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目的:探讨健康体检的驻某地武警机关干部体质指数(BMI)与代谢性疾病的关系。方法:采用横断面调查方法对健康体检的1920名驻某地武警机关干部和270名地方机关干部的体质指数情况进行比较分析,探讨超重肥胖与代谢性疾病的关系。结果:1.军人组超重率及肥胖率均低于地方组(P<0.01)。2.<50岁人群组随年龄增加,超重及肥胖检出率有增高趋势(P<0.01),40~49岁人群超重率和肥胖率最高;50~65岁人群超重与肥胖率最低。3.两组机关干部随BMI升高,高总胆固醇、高甘油三酯、高尿酸血症、脂肪肝检出率增高(P<0.01);军人组高尿酸血症发病率明显高于地方组(P<0.05);高血压、高血脂发病率明显降低(P<0.05);与地方超重组比较,军人超重组脂肪肝发病率明显升高(P<0.05)。4.在30~50岁的军人中,随着年龄升高,高血压、高血糖、高血脂、高尿酸,脂肪肝发病率明显升高(P<0.01)。结论:健康体检人群超重、肥胖率较高,控制体重对高血压、高血糖、高血脂及脂肪肝等慢性病的防治具有重要意义。军人组超重与肥胖率均低于地方,但高尿酸血症和高脂肪肝发病率升高,故建议有代谢性疾病的军人限制饮酒可能会受益。
Objective: To explore the relationship between cadres’ body mass index (BMI) and metabolic diseases in armed police units stationed in a certain area during a physical examination. Methods: A cross-sectional survey was conducted to compare the body mass index of 1920 military police officers stationed in a certain area with 270 local government cadres in a physical examination to explore the relationship between overweight and obesity and metabolic diseases. Results: 1. The overweight rate and obesity rate in military service group were lower than those in local group (P <0.01). The prevalence of overweight and obesity increased with age (P <0.01), the overweight rate and obesity rate were the highest in the population aged 40-49, and the lowest in the population aged 50-65. The two groups of cadres with BMI increased, high total cholesterol, high triglyceride, hyperuricemia, increased detection rate of fatty liver (P <0.01); the incidence of hyperuricemia was significantly higher in the military group than in the local group (P <0.05). The incidence of hypertension and hyperlipidemia was significantly lower than that of the overweight group (P <0.05). The incidence of fatty liver in the overweight group was significantly higher than that of the overweight group (P <0.05). 4. Among the 30 to 50-year-old soldiers, the incidence of hypertension, hyperglycemia, hyperlipidemia, hyperuricemia and fatty liver increased significantly with age (P <0.01). Conclusion: Excessive weight and obesity rate are found in the health examination population. Weight control is important for the prevention and treatment of chronic diseases such as hypertension, hyperglycemia, hyperlipemia and fatty liver. Military overweight and obesity rates were lower than the local, but the incidence of hyperuricemia and fatty liver increased, it is proposed that soldiers with metabolic diseases may limit the alcohol consumption may benefit.