本文選題：肥胖 + 動脈僵硬度　； 參考：《中國公共衛(wèi)生》2017年03期

【摘要】：目的探討山東省濟南地區(qū)35~75歲人群肥胖類型與血脂促動脈硬化指數(shù)的相關(guān)性。方法 2011年6月—2013年7月,采用整群隨機抽樣方法抽取山東省濟南地區(qū)35~75歲人群10 079人,測量受試者腰圍、身高、體重、頸-股動脈的脈搏波速度(cf PWV)及空腹血脂指標,并計算體質(zhì)指數(shù)(BMI)及血脂促動脈硬化指數(shù)(PAI)。結(jié)果 BMI28 kg/m~2+非腹型肥胖組cf PWV及PAI分別為(9.15±1.62)m/s和(2.27±0.96),BM I28 kg/m~2+腹型肥胖組分別為(9.82±1.78)m/s和(2.56±1.18),BM I≥28 kg/m~2+非腹型肥胖組分別為(9.45±1.82)m/s和(2.44±1.19),BM I≥28 kg/m~2+腹型肥胖組分別為(10.99±1.91)m/s和(3.21±1.71)。與BM I28 kg/m~2+非腹型肥胖組比較,其余各組cf PWV及PAI明顯升高(P0.05)。與BM I28 kg/m~2+腹型肥胖組比較,BMI≥28 kg/m~2+非腹型肥胖組cf PWV明顯升高(P0.05)。與BM I≥28 kg/m~2+非腹型肥胖組比較,BM I≥28 kg/m~2+腹型肥胖組cf PWV及PAI明顯升高(P0.05)。BM I及腰圍對cf PWV及PAI共同效應(yīng)有統(tǒng)計學(xué)意義(F=61.366、42.682,P0.001)。以BMI28kg/m~2非腹型肥胖組為參照,在校正年齡、性別、收縮壓、舒張壓、FPG等因素后,BM I≥28 kg/m~2非腹型肥胖組PAI4及cf PWV10m/s的OR值分別為1.649(95%CI=1.154~2.144)和1.551(95%CI=1.117~1.985),P均0.001;BM I28kg/m~2腹型肥胖組OR值分別為1.764(95%CI=1.370~2.158)和1.577(95%CI=1.264~1.890),P均0.001;BM I≥28 kg/m~2腹型肥胖組OR值分別為5.666(95%CI=3.726~7.606)和4.631(95%CI=2.615~6.647),P均0.001。結(jié)論在山東濟南地區(qū)35~75歲人群中,單純性肥胖及腹型肥胖均是動脈硬化的獨立危險因素,腰圍及BMI增加在致動脈硬化中具有協(xié)同作用。
[Abstract]:Objective to study the correlation between obesity type and atherosclerosis index of 35 ~ 75 years old people in Jinan, Shandong province. Methods from June 2011 to July 2013, 10 079 subjects aged 3575 years old from Jinan, Shandong Province were selected by cluster random sampling. The waist circumference, height, weight, pulse wave velocity of carotid and femoral artery and fasting blood lipid index were measured. Body mass index (BMI) and blood lipid index of arteriosclerosis were calculated. Results the cf PWV and PAI of BMI28 kg/m~2 non-abdominal obesity group were 9.15 鹵1.62)m/s and 2.27 鹵0.96 kg/m~2, respectively, which were 9.82 鹵1.78)m/s and 2.56 鹵1.18BBI 鈮，

本文編號：1884757