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目的了解辽宁省阜新农村地区高血压人群糖代谢异常与体质指数(BMI)的相关性。方法采用分层随机整群抽样方法,对辽宁阜新农村≥35岁高血压人群进行流行病学调查及实验室检查。将BMI按不同水平分级,使用SPSS11.5软件分析不同BMI水平的糖代谢异常率,并进行多因素Logistic回归分析。结果该高血压人群中男女性超重检出率分别为32.7/和36.4/;肥胖检出率分别为6.2/和12.9/,女性高于男性(P<0.05)。空腹血糖受损(IFG)及IFG与糖尿病(DM)合计患病率男性高于女性(P<0.01)。男女性DM及IFG与DM合计患病率均随BMI水平的增高而增加(P<0.01)。调整其他危险因素后,DM患病风险随BMI水平的增高而增加,但IFG患病风险未见此趋势。结论辽宁省阜新农村地区高血压人群中BMI是糖代谢异常的独立相关因素。
Objective To investigate the relationship between abnormal glucose metabolism and body mass index (BMI) in hypertensive population in rural Fuxin of Liaoning Province. Methods A stratified random cluster sampling method was used to carry out epidemiological investigation and laboratory tests on hypertensive population aged 35 years or older in rural Fuxin, Liaoning Province. The BMI was graded according to different levels, SPSS11.5 software was used to analyze the rate of abnormal glucose metabolism at different BMI levels, and multivariate Logistic regression analysis. Results The detection rates of overweight and overweight were 32.7 / and 36.4 / respectively in this hypertensive population. The detection rates of obesity were 6.2 / and 12.9 / respectively, and were higher in women than in men (P <0.05). The prevalence of impaired fasting glucose (IFG) and IFG and diabetes (DM) were higher in males than in females (P <0.01). The combined prevalence of male and female DM, IFG and DM increased with the increase of BMI (P <0.01). After adjusting for other risk factors, the risk of DM increased with the increase of BMI, but the trend of IFG was not observed. Conclusion BMI in hypertensive population in rural areas of Fuxin of Liaoning Province is an independent factor related to abnormal glucose metabolism.