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目的分析延边地区朝鲜族和汉族居民不同类型肥胖与心血管代谢危险因素的关系。方法于2006年8月~2008年8月在吉林省延边农村地区随机抽取30~70岁朝鲜族和汉族人群5 842人,测其身高、体重、腰围(waist circumference,WC)等指标,同时采集清晨空腹(禁食12 h)静脉血,并准确测定生化指标。结果 1)30~70岁人群肥胖粗患率汉族和朝鲜族分别为12.2%和8.7%,年龄调整患病率分别为11.2%和9.8%,汉族均高于朝鲜族(χ2=18.09,P<0.001;U=39.43,P<0.001);汉族和朝鲜族腹型肥胖粗患病率分别为46.4%和44.8%,年龄调整患病率分别为41.8%和40.9%,调整患病率汉族高于朝鲜族(U=17.64,P<0.001)。2)不同性别及民族心血管代谢危险因素及其聚集性与体质指数(body mass index,BMI)水平、WC关联与否及其程度有所不同。3)Lo-gistic分析结果表明,高血压、高血糖(朝鲜族)、高胆固醇(total cholesterol,TC)(汉族)、低高密度脂蛋白胆固醇(highdensity lipoprotein cholesterol,HDL-C)(汉族)、非HDL-C、高甘油三酯(triglyceride,TG)和代谢综合征(metabolic syn-drome,MS)在BMI和WC均异常组的aRR值最大;单纯BMI异常组的aRR值大于单纯WC异常组的心血管代谢危险因素为高血压(朝鲜族)、低HDL-C(汉族)和非HDL-C(朝鲜族);而单纯WC异常组的aRR值大于单纯BMI异常组的心血管代谢危险因素则为高血压(汉族)、高血糖、高TC(朝鲜族)、高TG和MS。结论吉林省延边地区一般人群肥胖患病水平较高,而且不同民族人群不同类型肥胖患病率存在明显的差异。BMI、WC及其合并组表现出不同的心血管代谢风险。
Objective To analyze the relationship between different types of obesity and cardiovascular risk factors among Korean and Han residents in Yanbian area. Methods From August 2006 to August 2008, 5 842 Korean and 30 to 70-year-old Korean population were randomly selected from rural areas in Yanbian, Jilin Province. Height, weight and waist circumference (WC) were measured. Fasting fasting (fasting 12 h) venous blood, and accurate biochemical indicators. Results 1) The prevalence of obesity among 30-70-year-olds was 12.2% and 8.7% respectively, and the age-adjusted prevalences were 11.2% and 9.8%, respectively, which were higher in Hans than in Koreans (χ2 = 18.09, P <0.001) ; U = 39.43, P <0.001). The prevalence rates of abdominal obesity in Han and Korean were 46.4% and 44.8%, respectively. The prevalence of age-adjusted prevalence was 41.8% and 40.9%, respectively. Family (U = 17.64, P <0.001). 2) The risk factors of cardiovascular metabolism and their aggregation in different genders and ethnic groups are different from those of body mass index (BMI) and the level of WC. 3) Lo-gistic analysis showed that hypertension, hyperglycemia (Korean), total cholesterol (TC) (Han), high density lipoprotein cholesterol (HDL-C) The aRR values of non-HDL-C, triglyceride (TG) and metabolic syn-drome (MS) were the highest in both BMI and WC abnormalities group, and the aRR values in abnormal BMI group were higher than that of simple WC abnormal group (Korean), HDL-C (Han), and non-HDL-C (Korean) risk factors for cardiovascular disease, whereas the aRR values in the WC-only group were significantly greater than those in the BMI-only group High blood pressure (Han), high blood sugar, high TC (Korean), high TG and MS. Conclusion The prevalence of obesity in the general population in Yanbian of Jilin Province is high, and the prevalence of different types of obesity in different ethnic groups is obviously different. BMI, WC, and their combined groups showed different cardiovascular metabolic risks.