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目的研究上海某社区65岁以上老人体质量指数(BMI)及其与血压(BP)、糖化血红蛋白(Hb A1c)、甘油三酯(TG)及血尿酸(UA)的关系。方法对3279例上海静安区南京西路社区65岁以上老人健康体检人群BMI进行分析,探讨超重肥胖与血压、糖化血红蛋白、甘油三酯及血尿酸水平的关系。结果 3279例65岁及以上老人中,超重和肥胖占39.3%,BP异常率21.6%,Hb A1c异常率24.3%,TG异常率32.8%,UA异常率14.5%。按BMI值分为正常组和超重+肥胖组。与正常组相比,超重+肥胖组BP、Hb A1c、TG和UA异常的检出率均明显升高,差异均有统计学意义(P<0.001)。结论不同BMI组中BP、Hb A1c、TG及UA水平有显著性差异,控制体重对老年人高血压、高血糖、高血脂及高血尿酸等防治有重要作用。
Objective To investigate the relationship between body mass index (BMI) and blood pressure (BP), Hb A1c, triglyceride (TG) and serum uric acid (UA) in a community aged over 65 in Shanghai. Methods The BMI of 3279 elderly people over the age of 65 in Nanjing West Road community in Shanghai Jing’an District were analyzed to explore the relationship between overweight and obesity and blood pressure, glycosylated hemoglobin, triglycerides and serum uric acid. Results Among 3279 elderly people aged 65 and above, overweight and obesity accounted for 39.3%, abnormal BP rate 21.6%, abnormal Hb A1c rate 24.3%, abnormal TG rate 32.8% and abnormal UA rate 14.5%. BMI values were divided into normal group and overweight + obesity group. Compared with the normal group, the abnormalities of BP, Hb A1c, TG and UA in overweight and obesity group were significantly higher (P <0.001). Conclusion The levels of BP, Hb A1c, TG and UA in different BMI groups are significantly different. Weight control plays an important role in prevention and treatment of hypertension, hyperglycemia, hyperlipidemia and hyperurica in the elderly.