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目的探讨老年人群不同体质指数与相关代谢危险因素对健康的影响。方法对研究对象1343人进行健康体检,检查项目有BMI、血脂、FPG及肝脏实时超声波(B超)。检查参数采用χ2检验,P<0.05为差异有统计学意义。BMI按规定分为过低、正常、超重和肥胖4组。结果BMI(x±S)不同性别,男女无明显差别(χ2=3.20,P>0.05)。4组BMI检出率分别为6.2%、51.7%、35.5%和6.6%,男女差异无统计学意义(P>0.05)。血脂异常患病率为40.9%、糖尿病为7.5%和脂肪肝为23.3%。不同性别对此3种疾病患病率进行比较,分别为41.1%VS61.8%、7.0%VS8.6%和21.5%VS28.5%,除糖尿病外,血脂异常和脂肪肝患病率,均为女性高于男性(P<0.005)。不同性别对不同体质指数4组进行比较,血脂异常患病率依次为12.9%VS33.3%、33.7%VS59.2%、52.6%VS71.1%和63.3%VS62.1%;糖尿病患病率依次为0%VS4.8%、4.9%VS8.7%、10.2%VS6.1%和13.3%VS20.7%;脂肪肝患病率依次为0%VS0%、7.6%VS17.9%、35.5%VS40.9%和7.5%VS69.0%,通常均为女性高于男性(P<0.001)。结论老年退休离职员血脂异常、糖尿病和脂肪肝患病率显著高于18岁以上成年人的平均患病率,同时此3种相关代谢性疾病患病率随着体质指数升高而依次上升,而且女性患病率高于男性。
Objective To explore the health effects of different body mass index and related metabolic risk factors in elderly population. Methods A total of 1,343 subjects were examined by physical examination, including BMI, lipids, FPG and liver real-time ultrasound (B-mode ultrasound). The test parameters using χ2 test, P <0.05 for the difference was statistically significant. BMI as required, divided into four groups were too low, normal, overweight and obesity. Results BMI (x ± S) of different genders, no significant difference between men and women (χ2 = 3.20, P> 0.05). The detection rates of BMI in 4 groups were 6.2%, 51.7%, 35.5% and 6.6%, respectively. There was no significant difference between men and women (P> 0.05). The prevalence of dyslipidemia was 40.9%, diabetes 7.5% and fatty liver 23.3%. The prevalence rates of these three diseases were 41.1% VS61.8%, 7.0% VS8.6% and 21.5% VS28.5%, respectively. The prevalences of dyslipidemia and fatty liver in addition to diabetes were Women were higher than men (P <0.005). The prevalence of dyslipidemia was 12.9% VS33.3%, 33.7% VS59.2%, 52.6% VS71.1% and 63.3% VS62.1%, respectively, in different genders. The prevalence of diabetes mellitus Followed by 0% VS4.8%, 4.9% VS8.7%, 10.2% VS6.1% and 13.3% VS20.7% .The prevalences of fatty liver were 0% VS0%, 7.6% VS17.9%, 35.5 % VS40.9% and 7.5% VS69.0%, usually higher in women than in men (P <0.001). Conclusions The prevalence of dyslipidemia, diabetes and fatty liver among the aged retired staff members was significantly higher than that of the adults over the age of 18 years old. Meanwhile, the prevalence of these three related metabolic diseases increased with the rise of body mass index, And the prevalence of women than men.