体重指数-腰围-腰臀比及代谢性因素关系探析.docVIP

体重指数\腰围\腰臀比及代谢性因素关系探析【摘要】目的探讨体重指数(BMI)、腰围(WC)、腰臀比(WHR)与代谢性因素的关系。方法对徐州市居民基线资料的1205例对象按BMI、WC、WHR分组。在正常体重(BMI:18.5-23.9)、超重(BMI:24-27.9)、肥胖(BMI:≥28);腰围正常(WC:男0.95,女0.8),比较各组收缩压(SBP)、舒张压(DBP)、空腹血糖(FBG)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)的水平。结果不论男性女性组,超重肥胖、腰围过大组,血压、血糖、血脂水平与正常组比较均明显升高;腰臀比过大组与正常组比较,男性组TG、FBG明显升高;HDL-C明显降低;女性组TG、FBG、SBP明显升高,HDL-C明显降低。结论BMI 、WC、WHR指标与代谢性因素密切相关,BMI、WC在提示肥胖程度方面优于WHR指标。 【关键词】肥胖指标 代谢性因素 代谢综合征 中国分类号:R589.2 文献标识号:A 文章编号:1005-0515(2010)10-007-03 【Abstract】 ObjectiveTo explore the relationships of body mass index (BMI), waist circumference (WC), waist-hip ratio (WHR) and metabolic factors. Methods 1205 cases of baseline data of residents in XuZhou city were divided into groups according to BMI,WC,WHR.The levels of the systolic blood pressure (SBP), diastolic blood pressure (DBP),fasting blood glucose (FBG),total cholesterol (TC),triglyceride (TG),high density lipoprotein cholesterol (HDL-C) and low density lipoprotein cholesterol (LDL-C), were compared in the normal weight group (BMI:18.5- 23.9),overweight group (BMI:24-27.9) and obesity group (BMI: ≥28);normal waist circumference group (WC: male 0.95, female 0.80). Results Regardless of both men and women groups, compared with the normal group,the levels of blood pressure,glucose and blood lipid increased significantly in overweight, obesity, large waist circumference groups.Compared with the normal group,male group TG,FBG increased significantly,HDL-C reduced significantly; female group TG,FBG,SBP increased obviously, HDL-C reduced obviously,in large waist-hip ratio group.ConclusionBMI,WC,WHR are closely related to metabolic factors, and BMI,WC are superior to WHRin prompting the degree of obesity. 【Key words】 Obesity indexmetabolic factorsmetabolic syndrome 中心性肥胖已被认为是代谢综合征的主要病理基础和重要诊断指标,常与高血糖、血脂代谢紊乱、高血压、动脉粥样硬化等同时出现[1]。目前临床上常有一些患者,尽管明显肥胖,但各项代谢性危险因素却相对正常,而另一些患者只是轻度肥胖,几乎所有的代谢指标均出现异常,为此,我们在徐州市居民中对不同总体肥胖(体重指数)、中心性肥胖(腰围、腰臀比)与代谢性危险因素血压、血脂、血糖的关系进行探讨。 1资料与方法 1.1临床资料