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新疆漢族成年人群最適體質(zhì)指數(shù)和腰圍切點值對超重及中心性肥胖分類的研究

發(fā)布時間:2018-03-16 08:26

  本文選題:新疆漢族成年人 切入點:體質(zhì)指數(shù) 出處:《新疆醫(yī)科大學》2015年碩士論文 論文類型:學位論文


【摘要】:目的:探討新疆漢族成年人群最適體質(zhì)指數(shù)和腰圍切點值對超重及中心性肥胖分類的作用。方法:2007年10月至2010年3月開展新疆地區(qū)心血管風險調(diào)查,共選擇具有代表性樣本14618人,其中漢族5757人,從中選取資料完整的5666人作為研究對象,年齡35~88歲,平均52.47歲。測量并記錄每名入組對象的血壓、總膽固醇、甘油三酯、低密度脂蛋白、高密度脂蛋白、空腹血糖。計算并記錄不同體質(zhì)指數(shù)值和腰圍值所對應的心血管疾病危險因素的患病率、敏感度、特異度及在受試者工作特征曲線上的距離,以受試者工作特征曲線判定體質(zhì)指數(shù)和腰圍對超重和中心性肥胖篩查的切點、敏感性、特異性和患病率。結(jié)果:1.無論男性還是女性,體質(zhì)指數(shù)較高人群的糖尿病和高膽固醇血癥的患病率較高,腰圍值較高人群的高甘油三酯血癥的患病率較高;2.體質(zhì)指數(shù)較高的新疆漢族成年男性,其高甘油三酯血癥的患病率較高:3.體質(zhì)指數(shù)和腰圍值較高的新疆漢族成年女性,其高血壓的患病率較高。4.無論男性還是女性,其高血壓、血脂異常、糖尿病或≥12個危險因素在受試者工作特征曲線上的最短距離定為最適體質(zhì)指數(shù)和腰圍的切點值,男性為26kg/m2和90cm,女性為25kg/m2和85cm。結(jié)論:在新疆漢族成年人群中,需要采用較高的體質(zhì)指數(shù)切點值定義男性超重,采用較高的腰圍切點值定義女性中心性肥胖。
[Abstract]:Objective: to investigate the effects of the optimal BMI and waist circumference point on the classification of overweight and central obesity in Xinjiang Han population. Methods: from October 2007 to March 2010, the cardiovascular risk survey was carried out in Xinjiang. A total of 14618 representative samples were selected, including 5 757 Han people, and 5 666 persons with complete data were selected as the subjects, aged 35 to 88 years, with an average of 52.47 years old. The blood pressure, total cholesterol and triglyceride of each group were measured and recorded. Low density lipoprotein (LDL), high density lipoprotein (HDL), fasting blood glucose (FBG). The prevalence, sensitivity, specificity and distance on the operating characteristic curve of the subjects were calculated and recorded for cardiovascular disease risk factors corresponding to different body mass index values and waist circumference values. The sensitivity, sensitivity, specificity and prevalence of body mass index (BMI) and waist circumference for screening for overweight and central obesity were determined by the operating characteristic curve of the subjects. Results: 1.No matter male or female, The prevalence of diabetes mellitus and hypercholesterolemia in the population with higher BMI was higher, and the prevalence rate of hypertriglyceridemia in the group with higher waist circumference was higher than that in the group with higher BMI. The prevalence of hypertriglyceridemia in Xinjiang Han nationality women with higher BMI and waist circumference was higher. 4. Whether male or female, the prevalence of hypertension and dyslipidemia was higher. The shortest distance of diabetes mellitus or 鈮,

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