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目的探讨武汉地区18岁以上常住居民腰围与血压、血脂及血糖的水平与关系。方法采用分层整群抽样法对武汉市11个区的1 879名成年人进行了问卷调查、体格检查、测量血压和血液生化指标检测,描述不同腰围组中血压、血脂、空腹血糖水平并用趋势卡方分析其组间关系。结果腹部肥胖率为51.8%,腹部肥胖组与腰围正常组的血压、血脂、血糖指标均有显著性差异(P<0.01)。HDL-C与腰围水平呈负相关,腰围与其余生化指标呈正相关。高血压检出率、血脂异常检出率、糖尿病患病率随腰围增加明显上升(P<0.01)。结论武汉市18岁以上常住居民腹部肥胖情况严重应引起重视;高血压、血脂异常、糖尿病的患病风险随腰围增加而上升。
Objective To investigate the relationship between waist circumference and blood pressure, blood lipids and blood glucose levels of residents over 18 years of age in Wuhan. Methods A stratified cluster sampling method was used to survey 1,879 adults in 11 districts of Wuhan City for questionnaires, physical examinations, blood pressure measurements, and blood biochemical indicators. The blood pressure, blood lipids, and fasting blood glucose levels in different waistline groups were described and used. Chi-square analyzes the relationship between its groups. Results The abdominal obesity rate was 51.8%. There were significant differences in blood pressure, blood lipid, and blood glucose levels between the abdominal obesity group and the normal waistline group (P<0.01). There was a negative correlation between HDL-C and waist circumference, and there was a positive correlation between waist circumference and other biochemical indicators. The detection rate of hypertension, the detection rate of dyslipidemia, and the prevalence of diabetes increased significantly with waist circumference (P<0.01). Conclusion Abdominal obesity of residents over 18 years of age in Wuhan should be paid more attention. The risk of hypertension, dyslipidemia and diabetes increase with waist circumference.