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目的:探讨绍兴城区老年居民体重指数(BMI)与代谢综合征(MS)及其各组分的关系。方法:将2311名退休职工按BMI分4组,并对其年龄、性别、血压、血糖及血脂进行分析研究。结果:随着体重指数的增加,收缩压、舒张压、血糖及甘油三酯值也增加,而高密度脂蛋白胆固醇(HDL-C)的值降低;绍兴城区老年居民消瘦、正常、超重及肥胖组别MS的患病率分别为1.15%、7.17%、42.18%和63.94%,高血糖的患病率为11.92%、19.5%、26.05%和32.19%,高血压的患病率分别为31.15%、41.05%、63.34%和73.81%,血脂异常的患病率分别为7.31%、31.89%、39.49%和51.07%,超重和肥胖分别是正常体重患高血压危险的2.8和3.1倍。结论:高血压和血脂异常是绍兴地区老年居民肥胖人群中最常见的代谢异常;控制体重可全面降低肥胖性相关疾病的发生。
Objective: To investigate the relationship between body mass index (BMI) and metabolic syndrome (MS) and its components in elderly inhabitants in Shaoxing urban area. Methods: 2311 retired workers were divided into 4 groups according to BMI, and their age, gender, blood pressure, blood glucose and blood lipids were analyzed. Results: With the increase of body mass index, systolic blood pressure, diastolic blood pressure, blood glucose and triglyceride levels also increased, while the value of high-density lipoprotein cholesterol (HDL-C) decreased; elderly residents in Shaoxing city were wasting, normal, overweight and obese The prevalence rates of MS in group MS were 1.15%, 7.17%, 42.18% and 63.94% respectively. The prevalence of hyperglycemia was 11.92%, 19.5%, 26.05% and 32.19% respectively. The prevalence of hypertension was 31.15% , 41.05%, 63.34% and 73.81%. The prevalences of dyslipidemia were 7.31%, 31.89%, 39.49% and 51.07% respectively. The overweight and obesity were 2.8 and 3.1 times of those with normal body weight respectively. Conclusion: Hypertension and dyslipidemia are the most common metabolic abnormalities among obese elderly residents in Shaoxing. Controlling body weight can reduce the incidence of obesity-related diseases.