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目的探讨成都地区中老年人群的腰高比值(WHtR)与血压、血脂、血糖的关系。方法 2007年5月间在成都市地中老年人群(688人)中用统一编制的调查表记录被调查者的血压、血脂、血糖、WHtR等指标,并用相关统计学数据进行分析。结果①成都地区中老年人群WHtR≥0.5的高血压、高血脂、高血糖的发病率明显高于对照组(P<0.05),且有统计学意义。②年龄、收缩压、舒张压、甘油三酯和血糖水平,WHtR≥0.5组明显高于WHtR<0.5组,而WHtR≥0.5组高密度脂蛋白水平低于WHtR<0.5组,且组间差异均有统计学意义。③logistic回归分析表明WHtR与年龄、收缩压、舒张压、甘油三酯、空腹血糖水平呈正相关,与高密度脂蛋白水平呈负相关。结论成都地区中老年人群WHtR与血压、血脂及血糖关系密切,可能可以通过改善血压、血脂、空腹血糖等指标来减少WHtR,中老年人群要加强对WHtR的自我管理,尽可能将心血管疾病危险因素降到最低。
Objective To investigate the relationship between waist-height ratio (WHtR), blood pressure, blood lipid and blood glucose in middle-aged and elderly people in Chengdu. Methods In May 2007, a questionnaire was compiled from a survey of 688 middle-aged and elderly people in Chengdu. The blood pressure, blood lipids, blood glucose, WHtR and other indicators were recorded and analyzed with relevant statistical data. Results ① The prevalence of hypertension, hyperlipidemia and hyperglycemia with WHtR≥0.5 in middle-aged and elderly people in Chengdu was significantly higher than that in the control group (P <0.05), and there was statistical significance. ② The age, systolic blood pressure, diastolic blood pressure, triglyceride and blood glucose level were significantly higher in WHtR≥0.5 group than in WHtR <0.5 group, while those in WHtR≥0.5 group were lower than those in WHtR <0.5 group There is statistical significance. ③ Logistic regression analysis showed that WHtR was positively correlated with age, systolic blood pressure, diastolic blood pressure, triglyceride, fasting blood glucose level and negatively correlated with high density lipoprotein level. Conclusion WHtR is closely related to blood pressure, blood lipids and blood glucose in middle-aged and elderly people in Chengdu. It may reduce WHtR by improving blood pressure, blood lipid, fasting blood glucose and other indicators. Middle-aged and elderly patients should strengthen their self-management of WHtR, Factors to a minimum.