CAJ | 학술논문

目的：分析北京市健康体检人群体质指数（ BMI ）与血脂、血压、血糖及脂肪肝的关系。方法对2008年1月至2012年12月在北京市体检中心参加健康体检的245755例健康体检者的BMI、血脂、血压、血糖和脂肪肝资料进行统计，按 BMI 不同值分为4组：体质量过低组（ BMI ＜18.5 kg／m2）、体质量正常组（18.5 kg／m2≤BMI ＜24.0 kg／m2）、超重组（24.0 kg／m2≤BMI ＜28.0 kg／m2）和肥胖组（ BMI≥28.0 kg／m2），比较不同年龄段各组血脂、血压、血糖和脂肪肝情况，分析体质量分布状况及与血脂、血压、血糖和脂肪肝等的相互关系。结果不同年龄段组的异常检出率差异有统计学意义（ P＜0.05），体质量过低组、超重组、肥胖组的血脂异常、血压增高、血糖升高和脂肪肝检出率与体质量正常组比较差异有统计学意义（ P ＜0.05）。相关分析显示，男性的血脂异常、血压增高、血糖升高、脂肪肝与BMI呈正相关（r＝0.668，0.743，0.732，0.657，P ＜0.05），女性的血脂异常与BMI没有相关性（r＝0.377，P＞0.05）。结论北京市健康体检人群血脂异常、血压增高、血糖升高、脂肪肝检出率较高，其中BMI是此类代谢性相关疾病较理想的预警指标，以有利于疾病的早期发现与诊治。
목적：분석북경시건강체검인군체질지수（ BMI ）여혈지、혈압、혈당급지방간적관계。방법대2008년1월지2012년12월재북경시체검중심삼가건강체검적245755례건강체검자적BMI、혈지、혈압、혈당화지방간자료진행통계，안 BMI 불동치분위4조：체질량과저조（ BMI ＜18.5 kg／m2）、체질량정상조（18.5 kg／m2≤BMI ＜24.0 kg／m2）、초중조（24.0 kg／m2≤BMI ＜28.0 kg／m2）화비반조（ BMI≥28.0 kg／m2），비교불동년령단각조혈지、혈압、혈당화지방간정황，분석체질량분포상황급여혈지、혈압、혈당화지방간등적상호관계。결과불동년령단조적이상검출솔차이유통계학의의（ P＜0.05），체질량과저조、초중조、비반조적혈지이상、혈압증고、혈당승고화지방간검출솔여체질량정상조비교차이유통계학의의（ P ＜0.05）。상관분석현시，남성적혈지이상、혈압증고、혈당승고、지방간여BMI정정상관（r＝0.668，0.743，0.732，0.657，P ＜0.05），녀성적혈지이상여BMI몰유상관성（r＝0.377，P＞0.05）。결론북경시건강체검인군혈지이상、혈압증고、혈당승고、지방간검출솔교고，기중BMI시차류대사성상관질병교이상적예경지표，이유리우질병적조기발현여진치。
Objective To investigate the relationship between body mass index(BMI) and blood lipids, blood pressure,blood sugar of routine health check-up population in Beijing.Methods From Jan.2008 to Dec.2012 data of BMI,blood lipids,blood pressure,blood glucose and fatty liver of 245 755 cases of healthy check-up in Beijing medical center were statistically analyzed .The cases were divided into four groups:the underweight group (BMI<18.5 kg/m2),the normal group(18.5 kg/m2≤BMI <24.0 kg/m2);the over-weight group(24.0 kg/m2≤BMI<28.0 kg/m2);the obesity group(BMI≥28.0 kg/m2).The levels of lipid, blood pressure,blood glucose and fatty liver of different age groups were compared .The relationship between BMI and lipid,blood pressure,blood glucose,and fatty liver was analyzed.Results There was significant difference on the anomaly detection rate in different age groups ( P <0.05 ) , the anomaly detection rate of dyslipidemia, increased blood pressure, blood sugar and fatty liver in the underweight group, overweight group,the obesity group had statistically significant difference from the normal group(P<0.05).Correlation analysis showed that there was positive correlation between the male dyslipidemia,increased blood pressure and blood sugar,fatty liver and BMI(r=0.668,0.743,0.732,0.657,P<0.05),but no correlation between the female dyslipidemia and BMI(r=0.377,P>0.05).Conclusion The high anomaly detection rate has appeared on dyslipidemia,increased blood pressure,elevated blood sugar and fatty liver in Beijing citizens , BMI is an ideal warning indicator of such metabolic diseases , which is helpful for the early diagnosis and treatment.