例對照研究的方法,比較2組人群體質和生化指標;比較2組人群代謝綜閤徵的患病率.結果 剋裏雅人組的體重指數小于對照組[(21.25±3.10對22.66±4.18)kg/m2,P<0.05].剋裏雅人組平均收縮壓[(110±18對122±21) mmHg,1 mmHg=0.133 kPa,P<0.01]、舒張壓水平[(73±11對80±15)mmHg,P<0.01]均低于對照組,總膽固醇[(2.23±1.02對3.26±0.85)mmol/L,P<0.01]、甘油三酯[(0.98±0.77對1.50±1.29)mmol/L,P<0.01]、低密度脂蛋白膽固醇[(1.41±0.68) mmol/L,P<0.01]、空腹血糖[(4.43±1.19對5.56±1.39)mmol/L,P<0.01]水平低于對照組,有統計學差異.剋裏雅人組高血壓(9.94%對29.11%,P<0.01)、高血脂、糖尿病(2.2%對11.91%,P<0.01)患病率均明顯低于對照組,有統計學差異.剋裏雅人代謝綜閤徵檢齣率為0.6%(3/500),對照人群為13.62%(32/235),剋裏雅人代謝綜閤徵檢齣率明顯低于對照組(P<0.01).剋裏雅人組攝取的熱能明顯低于對照組[(1 502.341對2 106.870)kcal,P<0.01].結論 剋裏雅人少肥胖,低體重指數、低血脂、低血壓的生理特徵,低熱量、脂肪、碳水化閤物、油脂攝入,少吸煙,飲酒的生活習慣及無汙染的自然生活環境是他們代謝綜閤徵患病率低的相關因素,而尤以低熱量攝入最為重要.
목적 탐토유목부락극리아인적생리특정급기여대사종합정저환병솔적관계.방법 채취수궤추양적방법재극리아인군중수궤선취503인,재신강화전지구우전현선배파찰진수궤선취유오이족237인작위대조인군진행류행병학조사,운용24 h선식회고법진행선식영양조사.채용병례대조연구적방법,비교2조인군체질화생화지표;비교2조인군대사종합정적환병솔.결과 극리아인조적체중지수소우대조조[(21.25±3.10대22.66±4.18)kg/m2,P<0.05].극리아인조평균수축압[(110±18대122±21) mmHg,1 mmHg=0.133 kPa,P<0.01]、서장압수평[(73±11대80±15)mmHg,P<0.01]균저우대조조,총담고순[(2.23±1.02대3.26±0.85)mmol/L,P<0.01]、감유삼지[(0.98±0.77대1.50±1.29)mmol/L,P<0.01]、저밀도지단백담고순[(1.41±0.68) mmol/L,P<0.01]、공복혈당[(4.43±1.19대5.56±1.39)mmol/L,P<0.01]수평저우대조조,유통계학차이.극리아인조고혈압(9.94%대29.11%,P<0.01)、고혈지、당뇨병(2.2%대11.91%,P<0.01)환병솔균명현저우대조조,유통계학차이.극리아인대사종합정검출솔위0.6%(3/500),대조인군위13.62%(32/235),극리아인대사종합정검출솔명현저우대조조(P<0.01).극리아인조섭취적열능명현저우대조조[(1 502.341대2 106.870)kcal,P<0.01].결론 극리아인소비반,저체중지수、저혈지、저혈압적생리특정,저열량、지방、탄수화합물、유지섭입,소흡연,음주적생활습관급무오염적자연생활배경시타문대사종합정환병솔저적상관인소,이우이저열량섭입최위중요.
Objective To investigate the physiological characteristics and the association with low prevalence of metabolic syndrome in Keriyans,a nomadic tribe,in the Taklimakan Desert.Methods An epidemiological survey focusing on diet and standardized physical examinations were made in a randomly selected natural population of 508 Keriyans individuals residing in the Taklimakan desert.In addition,237 of Uyghur subjects from Yutian county were enrolled as controls.Results Between these two populations,statistical significances were observed in body mass index (BMI) [(21.25 ± 3.10 vs 22.66 ± 4.18) kg/m2,P<0.05],blood pressure (P<0.01),triglyceride [TG,(0.98 ± 0.77 vs 1.50 ± 1.29) mmol/L,P<0.01],total cholesterol [TC,(2.23 ± 1.02 vs 3.26 ± 0.85) mmol/L,P<0.01],low density lipoprotein-cholesterol[LDL-C,(1.41 ± 0.68) mmol/L,P<0.01],fasting blood glucose [(4.43 ± 1.19 vs 5.56 ± 1.39) mmol/L,P<0.01],fat and salt intake (P<0.05).The Keriyans had a low incidence of hypertension(9.94% vs 29.11%,P<0.01),raised blood cholesterol and diabetes mellitus(2.2% vs 11.91%,P<0.01) compared with the control group.The prevalence of metabolic syndrome was 0.6% (3/500) in Keriyans and 13.62% (32/235) in the control group.The prevalence of metabolic syndrome in Keriyans was much lower than that in the control group (P<0.01).The caloric intake in keriyans group was lower tha than in the control group [(1 502.341 vs 2106.870) kcal,P < 0.01].Conclusions The preliminary results showed that the physiological characteristics with low BMI,blood glucose,and the low levels of TG,TC,LDL-C,as well as they were inured to low salt loading,little smoking and no alcohol drinking,and natural living environment free from pollution,these factors might be associated with the low prevalence of metabolic syndrome in Keriyans.And their low calorie intake might be the most important factor of their low prevalence of metabolic syndrome.