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目的分析肥胖指标与糖尿病和高血压之间的关系。方法以2006年广西南宁市体检人群,共6 031人为研究对象,分别检测体质指数(BMI)、腰围(WC)、腰围与身高的比值(WHtR)、空腹血糖(FBG)、餐后血糖(PBG)与血压,并对肥胖指标与糖尿病和高血压的关联性进行分析。结果糖尿病风险值,男性BMI:OR=1.290,95%CI:1.005～1.655,WC:OR=1.494,95%CI:1.159～1.927,WHtR:OR=1.565,95%CI:1.216～2.016;女性BMI:OR=2.337,95%CI:1.538～3.550,WC:OR=2.559,95%CI:1.686～3.883,WHtR:OR=3.102,95%CI:1.966～4.892。高血压风险值,男性BMI:OR=1.793,95%CI:1.529~2.103,WC:OR=2.077,95%CI:1.768～2.440,WHtR:OR=2.332,95%CI:1.976～2.725;女性BMI:OR=2.877,95%CI:2.228～3.714,WC:OR=2.896,95%CI:2.243～3.738,WHtR:OR=3.838,95%CI:2.897～5.116。不论男女,高血压和糖尿病与肥胖指标的关联强度顺序为WHtR>WC>BMI。结论与外周肥胖指标相比,中心型肥胖人群患糖尿病、高血压的风险更高。
Objective To analyze the relationship between obesity indicators and diabetes mellitus and hypertension. Methods A total of 6 031 subjects in Nanning, Guangxi were enrolled in this study. Body mass index (BMI), waist circumference (WC), waist circumference to body height (WHtR), fasting blood glucose (FBG), postprandial blood glucose ) And blood pressure, and the association of obesity indicators with diabetes and hypertension. Results The risk factors of diabetes were as follows: male BMI: OR = 1.290, 95% CI: 1.005-1.655, WC: OR = 1.494, 95% CI: 1.159-1.927, WHtR: OR = 1.565, 95% CI: : OR = 2.337, 95% CI: 1.538-3.550, WC: OR = 2.559, 95% CI: 1.686-3.883, WHtR: OR = 3.102, 95% CI: 1.966-4.892. The risk of hypertension was 1.793, 95% CI: 1.529-2.103, WC: OR = 2.077, 95% CI: 1.768-2.440, WHtR: OR = 2.332, 95% CI: : OR = 2.877, 95% CI: 2.228-3.714, WC: OR = 2.896, 95% CI: 2.243-3.738, WHtR: OR = 3.838, 95% CI: 2.897-5.116. The correlations between hypertension and diabetes and obesity were WHtR> WC> BMI for both men and women. Conclusion Compared with the peripheral obesity index, the central obesity population is at higher risk of developing diabetes and hypertension.