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中老年男性肥胖類型與性激素關(guān)系研究

發(fā)布時間:2018-08-16 15:29
【摘要】:目的:探討肥胖類型與性激素水平的關(guān)系。方法:采用橫斷面研究,以927例中老年男性為對象,統(tǒng)一獲得其體質(zhì)量指數(shù)(BMI)、腰高比(WHt R),測定血清總睪酮(TT)、性激素結(jié)合球蛋白(SHBG),并計算游離睪酮(c FT)和生物利用性睪酮(Bio-T),分析BMI、WHt R與性激素相關(guān)性,比較不同WHt R組性激素水平,并應(yīng)用Logistic回歸分析WHt R、肥胖類型與性激素低下關(guān)聯(lián)。結(jié)果:WHt R與所有性激素指標(biāo)TT、c FT、Bio-T和SHBG呈負(fù)相關(guān)(P0.05),而BMI僅與TT、SHBG呈負(fù)相關(guān)(P0.05);與低WHt R組(WHt R≤0.5)比,高WHt R組(WHt R0.5)血清TT、c FT、Bio-T和SHBG均顯著下降(P0.05)。Logistic模型顯示,雙重肥胖組即BMI和WHt R都超標(biāo)者,TT和c FT低下風(fēng)險增加(P0.05),但僅有一般性肥胖或中心性肥胖與TT、c FT低下關(guān)聯(lián)未顯示統(tǒng)計學(xué)差異(P0.05)。結(jié)論:一般性肥胖和中心性肥胖共存是中老年男性血清TT、c FT低下的危險因素。
[Abstract]:Objective: to study the relationship between obesity type and sex hormone level. Methods: a cross-sectional study was conducted in 927 middle-aged and aged men. The body mass index (BMI), waist height ratio (WHt R), serum total testosterone (TT), sex hormone binding globulin (SHBG), free testosterone (c FT) and bioavailability testosterone (Bio-T) were determined, and the correlation between sex hormones and sex hormones was analyzed, and the sex hormone levels in different WHt R groups were compared. Logistic regression analysis was used to analyze WHt R.The obesity type was associated with low sex hormone. Results compared with the low WHt R group (WHt R 鈮,

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